Billing errors in oncology are rarely random. They follow the specialty. A radiation oncology practice loses revenue differently than an infusion center, and a surgical oncology group faces different payer challenges than a hematology clinic. Our oncology billing team is trained across every major oncology specialty so the billing support your practice receives matches the exact coding rules, documentation requirements, and payer policies that apply to your specific type of care.
General billing teams handle general billing problems. Oncology specialties have problems that general billers miss entirely. Each specialty below comes with its own billing rules, denial patterns, and reimbursement challenges. We built our team around those differences so your practice gets billing support that actually fits.
Cancer surgeries require precise handling of global periods, multiple procedure reductions, modifier stacking, and intraoperative add-on codes. A single coding error on a high-value resection can result in significant underpayment, and payers rarely correct it without a formal appeal. We review operative reports against billed codes before every submission, verify modifier use, track global period timelines, and follow up on underpaid surgical oncology claims directly with payers.
Gynecologic oncology practices bill across surgery, chemotherapy, follow-up visits, and complex diagnosis coding that often involves multiple cancer types running simultaneously. Incorrect diagnosis sequencing, missed surgical add-on codes, and authorization gaps on chemotherapy agents are the most common revenue losses in this specialty. We manage coding and sequencing across every claim type, track chemotherapy authorizations, and correct documentation gaps before claims reach the payer.
Hematology and oncology practices manage blood cancers, bone marrow disorders, and solid tumors under the same billing account, each with its own code sets, drug types, and payer policies. That breadth creates billing gaps that are easy to miss without specialty training. We review diagnosis sequencing between hematologic and oncologic conditions, manage complex infusion hierarchies, track authorizations across both treatment lines, and resolve denials with payer-specific documentation.
Infusion centers and oncology pharmacies carry the highest per-claim dollar values in cancer care and the most precise billing requirements to match. Drug units, wastage modifiers, NDC numbers, and HCPCS code selection all have to be exactly right before a claim goes out. We review every drug claim for accurate coding, correct dosage units, and proper modifier use, then audit payer payments to catch underpayments before they age out.
Radiation oncology billing spans treatment planning, simulation, dosimetry, and daily treatment delivery across multi-week courses. Payers scrutinize these claims closely, and any disconnect between the physician's orders and the billed codes creates a denial that is difficult to appeal without strong documentation. We review radiation claims from planning through completion and pursue underpayments on advanced techniques including IMRT, SBRT, and proton therapy.
Pediatric oncology billing carries its own set of challenges that adult oncology billing rules do not prepare a team for. Age-specific drug dosing calculations, weight-based chemotherapy units, CHIP and Medicaid payer requirements, and parental consent documentation all affect how claims are built and reviewed. We manage pediatric oncology claims with close attention to dosing accuracy, payer-specific pediatric coverage policies, and the documentation standards that protect reimbursement on high-cost childhood cancer treatments.