Want to eliminate the stress of oncology billing and coding? At Nexus io, we expertly handle the complexities of oncology insurance claims processing with accurate CPT and ICD-10 coding. Contact us today for complete oncology billing support and guidance.
Oncology billing services handle all financial and accounting work for cancer clinics. They submit bills correctly to ensure accurate claim submission and faster reimbursement. Accurate oncology billing services include billing for chemotherapy, radiation therapy, IV infusions, cancer surgery, and comfort care. By applying accurate medical codes (CPT and ICD-10), billers secure prior authorization for expensive chemotherapy drugs and costly cancer treatment procedures.
Additionally, billing services also verify each patient’s benefits and confirm medical necessity before treatment, reducing denials and protecting revenue. Hiring a specialized oncology billing company like Nexus io helps your practice get paid faster and stay up to date with changing insurance rules for cancer care.
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Oncology is a complex, rapidly evolving, multispecialty field that requires precise management of diverse care plans and treatments across various patient demographics and tumor types. These include medical oncology (chemotherapy, targeted therapy), radiation oncology (radiation therapy), and surgical oncology (surgery). Each specialty requires precise coding to represent the treatment provided accurately. This complexity makes oncology billing and coding challenging without in-depth knowledge of coding systems and processes.
Beyond treatment, oncology practices also focus on cancer prevention, risk assessment, and survivorship care, adding further complexity to billing. Without specialized expertise, coders risk errors that lead to claim denials, delayed payments, and revenue loss. Collecting rightful reimbursements can quickly become challenging.
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Are billing and coding errors leading to claim denials and delayed payments at your oncology practice? At Nexus io, we specialize in eliminating these costly mistakes. Our expert oncology billing team ensures accurate coding and clean claim submissions.
We also create detailed oncology billing reports and share them with practices regularly to provide full transparency and financial clarity. This allows your cancer care practice to focus on patient care while we improve your cash flow and reduce denials.
Common oncology billing errors include missing pre-authorizations, incorrect CPT/HCPCS codes, overlooked modifiers, data-entry mistakes, and unfiled denial appeals. These issues trigger payer edits, claim rejections, and payment delays that drain revenue and cash flow.
Our professional oncology billing experts obtain pre-authorization from payers for specified oncology treatments before service delivery, which prevents claim denials and delays in reimbursement. They carefully verify all oncology billing procedures and diagnosis codes, modifiers, and supporting documentation to ensure completeness and accuracy.
Unlike amateur oncology coders who may omit or misuse modifiers, our AAPC-certified professional coders (CPCs) maintain the highest coding specificity. They expertly handle oncology CPT codes such as 96413 (chemotherapy administration), 77427 (radiation treatment management), and 19307 (breast reconstruction surgery). We ensure a clean claim submission process with accurate diagnosis and procedure codes to describe the services rendered.
We provide 24/7 support for all medical billing and revenue cycle services. From hospitals to physician practices and ASCs, our team ensures accurate and timely claim processing. We help reduce denials, recover old AR, and streamline credentialing.
Every service is customized to match your specialty and practice needs. Our dedicated billing specialist ensure compliance and accelerate your reimbursements.
We code every high-cost chemotherapy or biologic treatment with precise CPT, HCPCS, and NDC units. Our team secures prior authorizations, flags JW wastage modifiers, and validates 340B eligibility. We validate claims against CCI/PTP edits, payer LCDs, and step-therapy rules. Denials are automatically routed for appeal with complete infusion logs and drug pedigree, resulting in higher first-pass approvals and faster reimbursements to your practice.
Partnering with Nexus io for oncology billing services enables your practice to minimize administrative overhead, enhance cash flow stability, and maintain focus on delivering comprehensive patient care.
At Nexus io, we provide proactive management of oncology claim denials and accounts receivable (A/R) to optimize your revenue cycle. The average claim denial rate for oncology practices in the USA exceeds 10%, causing delays in insurance claims processing and revenue loss. Our oncology billing services focus on timely identification, detailed analysis, and effective appeal of denials to recover lost revenue quickly. Using advanced denial management strategies, we reduce A/R days, improve cash flow, and ensure your oncology practice receives proper reimbursements.
Trust Nexus io to handle your insurance claims efficiently so you can focus on delivering exceptional cancer care.
Nexus io is your reliable partner for oncology billing services. We focus on transparency at every stage of the billing process, so that you can relieve from the administrative burden and increase your revenue, allowing you to devote your attention to your patients. Simply fill out the brief form, and one of our oncology billing experts will reach out to you within 12 hours.
How are cancer treatments billed to insurance?
Oncology medical billing begins by capturing every detail of cancer treatment, including medication, radiation dose, and surgery. Our Nexus io coders assign the correct ICD-10 diagnosis and CPT/HCPCS procedure codes, add required modifiers, and attach supporting documents. We then submit the claim, track its status, and follow up until reimbursement is received.
What makes Nexus io the best oncology billing company?
Nexus io stands out as the best oncology medical billing company due to our specialized expertise in cancer care billing. We utilize cloud-based advanced technology, staffed by experienced coders who understand the nuances of medical oncology billing services.
How do multi-specialty treatments affect oncology billing accuracy?
The challenge lies in managing the complexity of multi-specialty treatments. Missing documentation or incorrect CPT and ICD-10 codes for multiple services can trigger claim denials. With our expert oncology billers and coders, every claim is coded accurately, fully documented, and processed in line with all regulations, so you get reimbursed promptly and in full.
How does Nexus io handle denial management in oncology billing?
We provide proactive denial management services for oncology practices. Our oncology billing services feature proactive denial management. We audit each denied claim, find the exact error, and resubmit a fully documented appeal on time. This approach recovers lost revenue and stabilizes your cash flow.
How does Nexus io ensure oncology billing stays compliant with all regulations?
As a trusted oncology billing company, Nexus io monitors evolving payer rules and federal guidelines daily. Our team submits claims that meet every standard, protecting you from costly audits and maintaining accurate medical oncology billing.
Allow our dedicated oncology billing specialists to manage your practice’s complex billing and coding. Contact Nexus io today to discover expert oncology billing services designed to maximize your revenue and reduce administrative hassle.
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