Reimbursement is key in oncology practices, and as such, timing and accuracy are key quality cancer care factors. Thus, the Oncology billing services are most specialized because codes are intricate and tests dear, and there are frequent shifts in laws.
AltuMED offers individualized oncology billing solutions depending on clients’ specific reimbursement requirements. Expert teams support practices to obtain the needed level of appropriate reimbursement with minimal administrative overhead.
Learn more about how our oncology billing company increases cash flow for the leading cancer hospitals nationwide.
We know the patient’s experience from the cancer diagnosis to treatment to survivorship care. This is why our integrated billing synchronizes with the particular activities and procedures of oncology facilities.
AltuMED maintains a constructive revenue cycle, keeping the qualified personnel away from the patients.
The branch of medical practice that deals with treating cancer is called Oncology, a relatively young and fast-growing field of medicine that includes various subfields and patient-related situations, which all contribute to the rather complicated process of medical billing. Since billing codes are revised every year at least, and there is a constant change in the rules and regulations and the requirements of insurers, failure to adhere to them means no payment. Mainly, the work done in the health field requires striking a balance between changes and patients. Outsourcing Oncology billing and revenue cycle management is one intervention that widely enhances revenue while reducing the impact on patient care interventions.
Stress is inevitable in multi-professional oncology teams because of serious conditions and complex treatments and that is why stress reduction measures are needed. Other factors include, new and constantly developing treatment technologies, new codes, coverage verification and reimbursement negotiations. Fortunately, our oncology billing and coding services include all these aspects.
As mentioned earlier, Oncology billing and coding have some challenges that make the entire process complicated in different ways. Another aspect, that AltuMED’s team deals with properly, is denial and rejection; there are no unpaid claims. We thus have more efficient procedures in our organization, a high level of staff training, and RCM specialists that enhance the efficient processing of all-payer adjustments with minimal errors.
To ensure that costs are fully recovered, it is necessary to make error-free claims containing all details required, including numeric modifiers in the billing code. That high-value surgical claims cannot experience delay is true. The key benefit of outsourcing oncology billing to such professional outfitting services is that it enables faster error-free, and rejection-free claim submission.
It should be noted that in-house teams consider oncology billing to be a complicated process. We have the ability to have sophisticated software together with trained employees. When we take over the medical billing of a business, the rate of claims being rejected will drastically reduce. They know that every client is unique and has his or her own requirements. Our team learns about all the requirements each of the specializations implies.
The following are some of the ways AltuMED has addressed aspects of oncology billing and revenue cycle management that tend to cause the most problems:
We Track Every Single Claim
Outsourcing oncology billing solutions to Altumed gives the benefit of a team and an account manager studying the specifics of your company and the progress of the claims. Follies related to particular claims: Altumed’s managers follow all claims and recover unpaid amounts due; in addition, the company does not lose claims, including small ones.
Complex Procedures Require Expertise
Several professionals, time-consuming treatments, and technologies characterize oncology making billing cumbersome. Hiring the services of an expert oncology billing company helps in the reduction of hassles related to dealing with small details in claims.
Multi-Disciplinary Teams Call for Specialized Coding
In Cancer treatment, there are usually several procedures with different doctors and each of them should be coded accurately. This complexity entailed detailed coding of all the details that are needed from several medical disciplines as well as business entities.
We Avoid Under-Coding Violations
It is quite obvious that one cannot under-code or fail to code certain procedures, especially where the hospital has offered the services, and this is a sure-shot way of losing money, whereas over-coding conforms to the law. It may appear as just helping a patient who may already be struggling with an astronomical bill; it is, however, pertinent to adhere to the provisions of the law and declare all services rendered. If under-coding occurs, it will lead to a reduction in status to be a credentialed provider, among other effects on the oncology practice.
Billers Must Know the Details of Bundled Codes
Compared to simple types of billing, oncology billing solutions can be complex; as a result, they employ the concept of ‘bundling’. However, variation in services demands a right understanding of the coding mechanism. As indicated, even trivial modification may cause the denial of a claim: anesthetic variation, for instance. Billers with experience are required to look for other services which have to be billed individually. Failure to include the right notation of codes for extras also leads to the denial of a claim.
High-Level, High-Cost Services Require Expert Billers
Since today a doctor meets several clients at a clinic being treated for AP Literature review simple checkups, one lost claim will not cause massive cuts to billing and income. However, genus oncology is a rather more precise and costly treatment, and a loss of a single claim may mean a significant loss of revenue. Besides, an oncology billing company needs to have enough experience to identify any issues and address them before it is too late.
Personalized oncology billing new concepts with continued educational seminars on reimbursement basics enhanced by our team. Error elimination, minimum denials and proper reimbursement among all the parties involved.
By offering billing approaches that are specific to your chosen oncology specialty, our versatile platforms easily interface with the most popular EHR and PM systems while our professionals become part of your team.
Allow AltuMED to handle your oncology billing and what you do best, specialize in delivering quality cancer care.
Get in touch with us today to know more and enhance reimbursement!
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