Fighting for Your Revenue as Fiercely as You Fight Cancer – Specialized Oncology Billing That Delivers Results
Oncology billing is among the most challenging specialties in healthcare, with high-cost chemotherapy drugs, complex infusion coding, bundled payments, and constantly evolving payer policies. At Medhasty, we specialize in oncology revenue cycle management, ensuring your practice receives every dollar you’ve earned while you focus on saving lives.
Serving medical oncology practices, hematology-oncology groups, radiation oncology centers, surgical oncology, and cancer hospitals nationwide.
Oncology billing sits at the intersection of clinical complexity and strict payer oversight. Cancer treatments are high-cost, highly regulated, and often span months or even years. Every encounter may involve drugs, infusions, radiation planning, lab testing, and supportive care, each governed by different Medicare and commercial payer rules. When billing workflows are not oncology-specific, practices face frequent denials, delayed payments, and compliance exposure that directly impacts patient access to care.
Oncology practices face challenges like:
Chemotherapy infusion coding requires precise time tracking for initial, sequential, concurrent, hydration, and IV push services.
Buy-and-bill drug models demand accurate J-code reporting, ASP-based reimbursement, inventory control, and waste documentation.
Radiation oncology billing involves complex professional and technical component splits across IMRT, IGRT, SRS, and SBRT services.
Molecular pathology and genetic testing billing must meet strict payer coverage and medical necessity requirements.
Oncology claims face high denial rates due to gaps in prior authorization, medical necessity reviews, and payer audits.
Oral chemotherapy coverage depends on specialty pharmacy coordination, payer formularies, and patient assistance programs.
Certified oncology coders apply accurate CPT, ICD-10, and HCPCS coding across medical, radiation, surgical, and gynecologic oncology. Chemotherapy infusions, injections, E/M services, and procedures are coded with precision, ensuring correct reporting of time-based services and drug administration under Medicare rules.
Cardiology claims are submitted clean and compliant from day one. Medicare edits, bundling rules, and medical necessity requirements are addressed upfront to improve first-pass acceptance. Denials are analyzed and appealed aggressively to recover underpaid or delayed Medicare claims.
Authorizations for chemotherapy, radiation therapy, and high-cost biologics are handled proactively. Claims are reviewed against applicable LCDs and NCDs to support medical necessity. When required, peer-to-peer appeals are coordinated to prevent treatment delays and post-service denials.
Denied oncology claims are assigned to specialists who understand cancer-specific billing rules. Root cause analysis identifies gaps in documentation, coding, or authorization. Appeals are submitted within payer timelines to recover underpaid claims and reduce repeat denials.
Radiation billing is managed across the whole treatment cycle, including daily and weekly management, technical component billing, physics consultations, and dosimetry services. Brachytherapy and HDR treatments are coded in alignment with Medicare payment policies to support accurate reimbursement.
Oncology billing operations follow OIG guidance, CMS policies, and commercial payer audit standards. Documentation reviews and education help practices stay prepared for Medicare, Medicaid, and commercial payer audits without disrupting care delivery.
Our oncology billing solutions are designed for practices treating complex cancer cases with high-cost therapies and long treatment cycles. Medicare oversight, drug reimbursement rules, and medical necessity requirements place oncology practices under constant scrutiny. We support oncology providers across multiple subspecialties, helping them navigate chemotherapy billing, radiation services, and multidisciplinary care models while maintaining compliance and financial stability.
Oncology practices operate under intense financial pressure. High-cost drugs, strict Medicare rules, and frequent payer audits leave little margin for error. The right billing partner does more than submit claims. It stabilizes cash flow, protects drug reimbursement, and removes revenue leakage that quietly drains oncology practices. When oncology billing is handled correctly, practices see tangible improvements across reimbursement, denial reduction, and operational efficiency.
Maximize Drug Reimbursements – Capture every dollar from buy-and-bill chemotherapy.
Reduce Denial Rates by 40% – Expert coding and authorization management
Improve Cash Flow—Faster claim submissions and payment posting
Decrease A/R Days – From 60+ days to under 30 days
Complete Transparency – Real-time access to billing metrics and financial reports
Regulatory Confidence – Stay compliant with ever-changing oncology billing regulations
Focus on Patient Outcomes – Reduce administrative burden on clinical staff
Cancer care providers choose Medhasty because oncology billing is not treated as a side service. It is our core focus. From chemotherapy drug reimbursement to radiation billing and compliance oversight, our approach is shaped by real payer behavior and Medicare scrutiny. Practices partner with us because they need consistency, accountability, and billing expertise that understands how oncology care actually works, not just how claims are submitted.Cancer care providers choose Medhasty because oncology billing is not treated as a side service. It is our core focus. From chemotherapy drug reimbursement to radiation billing and compliance oversight, our approach is shaped by real payer behavior and Medicare scrutiny. Practices partner with us because they need consistency, accountability, and billing expertise that understands how oncology care actually works, not just how claims are submitted.
Oncology-Exclusive Expertise
Certified Oncology Coders with COC and CPC credentials
Proven Track Record serving oncology practices for over 15 years
Works with all major oncology EMRs and practice management systems
Your practice gets a specialized oncology billing manager
Supporting independent practices, multi-location groups, and hospital-based programs
Experience our services with no long-term commitment
Oncology billing technology must integrate seamlessly into clinical and administrative workflows. Disconnected systems slow care, delay billing, and increase the risk of denials. Our billing infrastructure connects directly with oncology-specific EMRs and practice management systems, creating a unified workflow from eligibility to reimbursement. Automation is applied where it improves accuracy and speed, while reporting tools give practices clear visibility into financial performance without overwhelming staff.
Real-time eligibility verification
Automated claim scrubbing and error detection
Patient portal integration
Comprehensive reporting dashboards
Medhasty’s oncology billing services simplify high-stakes revenue cycles for cancer care. Our team handles everything from drug administration and infusion billing to radiation services and clinical trial coordination. By focusing on accuracy, payer compliance, and authorization management, practices reduce denials, increase reimbursements, and allow staff to focus on patient outcomes.
FAQS
Our coders ensure that buy-and-bill J-codes, ASP-based reimbursement, and drug waste documentation are accurate. Time-based infusion coding and sequencing rules are applied precisely, improving allowable payment while reducing risk of denials or audits.
All technical and professional components for radiation therapy are handled, including IMRT, IGRT, SRS, SBRT, and brachytherapy. Treatment planning, physics services, and dosimetry are coded according to Medicare and commercial payer guidelines to ensure proper reimbursement.
Authorizations for chemotherapy, biologics, and radiation are obtained proactively. Claims are checked against LCDs and NCDs for compliance, and peer-to-peer appeals are coordinated when necessary to prevent payment delays or treatment disruption.
Specialty pharmacy coordination, payer formularies, and patient assistance programs are all handled. Claims and prior authorizations are processed to ensure patients receive medications without coverage delays while practices capture allowable reimbursement.
Real-time dashboards provide insights into claim status, denials, reimbursement trends, and revenue by service type. Benchmarking and trend analysis help practices identify missed opportunities, optimize operations, and make informed financial decisions.
Let our medical billing experts optimize your revenue cycle management. We enable healthcare practices to increase cash flow and avoid denials. Permanently!
