Top-Rated Oncology Billing Services to Improve Financial Health
While you fight cancer, we go hand in hand with claim denials with oncology billing services. Our main cancer billing expertise includes:
- Guidance for oncology-specific credentialing and payer enrollment
- Compliance with the Oncology Care Model and payer-specific regulations
- Accurate charge capture for oncology services, like infusion chair time
- Pre-authorizations for chemotherapy regimens and radiation therapy
- Denial prevention strategies through precise oncology coding
Why Do Practices Need Specialized Oncology Billing Services?
Here are the top billing challenges oncology practices face:
Chemotherapy and Drug Billing: Practices need expert oncology billers to handle frequent coding updates for high-cost drugs.
Prior Authorizations: An oncology billing company secures timely authorizations from insurers to avoid treatment delays and cash-flow disruptions.
Infusion Services Coding: Oncology billers deliver accurate coding to prevent underpayments and close revenue leakage.
ICD-10 Cancer Staging: Specialized billers ensure precise cancer staging documentation to support medical-necessity claims.
How Transcure Solves Billing Problems with Their Oncology Medical Billing Services?
With years of experience in oncology billing and coding, Transcure helps practices get a 10% increase in revenue. You can enjoy the following oncology billing services with us:
Patient Access and Benefits Verification
Handles eligibility, benefits investigation, scheduling codes, and upfront financial counseling.
Prior Authorizations and Pre-certification
Secures timely authorizations for chemotherapy, immunotherapy, and advanced imaging.
Charge Capture and Oncology Coding
Captures infusion details, oral oncolytic dispensing, ICD-10 cancer staging, and other codes.
Claim Submission and Denial Management
Submits payer-specific claims, monitors rejections, and performs rapid appeals for procedures.
Patient Billing and Financial Assistance
Manages patient statements and takes care of buy-and-bill separation and 340B compliance.
AR Recovery and Reporting
Provides A/R follow-up, KPI dashboards, monthly reconciliations, and regular reporting.
Comprehensive Oncology Billing and Coding Coverage for Different Procedures
Transcure oncology billing company has expertise in handling each cancer procedure with the same efficacy. Our oncology billing services cover the following procedures:
Chemotherapy Infusions Billing
Our oncology billing experts handle coding and billing for intravenous chemotherapy, oral oncolytics, and wastage documentation to maximize reimbursement.
Radiation Therapy Billing
We manage billing for simulation, IMRT, stereotactic procedures, modality-specific CPTs, medical necessity documentation, and audit trails.
Immunotherapy Billing
Transcure provides precise oncology coding for immune checkpoint inhibitors, infusion administration, and toxicity monitoring with a timely appeals process.
Targeted Biologics Billing
With our oncology billing expertise, we can handle billing for monoclonal antibodies and targeted agents, along with dosing accuracy support.
Surgical Oncology Billing
We handle complex oncology coding for lymphadenectomy, pathology add-ons, and post-op care procedures so you won’t miss out on any revenue.
Diagnostic Imaging Billing
Our oncology billing company manages billing for PET, CT, MRI, nuclear medicine studies, and radiopharmaceuticals, ensuring you always get paid.
Oncology Billing Company with Nationwide Coverage
Transcure is redefining what it means to be a medical billing company in the U.S. With a strong presence in all the major states and growing, our mission is to deliver specialty-driven medical billing services that adapt to each region’s unique healthcare requirements.
Full Expertise in Handling Every CPT and ICD-10 Code for Oncology Medical Billing
Transcure’s oncology billing services providers perform precise coding for diagnostic, surgical, and radiation oncology procedures. Experts at our oncology billing company follow payer rules and the latest coding guidance. Our oncology coding expertise includes, but is not limited to:
96413
- IV Chemotherapy administration, up to 1 hour
96365
- IV infusion of therapeutic, up to one hour
77427
- Radiation treatment management
77336
- Stereotactic radiosurgery or radiation therapy
88305
- Surgical pathology, commonly used for biopsy
Z51.11
- Encounter for antineoplastic chemotherapy
C50.9
- Malignant neoplasm of breast, unspecified
C34.90
- Malignant neoplasm of bronchus, unspecified
C61
- Malignant neoplasm of the prostate
Cost Comparison: In-House Oncology Billing vs. Outsourcing Oncology Billing to Transcure
In-House Oncology Billing Cost
The calculations are done for small to medium-sized oncology practices.
