MedCare MSO’s oncology billing software is purpose-built for the financial complexity of cancer care. Our automated billing software for oncology handles every layer of your revenue cycle with accuracy, speed, and compliance built in.
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Trusted by 1000+ providers
Clean Claim Rate
Reduction in Oncology Denials
Time to First Submission
J-Code Accuracy Rate
Revenue Recovery Increase
Oncology claims are 3 -5x more complex than regular claims. One chemo visit can create 10 – 15 line items each with its own rules. Even if you miss a detail you will lose money or claim will get denied.
Most billing systems are not built for this. They are made for simple visits not cancer care. So teams rely on spreadsheets, notes and guesswork.
MedCare MSO built its oncology billing software specifically for this complexity. It is not adjusted for oncology. It is built for oncology from day one.
The software captures every billable service which is delivered in your practice. Then it converts it into clean billable line items.
When your clinical teams documents something the software automatically build its claim.
Our software handles dose to unit conversion automatically. It accounts for vial size, calculated drug wastage and rounds units based on payer specific rules.
Our software validates infusion times and assigns the correct first hour and additional hours codes.
Before the claim is built our software validates authorization numbers, checks approved drugs and unit counts. Then it confirms if auth is still within its valid date range.
Our software catches modifier errors, wrong unit counts, diagnosis mismatches, bundling issues, medical necessity gaps and duplicate charges before submission.
Built in alerts detect issues like upcoding, unbundling and medical necessity risks before they turn into audit problems.
It keeps 340B and non 340B drug claims separate and maintains clear records for compliance and audits.
Billing rules are updated continuously for new drug codes, approvals and payer policies so claim stay accurate and up-to-date.
All patients and claim data is fully protected with HIPAA-compliant security and encryption.
Every claim includes a complete log of codes, edits, documents reviewed and submission history for easy audits.
The software helps capture every billable oncology service, including infusions, radiation and drug administration. It reduces missed charges and undercoding. It helps your practice collect more revenue without adding extra staff.
Oncology billing often has high denial rates because payer rules keep changing. The software checks claims before submission using updated payer rules to help prevent denials before they happen.
The software automates time consuming tasks like J code mapping, unit calculation, infusion billing and prior authorization tracking. This reduces manual work and allows your billing team to focus on important tasks.
All denial data, appeal packets, attachments, and metadata are encrypted in transit and at rest, preventing unauthorized access and safeguarding sensitive patient and financial information.
Every specialty has its own payer rules, documentation standards, and modifier requirements, which our AI claim agent is trained on.
Our oncology billing software integrates with all major EHR, EMR, and oncology-specific platforms using HL7, FHIR, X12, and secure API connections. It pulls treatment orders, drug administration records, radiation treatment logs, and clinical notes directly from your system, eliminating duplicate data entry and ensuring billing reflects exactly what was documented and delivered.
The software automatically converts treatment documentation into the billing codes for chemotherapy drugs and administration. It calculates the correct units based on the documented dosage and applies billing rules according to the route of administration no matter injection or infusion. It can also handle complex cases like multiple infusions, hydration services and add on drug billing.
Yes. The software supports OCM billing by managing MEOS payments. It also tracks episode based payments and aligns data with CMS reporting requirements. It allows practices to manage both regular billing and OCM-related workflows from one single platform.
MedCare MSO oncology billing software checks claims for common oncology billing issues before submission using more than 500 payer specific rules. It reviews medical necessity, prior authorizations, required documentation and payer coverage policies to catch any errors even before they happen. This helps prevent denials even before the claims are submitted.
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