Blog, Oncology Billing Services Dhinesh R Blog, Oncology Billing Services Dhinesh R

Top 10 Questions to Ask Your Oncology Billing Vendor About Prior Authorizations

Prior authorizations (PAs) are one of the biggest hurdles in oncology billing. Asking the right questions when choosing a billing partner ensures faster approvals, fewer denials, and stronger revenue cycle performance. Here are the 10 essential questions to evaluate your oncology billing vendor’s PA process.

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Blog, Oncology Billing Services Dhinesh R Blog, Oncology Billing Services Dhinesh R

Oncology Charge Capture Master Checklist: 8 Overlooked Revenue Items

A strong Oncology charge capture audit checklist is essential for preventing revenue loss in cancer care. From overlooked physician services to outdated CDM codes, this guide outlines 8 critical items practices must audit to improve billing accuracy, strengthen compliance, and protect margins in today’s high-cost oncology environment.

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Case Study: Preventing Oncology Denials with Smarter Coding Practices

An oncology practice was struggling with frequent medical necessity denials, missing documentation, and incorrect modifier use. By adopting smarter coding practices, targeted training, and pre-bill audits, denials were reduced by 75%, first-pass payments improved, and lost revenue was recovered.

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Blog, Oncology Billing Services Dhinesh R Blog, Oncology Billing Services Dhinesh R

Eliminating CO-15 Denials: The Oncology Prior Authorization Checklist for 2025 Medicare Changes

Authorization-related denials like CO-15 remain a costly challenge for oncology practices. With Medicare prior authorization rules oncology 2025 bringing stricter requirements, new CPT codes, and AI-driven claim reviews, practices must adapt. This guide provides a practical oncology prior authorization checklist to reduce denials, ensure compliance, and safeguard patient care.

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Blog, Oncology Billing Services Dhinesh R Blog, Oncology Billing Services Dhinesh R

Specialized Hematology-Oncology Billing: Why Generic Services Can’t Handle Complex Drug Claims

Oncology practices rely heavily on high-cost drug claims, making billing accuracy critical. This blog explains why generic billing services fail and how specialized hematology-oncology billing—through expertise in J-Codes, modifiers, prior authorization, and payer rules—ensures full reimbursement and protects your revenue cycle.

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Blog, Oncology Billing Services Dhinesh R Blog, Oncology Billing Services Dhinesh R

How to Appeal Justified Oncology Denials: Stop Writing Off Revenue (A Step-by-Step Appeals Strategy)

Too many oncology practices write off justified denials as lost revenue. This guide outlines a proven, step-by-step strategy for oncology billing appeals—covering prior authorizations, J-Codes, LCD/NCD compliance, and underpayment recovery to protect margins and improve oncology RCM outcomes.

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