- Business Hours: 08:00 to 05:00 | Monday to Friday
- Contact: +1 713-702-7332
- Email: info@ombcs.com
- 906 W. Medical Center Blvd, Webster TX 77598

# Oncology Billing Services

### Our Specialties

## Oncology Billing Services

Specialized billing solutions for cancer centers and oncology practices to optimize revenue, reduce denials, and streamline billing for complex cancer treatments and procedures.

### Our Services

## Oncology Billing Expertise

- Specialized coding for urological diagnostic procedures (cystoscopies, urodynamics)
- Expert billing for surgical urological procedures
- Accurate coding of urological implant devices
- Compliant documentation assistance for urological services

- Specialized appeals for complex oncology procedure denials
- Oncology-specific charge capture optimization
- Payer-specific urological documentation requirements
- Oncology compliance program support

### Coding Expertise

## Common Oncology CPT Codes

Code | Description
--- | ---
96413 | Chemotherapy administration, intravenous infusion; up to 1 hour
96417 | Chemotherapy administration, intravenous infusion; each additional sequential infusion, up to 1 hour
77427 | Radiation treatment management, 5 treatments
77385 | Intensity modulated radiation treatment delivery (IMRT)
77295 | 3-dimensional radiotherapy plan, including dose-volume histograms
G0021 | Oncology clinical trial, initial evaluation

### Our Process

## Oncology Billing Process

Our comprehensive approach ensures maximum revenue and minimal administrative burden for your oncology practice.

### Patient Registration & Insurance Verification

We verify oncology-specific insurance benefits and coverage for urological procedures, tests, and devices before services are rendered, including:

- Verification of coverage for diagnostic urological tests (cystoscopies, urodynamics)
- Pre-authorization for urological procedures and interventions
- Coverage confirmation for implantable urological devices
- Patient responsibility estimation for high-cost urological procedures
- Coordination of benefits for post-operative urological care

### Specialized Oncology Coding

Our oncology coding specialists ensure accurate code assignment for all urological services:

- Precise coding for diagnostic oncology services (cystoscopies, urodynamics, imaging)
- Expert coding for surgical urological procedures (prostatectomies, nephrectomies)
- Accurate device coding (stents, slings, prosthetics)
- Proper modifiers for multiple urological procedures
- Compliant documentation support for complex urological procedures

### Clean Claim Submission

We achieve a 98% clean claim rate for oncology services through our thorough process:

- Oncology-specific claim scrubbing to identify coding errors
- Verification of medical necessity documentation for urological procedures
- Inclusion of required diagnostic test results
- Proper sequencing of urological diagnosis and procedure codes
- Electronic submission to all major payers within 24-48 hours

### Oncology Denial Management

Our specialized approach to urological claim denials includes:

- Expertise in appealing medical necessity denials for urological procedures
- Management of bundling/unbundling issues common in oncology
- Documentation support for complex urological intervention appeals
- Appeals for denied device implantation procedures
- Monitoring and addressing oncology-specific payer policy changes

### Oncology Practice Analytics

Our oncology-specific reporting and analytics help optimize your practice:

- Procedure-specific profitability analysis
- Revenue analysis by service line (diagnostic, surgical, oncology)
- Payer-specific performance metrics for urological services
- Denial trend analysis by procedure type
- Recommendations for revenue optimization by service area

### frequently asked questions

## Oncology Billing FAQs

Get answers to common questions about our oncology medical billing services, coding challenges, and revenue optimization strategies.

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Common oncology claim denials include medical necessity issues for diagnostic tests, incorrect bundling of services, missing documentation for urological devices, improper use of modifiers, and lack of prior authorization for certain procedures. Our specialized denial management team addresses these issues proactively to minimize denials.

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Our approach to complex urological surgery billing involves comprehensive documentation review, verification of procedure details, proper coding of the primary and secondary procedures, and ensuring all required elements for reimbursement are captured. We also manage concurrent procedures and maintain accurate surgical tracking.

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Our dedicated oncology coding specialists participate in ongoing education, specialty-specific training, and oncology coding certifications. We monitor updates from the American Urological Association, attend oncology coding webinars, and maintain relationships with oncology specialty organizations to stay ahead of changes.

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For urodynamic studies, we implement a specialized review process that includes verification of the specific tests performed, proper sequencing of codes, and ensuring proper documentation of medical necessity. Our team understands the complex rules around urodynamic study coding, including proper use of modifiers and correct component coding.

## Ready to optimize your oncology revenue cycle?

Contact us today for a free consultation and learn how our specialized oncology billing services can benefit your practice.

Request a Free Consultation

### How can we help you?

I can help with oncology billing questions, insurance information, or scheduling assistance.