Annual Salary: $25000 to $35000
Overhead Cost: $15000 to $25000
Downsides
Not Cost-Efficient
Less Skilled Billers
Lacks Automation
Cost of Outsourcing to Transcure
The calculations are done for the practices earning around $100000 per year.
Transcure’s Rate: 5% on average
Total Amount: Approximately $5000
Upsides
Save up to $45000 annually
Team of over 1100 skilled billers
RPA-powered Billing
Stop Denials, Simplify Prior Authorizations with Transcure
Oncology practices require pre-auth for chemo, targeted therapies, and imaging, as failure causes denials and delayed care. Transcure helps you in this regard by handling prior authorizations and medical-necessity documentation so oncology practices get faster approvals and fewer denials.
Our dedicated oncology billing expert team verifies benefits, prepares evidence-based clinical summaries, and follows up until payers respond. Integrated EHR workflows and real-time status tracking keep clinicians informed and reduce treatment delays.
Our Success in Numbers
Value of claims processed
Accounts Receivable Days
Turn Around Time (TAT)
Customer Retention
Number of Claims Processed
First Pass Clean Claims Rate
Revenue Improvement
Reduction in A/R
What are The Benefits of Picking Transcure for Oncology Billing Services?
Transcure is more than an oncology billing company, as we act as an extension of your practice. Here’s how we deliver measurable value for oncology providers:
Our team of AAPC-certified oncology coders ensures flawless coding for chemotherapy, radiation, and immunotherapy.
Every practice is assigned an oncology billing manager who understands your workflows, payers, and unique billing challenges.
We offer percentage-based billing models with no hidden costs that give you clarity and predictable financial outcomes.
Practices get real-time insights into AR aging, denial rates, and drug-specific collections with custom dashboards.
One Fits All EHR Integration for Oncology Billing
Our team masters oncology‑specific modules in the following EHRs to ensure error-free cancer billing and coding.
Empowering Oncology Practices to Succeed Financially
Read our partners’ success stories to recognize the worth of our oncology billing services.
Jackie Judd
Practice Manager
Wilson Creek Internal Medicine
As a practice manager, I was looking to streamline the medical billing process. I tried other companies, but they were all complicated and took too much of my time. Fortunately, I found Transcure. They excel in tailoring solutions to fit my requirements.
Amber Vaughan
Office Manager
Idaho Kidney & Hypertension Institute
We are a large practice with 15 providers. Transcure has been working with us for the last 5 years. This billing company has been a great asset to us. I work with Transcure and they provide everything I ask for. The team is friendly and very pleasant to work with.
Ashlee Rose
Practice Manager
Harding Memorial Healthcare
We’ve been working with Transcure for 8 years now and I just wanted to say how happy we are with their services. They always get back to us quickly and are very easy to work with. They get my bills paid in record time and help us to generate millions in revenue.
Frequently Asked Questions (FAQs)
What is the going rate for oncology billing services?
The going rate for oncology medical billing services typically falls between 6% and 10% of monthly collections. However, Transcure offers oncology billing services at just 5%, providing practices with an affordable solution without compromising accuracy.
Does Transcure specialize in providing oncology medical billing?
Yes, Transcure specializes in providing oncology billing services. Our dedicated cancer billing team is trained in chemotherapy, immunotherapy, radiation therapy, and J-code management. With certified oncology coders and proven denial prevention strategies, we deliver end-to-end revenue cycle solutions fit specifically for oncology practices.
What are the most common ICD-10 codes in oncology billing?
Here’s a list of some of the most common ICD-10 codes used in oncology billing, covering frequently treated cancer types and encounters:
C50.9 — Malignant neoplasm of breast, unspecified
C18.9 — Malignant neoplasm of colon, unspecified
C22.0 — Liver cell carcinoma
C71.9 — Malignant neoplasm of the brain, unspecified
C43.9 — Malignant melanoma of skin, unspecified
What are some major challenges in oncology billing?
Oncology billing experts face unique challenges, such as complex chemotherapy and infusion coding. Other than that, practices have to deal with frequent prior authorization requirements and high-cost drug reimbursement rules. They even struggle with payer-specific policies and ICD-10 staging accuracy, making the need for specialized oncology billers.
