WHY OUTSOURCING ONCOLOGY BILLING MAKES SENSE
Did you know that Medicare pays for chemotherapy administration only if the oncologist gives the patient a cancer diagnosis?
Not only is oncology one of the most rapidly developing fields of medicine, it is also among the most far-reaching, with patients of all ages and types, and practitioners in many different settings. All of these combine to make oncology medical billing and coding among the most complex of all the different fields.
Keep up with all the changes to billing codes
It isn’t feasible for a doctor to run a practice or department in a medical institution and keep up with all the changes to billing codes in addition to all the various payer and insurer plans if they intend to have time and energy to focus on patient care. That’s why outsourcing revenue cycle management (RCM), and especially coding and billing has become a normal practice in the field.
Why You Need to Outsource Oncology Medical Billing to Specialists
There are many reasons oncology billing and coding is so complicated, starting with the fact that the coding system in general is complex. But there are several factors that are especially challenging for oncology. Here are just a few of them.
Oncology is a high-tech field and treatments often involve new equipment, extensive surgeries, radiation therapies, chemotherapy, etc. Each piece of the treatment must be coded and submitted in a claim, but some procedures, like surgeries, are billed with a “bundled” code, which includes all the expected charges in one code. This means coders and billers must know what is included in the bundle and be aware of any additional services given, which need to be billed separately. In order to get the full appropriate compensation, claims must be submitted by experienced billers in order to avoid omitted details that result in denials.
Treatment of cancer is rarely a simple tumor removal. More likely there will be a series of treatments, often involving specialists from other medical disciplines, from plastic surgeons to hepatologists. Because each person’s role must be accounted for in the coding, and they may represent different business entities as well as medical disciplines, coding must be detailed to present all the necessary information.
Oncology Billing High-level, high-cost services
In a medical field where a physician sees many patients daily for simple exams, one lost claim won’t result in a huge drain on the practice’s revenue, but oncology generally involves more detailed, higher cost services, so losing a single claim can be a large loss of revenue. It is imperative that oncology medical billers have the experience to recognize any potential problems and get them rectified swiftly.
Increase Your Revenue and Reduce Administrative Stress by Outsourcing Oncology Billing to Medcare MSO
Certified & Experienced Coding Staff
Medcare MSO is dedicated only to RCM, with a large certified, experienced oncology medical billing staff. Our innovative approach and proprietary software have proven to increase revenue and leave our clients feeling much more enthused about practicing medicine because they can go back to focusing on patient care, knowing that their revenue management is in good hands.
We have the expertise to manage
Our services are customizable, so you don’t get anything you don’t want, but we have the expertise to manage payer credentialing, insurer approvals, billing and coding—including swift and expert management of denials and rejections—annual chart reviews and pay back, and much more.
If you want to know more about our oncology Medical billing services get a free demo today. We look forward to showing you how we can relieve the administrative burden of medical billing and increase your revenue so you can give your attention to your patients.