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Specialty billing

Billing built for Oncology

Oncology billing where drug dollars dominate — buy-and-bill integrity, prior auth for therapies, and treatment plan documentation.

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The challenges

Where oncology revenue leaks

  • Drug billing errors are catastrophic at oncology price points
  • Every therapy line requires authorization and re-authorization
  • Wastage documentation and JW/JZ modifiers draw audits

Our playbook

How we fix it

  • Buy-and-bill reconciliation: purchased vs. billed units
  • Therapy prior authorization with clinical documentation
  • Wastage modifier compliance on every administration
  • Treatment plan and chemotherapy teaching capture

Core solutions

What oncology clients typically use

Medical BillingEnd-to-end claim submission, scrubbing, and follow-up that gets you paid faster — engineered to a 98%+ first-pass clean claim standard.
Medical CodingAAPC- and AHIMA-certified coders delivering 95%+ accuracy across ICD-10, CPT, and HCPCS — with built-in audit protection.
CredentialingEnd-to-end provider lifecycle management — credentialing, primary source verification, expirable tracking, and AI-monitored compliance from application to recredentialing.
Denial ManagementEvery denial worked within 48 hours and root causes eliminated — because the best denial strategy is preventing the next one.
AI Revenue IntelligenceMachine learning that predicts denials before submission, prioritizes A/R by recovery probability, and finds patterns humans miss.
MIPS & Quality ReportingFull Quality Payment Program management — measure selection, data capture, submission, and score optimization that turns MIPS from a penalty risk into a payment adjustment you earn.

Get a billing health check for your oncology practice

Free, 30 minutes, with a consultant who knows your specialty's codes and payers. We'll benchmark your denial rate, A/R days, and collections — and tell you exactly what we'd fix first.

Book my free consultation