Oncology Billing Services

Optimize Your Practice Revenue & Billing Efficiency

Getting Started

Our oncology billing services are designed to manage the complexities of cancer care procedures. We provide reliable solutions that streamline billing processes while ensuring accuracy, compliance, and proper reimbursement for oncology clinics, hospitals, and cancer centers. With the continuous evolution of treatments such as immunotherapy and targeted therapies, our team manages the associated coding and documentation demands—allowing oncologists to stay focused on patient care.

Oncology Billing Services

Maximizing claim efficiency and compliance for superior revenue management

Oncology billing and coding involve managing complex, long-term treatment processes associated with cancer care. Patients often undergo numerous tests, multiple procedural visits, and several treatment phases, making accurate documentation and careful payment tracking essential for timely reimbursement.


Handling oncology billing means managing detailed administrative tasks to navigate the reimbursement cycle efficiently. Key approaches include:

  • Monitoring copayments, deductibles, and fee schedules closely
  • Conducting regular code audits to ensure accurate and appropriate coding
  • Producing customized reports to review payment flows and manage accounts receivable effectively.
  • Outsourcing oncology billing allows physicians to streamline their billing cycle through efficient and proactive management. This approach leads to smoother revenue cycle operations, higher collection rates, and greater capacity for advancing oncology research and patient services.
  • Better patient flow and increased referral opportunities
  • Greater focus on research and clinical development


Mastering Every Code for Oncology Specialty

Explore key figures that highlight our commitment to seamless coding and optimized reimbursement.

Common E/M Codes in Oncology Billing

99201-99205

New patient office/outpatient visit

99211-99215

Established patient office/outpatient visit

99241-99245

Office or outpatient consultation

Chemotherapy Administration Codes

96409

IV infusion technique

96411

IV push technique

96413

IV infusion requiring pump

Chemotherapy Drug Codes

J9000-J9999

Chemotherapy drugs

J0640

Leucovorin calcium injection

J0897

Denosumab injection

Up to

27%

More cash collected

Up to

23%

Outstanding A/R collection

Up to

29%

Patient collections

Up to

$80 M

Charges billed last year

Medical Billing At A Glance

Explore key figures that highlight our commitment to seamless coding and optimized reimbursement.

Claims Processing Metrics

96%

First Pass Resolution Rate

Percentage of claims paid on the first submission.

23-40 Days

Average Days to Payment

Average number of days it takes for claims to be paid.

First-Pass Claim Acceptance Rate (FAR):

We consistently maintain a >96% first-pass acceptance rate, reducing delays and ensuring faster reimbursements.

Days in Accounts Receivable (AR):

Our optimized workflows help keep AR days well below the industry benchmark, improving cash flow predictability.

Clean Claim Rate:

With robust coding accuracy and claim scrubbing tools, we achieve a clean claim rate of over 95%, minimizing rework and denials.

Financial Metrics

90%

Net Collection Rate

Percentage of total charges that are collected.

30 Days

Average Denial Resolution Time

Average number of days taken to fix and resolve a denied claim.

Operational Metrics

94%

Average Claims Submitted Per Month

Volume of claims submitted.

97%

Volume of claims submitted.

Claims processed per biller per day.

Aged A/R Clearance Rate:

Measures the percentage of aged receivables (especially over 90days or above)

Reflects the effectiveness of backlog reduction efforts.

A faster resolution time means improved collections and cleaner aging reports

Unbilled Claims Backlog:

Goal: Minimal backlog—claims should be submitted within 24–48 hours of service. Impact: Directly affects cash flow and delays reimbursement.

Denial Resolution Rate:

Tracks the number of denied claims that were appealed, corrected, and successfully reimbursed. Benchmark: 63–79% resolution rate. Denial management efficiency and recoverable revenue.

Reach Us

Address

3/1159, water tank road, choolaima nagar, Thoraipakkam, Chennai - 600097.

© 2023 Gedeihen Healthcare.