Oncology Billing Services
Oncology billing involves high-cost therapies, strict payer rules, and frequent authorization and documentation requirements. We manage your revenue cycle end-to-end—so claims go out clean, denials are resolved fast, and cash flow stays predictable.
- ✓ Charge Capture + Claim Scrubbing
- ✓ Infusion / Chemo Coding Support
- ✓ Prior Auth & Documentation Checks
- ✓ Denials, Appeals & Underpayment Review
- ✓ AR Follow-Up & Recovery
- ✓ Clear Reporting & Monthly Insights
What Sets Us Apart
Oncology revenue cycles are high-stakes: prior authorizations, high-cost drug claims, infusion coding, and strict payer edits can create denials and underpayments quickly. We work inside your existing workflow to improve charge capture, scrub claims against payer rules, and actively manage denials and AR—so reimbursement stays consistent. For specialty claim rules and coverage guidance, we align processes with payer and Medicare references such as CMS Physician Fee Schedule resources and use payer-driven best practices to reduce rework.
Infusion / Chemo Coding Support
We help reduce coding-related denials by validating common oncology billing patterns and documentation requirements.
Authorization-First Claim Strategy
We catch missing auths and payer prerequisites before claims go out—preventing avoidable rejections and delays.
Denials + Underpayment Review
We track denials, submit corrections/appeals, and review payments to catch underpaid claims—then add prevention steps.
AR Follow-Up & Recovery Options
If you need additional post-payment support, we can pair billing with AR recovery services for aged balances.
How It Works
We follow a structured oncology billing workflow designed for accuracy and speed: we map your services and payer mix, confirm EHR/clearinghouse setup, establish claim and authorization checkpoints, then run daily operations with tracking and reporting. If you also need credentialing for your providers, we can coordinate alongside our insurance credentialing services. For reference on patient coverage basics and plan types, see HealthCare.gov’s insurance glossary.
Step 1: Intake & Workflow Mapping
We review your oncology services, infusion workflows, payer mix, and current billing touchpoints.
Step 2: System Setup + Claim Rules
We confirm provider profiles, NPIs, taxonomy, EDI/ERA connections, and build payer-specific claim scrubbing checkpoints.
Step 3: Daily Operations
Charge entry, claim scrubbing, submissions, rejections handling, payment posting, and patient balance workflows.
Step 4: Denials, AR Follow-Up, Reporting
We work denials and AR consistently, provide transparent reporting, and implement prevention steps to reduce repeats.
Free Credentialing with Medical Billing
$499 / Month
Call / WhatsApp:
(716) 919-3969
Email:
support@rxcredentialing.com
www.rxcredentialing.com
Oncology
Medical Billing Services
- ✅ Smooth transition between EHR/EMR systems.
- ✅ Efficient Electronic Funds Transfer (EFT), EDI, and ERA setups.
- ✅ Claims submission within 24 hours.
- ✅ Prompt follow-up with payers for faster reimbursements.
- ✅ Free CAQH maintenance and provider revalidation.
- ✅ Comprehensive Revenue Cycle Management (RCM) services.
- ✅ Appeals, adjustments, and coding review included.
- ✅ Referral coordination with other practices and specialists.
- ✅ Reimbursement strategies for optimized billing.
Have Other Questions? Get in Touch
Our team is here to help you understand every part of the billing process, from claim submission to reimbursement. Whether you need clarity on workflows, payer rules, or how our services fit your practice, we make the entire experience simple, transparent, and stress-free.
Our onboarding process is completed within 3–5 business days, provided all required information is supplied.
Yes — we work with nearly all popular platforms such as Tebra, OfficeAlly, eCW, Athena, DrChrono, AdvancedMD, SimplePractice, ICANotes, Optimantra, and more.
Our base plan starts at $499/month and includes free credentialing for solo practitioners. Standard billing plans are 3–5% of insurance collections.
Yes — we offer free credentialing, CAQH maintenance, and revalidation support for billing clients.
All PHI is handled in accordance with HIPAA requirements. Our team uses secure, encrypted systems for file storage, communication, and data access. Access to PHI is limited to authorized staff only, based on job responsibilities, and all activity is monitored.
Insurance Companies We Work With
We work with every health plan in the United States, including Medicare, Medicaid, major commercial carriers like Aetna, Cigna, Humana, Blue Cross Blue Shield, UnitedHealthcare, as well as HMO, PPO, POS, state, and regional plans. Our team ensures seamless credentialing and contracting across all payers.
Trusted by Healthcare Providers Nationwide
Very attentive and efficient
Always available to explain things or answer questions or concerns
We would love to hear from you.
Contact Us
Have a question or want to learn more about our services? Fill out the form below and our team will get back to you within 24 hours.
We serve all 50 states.
