Specialty Billing Focus
Specialized Radiation Oncology Billing Services
Increase revenue to your radiation oncology practice, cancer center or freestanding radiation therapy center.
- HIPAA Compliant
- Certified AAPC Coders
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Membership & Certifications
Why Specialization Matters?
Radiation Oncology is not General Radiology. Nor Should Your Billing Be.
External beam versus brachytherapy.
We bill EBRT (77427, 77373) and brachytherapy (77750-77799) separately, so you never claim one as the other.
Planning & simulation
We properly code simulation (77261‑77263), isodose plans (77306‑77321), and physics consults (77370), no more bundling denials.
Modifiers & documentation
Proper application of modifier 26 (professional component), TC (technical component), 59, 76, 77, 79. We also check the notes on medical necessity, dose, number of fractions, and physician signature.
Scope of Expertise
Comprehensive Radiation Oncology Coverage
Treatment Delivery Systems
Brachytherapy & Radiopharmaceuticals
Physics, Simulation & Dosimetry
Palliative & Hypofractionated Care
Proper documentation on pediatric cases, re irradiation and palliative courses- consideration of reduced fraction schedules and modifier 79.
End-to-End Workflow
Radiation Oncology Billing Solutions
Our oncology medical billing outsourcing services cover every step of the revenue cycle from verification to compliance.
Eligibility & Verification
Pre-treatment plan checks, prior authorization of IMRT, SBRT, and brachytherapy and confirmation of medical necessity of palliative courses.
Coding & Modifiers
Review of simulation (77261‑77263), dosimetry (77306‑77321), treatment delivery (77427, 77385‑77386), and correct use of modifiers 26, TC, 59, 76, 77, 79.
Charge Capture
Consultation, simulation, isodose plans, daily fractions, physics QA, and radiopharmaceuticals: a full capture of all services to make sure that nothing is overlooked.
Claim Scrubbing & Submission
Edit scrub against payer frauds (fractions), modifiers, diagnosis associations and place of service. Send through first-pass clean claims.
Denial Management & Appeals
Quickly correct modifier, prior auth and fraction-limit denials. Fix is denying SBRT, brachytherapy, and simulation claims, prior to aging.
AR Follow-Up and Posting of payment.
Post payments daily. Follow-up of outstanding balances on commercial payers, Medicare and Medicaid before they become unrecollectable.
Reporting & Workflow Optimization
Real-time availability of denial rates, number of days in accounts receivable, and revenue by treatment type. Find problems, optimize processes fast.
Compliance & Audit Readiness
Compliance & Audit Readiness HIPAA safe operations, Quality assurance paperwork, audit-ready documentation and a staff of specialty-trained radiation oncology specialists to serve you.
Key Metrics for Radiation Oncology Medical Billing Services
How do radiation oncology billing experts transform your revenue cycle
Our Methodology
Radiation Oncology Workflow Integration
Practice Assessment
Identify previous audits in a few checks through our precise audit systems.
Onboarding
Seamless onboarding through accurate credentialing and HER alignment.
Denial Prevention
Reduce the claim denial rate with accurate and complete Gastroenterology medical billing.
Optimization
Get the latest insights and performance metrics weekly for your revenue growth.
Practice Types
Who We Serve
Multi-Provider Radiation Oncology Groups
Freestanding Cancer Centers
Hospital-Based Radiation Oncology Clinics
Physician Groups & Practice Administrators
Overcoming Radiation Oncology‑Specific Challenges
External Beam/ vs. Brachytherapy.
We charge EBRT (77427, 77373) and brachytherapy (77750-77799) separately and we properly record the number of fractions and the nature of source used, no longer making the wrong choice.
Modifier Mistakes (26, TC, 59, 79)
TC (technical component) and modifier 26 (professional component) are usually interchanged. Modifier unbundling simulation 59 is abused. We fix those to prevent payer denials.
Documentation Gaps
No doses, number of fractions, anatomy, or laterality, or physician signature = no claims paid. Our audits address medical necessity matters prior to submitting claims.
Payer‑Specific Fraction Limits
The IMRT fractions are restricted by Medicare in some locations. Medicaid is state-based. There are SBRT pre-auth rules of commercial payers. We are aware of the differences.
Comprehensive Solutions
Radiation Oncology Medical Billing & Revenue Cycle Management Services
Radiation Oncology Billing Services
Medical billing radiation oncology associated with patient coding, claim filing and resolution of denials- to accelerate collections on external beam, brachytherapy and SBRT.
Credentialing Services
Cancer center or radiation oncology group enrollment, CAQH support and payer follow-up to get your center prepared to accept Medicare, Medicaid and commercial payers.
Radiation Oncology Codes.
Correct medical billing and coding of radiation oncology with reduced errors and denials on simulation, dosimetry and treatment delivery codes - and increased revenue.
Front Office Support
Checking insurance, pre-authorization of IMRT and SBRT and intake services to improve the accuracy of downstream in radiation oncology medical billing.
Documentation Support
Compliant and accurate documentation support, so your claims are backed by physician orders, dose, fractions, anatomy, and treatment intent notes.
EHR/Oncology Information System Billing.
Radiation oncology EHR and oncology information system (OIS) billing and tele-oncology billing, remote treatment planning and follow-up consultations.
Got Questions?
Radiation Oncology Billing Specifics
We provide end to end billing services that speaks for itself from day one.
Here’s what you actually need to know about radiation oncology medical billing services and how we keep your practice running without the usual headaches.
Always Available
Radiation oncology billing service, 24/7.
Incorrect modifier, incorrect simulation codes, lack of auth do not use with specialty billers and documentation audits.
Still have questions?
Get in touch with us, we can answer.
Proven Results
Success Stories from Practices
Your Radiation Oncology Practice Is Losing Cash. We Can Fix That.
Let’s talk. No obligation. Just a real look at where your revenue is going.