Top-Rated Oncology Billing Services in Texas with Complete RCM Solutions
With our oncology billing company in Texas, your practice can:
- Accurately bill costly oncology CPT and HCPCS codes, including chemotherapy
- Manage Medicare oncology coverage rules correctly for radiation therapy
- Support oncology drug billing using correct J-codes, NDCs, and dosage calculations
- Handle prior authorizations and payer edits for high-cost oncology treatments
- Compliant billing across Blue Shield of Texas (BCBSTX) and Texas Medicare
- Support Texas Medicaid oncology billing, including STAR and CHIP program requirements
What Common Oncology Billing Challenges Do Practices Face in Texas?
Oncology practices in Texas face several revenue-impacting billing challenges, including:
- Timely Billing Requirements: Texas law requires providers to bill patients (or insurers) within a defined timeframe, typically by the first day of the 11th month after the service date.
- Texas Insurance Code: Chapters such as Insurance Code Chapters 1456 and 1467 implement and enforce balance billing restrictions and dispute processes for state-regulated plans
- Medical Necessity Documentation Challenges: Payers closely scrutinize oncology treatment plans, progress notes, and diagnosis links, leading to denials if documentation is incomplete.
- Medicare and Texas Medicaid Coverage Complexity: Frequent policy updates make it difficult to stay compliant with coverage rules for chemotherapy and supportive oncology care.
How Transcure Helps Practices With Their Oncology Billing Services in Texas?
With our specialized oncology billing services, Texas oncology practices can reduce denials and stay compliant with complex payer rules. Our oncology billing company in Texas supports oncologists through the following services:
Insurance Eligibility and Benefit Verification
Using our ELIXA AI agent, we verify Medicare, Texas Medicaid, and commercial payer coverage for chemotherapy, infusion services, and oncology drugs to prevent eligibility-related denials.
Prior Authorization and Treatment Validation
Our Texas oncology billing team manages prior authorizations for chemotherapy, biologics, immunotherapy, radiation therapy, and imaging to avoid treatment delays.
Oncology Coding and Charge Capture
With AAPC-certified oncology coders and a Codin AI agent, we deliver accurate CPT, ICD-10, and HCPCS coding for chemotherapy administration, infusion services, and radiation oncology.
Chemotherapy and Drug Billing Management
We handle complex oncology drug billing using correct J-codes, NDCs, dosage calculations, wastage documentation, and unit reporting to prevent underpayments and audits.
Radiation Oncology Billing Support
Our oncology billing team in Texas applies correct modifiers, units, and place-of-service codes for IMRT, SBRT, and conventional radiation therapy under Texas billing guidelines.
Texas Surprise Billing and Compliance Support
We help oncology practices handle Texas balance billing restrictions and No Surprises Act requirements for facility-based and emergency oncology services.
Which Texas Cities Does Transcure Support with their Oncology Billing Services?
Houston, Texas
San Antonio, Texas
Dallas, Texas
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Austin, Texas
Fort Worth, Texas
Abbott, Texas
Corpus Christi, Texas
El Paso, Texas
Plano, Texas
Irving, Texas
Our Success in Numbers
How Much Will Practices Save with Transcure’s Oncology Billing Services in Texas?
According to ZipRecruiter, the average oncology medical billing expert in Texas earns approximately $39,756 per year. A mid-sized oncology practice generating $500,000 annually typically requires at least two billers to manage the whole RCM. This results in an estimated $79,512 per year in direct salary costs alone.
By outsourcing Texas oncology billing to Transcure, your practice pays only 5% of the revenue collected, which equals $25,000 annually on $500,000 in collections. This shift eliminates fixed staffing expenses and delivers an estimated annual savings of over $54,512.
In Which Texas Counties Does Transcure Provide Oncology Billing Services?
Andrews County, Texas
Aransas County, Texas
Bexar County, Texas
Tarrant County, Texas
Collin County, Texas
Travis County, Texas
Which Procedures Does Transcure Cover with their Texas Oncology Billing Services?
Transcure provides oncology billing support designed to meet the specific requirements of Texas payers. Our team helps Texas oncology practices get paid on time by handling the following procedures:
Chemotherapy Infusion and Injection Billing
Our Texas oncology billing specialists accurately code time-based chemotherapy, biologic infusions, and complex multi-drug regimens. We also perform proper sequencing and start–stop time documentation to eliminate underpayments.
Immunotherapy Billing
Transcure’s oncology billing team in Texas expertly manages claims for costly immunotherapy drugs, including pembrolizumab and nivolumab. Our certified coders apply precise CPT, ICD-10, and HCPCS coding to support medical necessity.
CAR-T Therapy Billing
We handle CAR-T therapy billing from cell collection and preparation to infusion and extended monitoring. Our oncology billing company in Texas ensures strict adherence to local payer guidelines to protect reimbursement for this high-cost therapy.
Oncology Surgery Billing
We manage billing for major cancer surgeries, such as mastectomies, colectomies, lung resections, and tumor excisions. Through correct modifier usage and global period management, Transcure helps practices capture full allowable revenue.
Radiation Therapy Billing
Our Texas oncology billing services support 3D-CRT, IMRT, IGRT, SBRT, and SRS billing with complete treatment-planning documentation. We also do technical component separation and compliance with physics supervision requirements.
Targeted Biologics Billing
With our oncology billing expertise in Texas, we can handle billing for monoclonal antibodies and targeted agents. While doing so, we ensure precise dose calculation, unit reporting, and HCPCS coding.
Why You Should Outsource Oncology Billing Services in Texas to Transcure?
With multiple oncology billing companies in Texas out there, what sets Transcure apart is our familiarity with local laws. Here’s what you gain with us:
Transparent Reporting
Our experts track KPIs like first-pass resolution rate, denial trends, and A/R aging through our real-time dashboards for oncology practices in Texas.
Hospital and Facility Billing Accuracy
We actively appeal oncology claim denials and track underpayments tied to infusions and radiation services to recover revenue often left uncollected.
Integration with EHR and PM Systems
No matter if you use eClinicalWorks or any oncology-specific platform, our Texas oncology billing team syncs with your tech stack to facilitate minimal disruption.
Dedicated Texas Account Manager
You’ll work directly with a billing expert who understands Texas’s payer requirements, such as the No Surprise Act, to help you resolve issues faster.
Texas Oncology Billing Support for Every Major Payer in the State
Cancer care in Texas comes with complex treatments, strict payer rules, and high financial risk. Our oncology billing services in Texas are built specifically to support practices working with Blue Cross and Blue Shield of Texas, UnitedHealthcare, Texas Medicaid (STAR and CHIP), and Medicare Novitas.
We help you bill confidently for chemotherapy and oncology surgeries while meeting local authorization, documentation, and coverage requirements. By keeping claims compliant with Texas-specific policies, we protect your revenue at every stage of care.
Which Oncology EHR Platforms Does Transcure Work With?
Our team is trained in all major oncology EHR platforms, so you never have to switch systems. Here are the oncology systems we support:
How Practices Benefit from Our Texas Oncology Medical Billing Services?
Explore real success stories from practices we support to see how our oncology billing company in Texas supports long-term financial stability.
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 in Texas?
The going rate for Texas 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.
What is the No Surprise Act in Texas?
The Texas No Surprise Act protects patients from unexpected charges when they unknowingly receive care from out-of-network providers. Under this law, patients are only responsible for in-network rates, even if the provider isn’t in their insurance network.
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 Texas oncology billing?
Texas 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 Texas payer-specific policies and ICD-10 staging accuracy.