The Revenue Cycle Blog
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How to Conduct an Internal Mock Audit of Your Oncology Practice Billing and Coding
Conducting an internal mock audit is critical for oncology practices. This step-by-step guide explains how to improve coding accuracy, reduce denials, and secure compliance for high-cost oncology claims. Protect your revenue cycle with regular billing and coding audits.
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.
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 From overlooked physician services to outdated CDM codes, this guide outlines 8 critical items practices must audit to improve billing accuracy, strengthen compliance, and protect margins in today’s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.
E/M Coding in Oncology: Updates for Initial Hospital Care (99221–99223) and Patient Visits
Oncology billing is changing. Learn how updates to E/M Codes for Oncology CPT (99221–99223, 99212–99215) impact compliance, documentation, and reimbursement in 2024.
Is Your RCM Partner Failing? Key Metrics for Evaluating Best Oncology Billing Companies
Is your RCM partner underperforming? A best oncology billing companies evaluation helps oncology practices measure AR, denials, and appeal outcomes. Learn which metrics to track and how to ensure billing partners deliver consistent revenue performance.
Case Study: Improving Reimbursement Accuracy Through Comprehensive Oncology Documentation
See how we helped an Illinois oncology practice cut denials 15% and increase monthly collections by $11,800. Schedule your consultation today.
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.
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.
Best Oncology EHR Systems for Chemotherapy Management
Oncology EHR Systems are essential for safe and efficient chemotherapy management. This guide reviews the top solutions, their key features, and how they fit different practice types — from small clinics to enterprise cancer centers.
How to Prepare for Oncology Medical Billing Audits in Texas?
Oncology medical billing audits in Texas require strong preparation. This guide covers documentation, staff training, error prevention, and steps to stay audit-ready with confidence.
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.
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.
Oncology – Coding Guidelines
Oncology coding requires the knowledge of medical treatment, surgical treatment, snd radiation therapy, and they should be well versed with these areas. Download this guide on Oncology Best Practices to learn more.