Oncology Billing Services | Specialized Cancer Billing & Coding
While you focus on your patients, unpaid claims and coding errors are quietly draining your practice. Transcure’s Oncology Billing services exist for one reason: to make sure every service you provide gets paid. Our Oncology billing expertise covers:
- Oncology-specific credentialing and payer enrollment guidance
- Compliance with the Oncology Care Model and payer-specific rules
- Accurate charge capture for infusion chair time and chemotherapy drug administration
- Prior authorizations for chemo regimens and radiation therapy before treatment begins
- Denial prevention through precise oncology coding, including HCPCS and ICD-10 specificity
Why Do Oncology Practices Need Specialized Billing Services?
An oncology practice deals with high-cost chemotherapy drugs, complex infusion protocols, cancer staging documentation, and payer rules that change constantly. Here is how Transcure handles things strategically.
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.
Why It is Important to Outsource Oncology Medical Billing
Oncology billing changes constantly, and CMS updates reimbursement rules mid-year. ICD-10 codes refresh every October. Payers add their own requirements on top of federal mandates. Missing a single update means denied claims, compliance risks, and lost revenue that your practice cannot easily recover.
Your physicians are trained to treat cancer, not chase coding changes. Outsourcing oncology billing to a specialized medical billing company like Transcure keeps your claims current, your collections moving, and your practice protected from the compliance exposure that generalist billing always leaves behind.
How Transcure's Oncology Billing Services Solve Your Biggest Revenue Challenges
Most oncology practices lose revenue in the same six places. Transcure closes every one of them. With specialized oncology medical billing expertise, we help cancer care practices increase collections by up to 10% while reducing administrative burden from day one.
Patient Access and Benefits Verification
Before a patient walks in for treatment, we confirm eligibility, investigate benefits, assign the right scheduling codes, and provide upfront financial counseling.
Prior Authorizations and Pre-certification
Chemotherapy, immunotherapy, and advanced imaging cannot wait for a slow authorization process. Transcure secures timely approvals before treatment begins for an uninterrupted cash flow.
Charge Capture and Oncology Coding
We handle Infusion details, Oral oncolytic dispensing, and ICD-10 cancer staging. Every billable service gets captured and coded with the precision oncology claims demand.
Claim Submission and Denial Management
We submit clean, payer-specific claims from the start. We act fast and monitor every claim and file rapid appeals to avoid denied oncology treatment claims.
Patient Billing and Financial Assistance
Transcure manages patient statements clearly and handles buy-and-bill separation and 340B compliance with accuracy.
AR Recovery and Reporting
Outstanding balances do not chase themselves. Transcure provides aggressive A/R follow-up, KPI dashboards, monthly reconciliations, and transparent reporting.
Get Comprehensive Oncology Billing and Coding Coverage for Different Procedures
Every cancer treatment comes with its own billing complexity. Transcure’s oncology revenue cycle management covers every procedure your practice performs. From chemotherapy to palliative care billing, we provide coding precision and payer knowledge to maximize what you collect.
Chemotherapy Billing
Our chemotherapy billing specialists handle intravenous chemotherapy, oral oncolytics, wastage documentation, and drug-specific J-codes. Allowing high-cost drug claims to go out clean and come back paid.
Radiation Oncology Billing
Our radiation oncology billing services manage simulation, IMRT, stereotactic procedures, and modality-specific CPTs with a full documentation trail from medical necessity to audit-ready records.
Immunotherapy Billing
Transcure provides accurate oncology coding for Immune checkpoint inhibitors, infusion administration, and toxicity monitoring visits. Our immunotherapy billing process codes each service accurately and backs every claim with a timely appeals process.
Targeted Biologics Billing
This includes Monoclonal antibodies, targeted agents, and dosing accuracy documentation. Our medical billing for oncology ensures these claims are submitted with the specificity that payers require.
Surgical Oncology Billing
We handle the complex oncology coding, Lymphadenectomy, pathology add-ons, and post-operative care. We capture every billable service so nothing falls through after the procedure is done.
Diagnostic Imaging Billing
Our advanced diagnostic imaging billing covers PET scans, CT, MRI, nuclear medicine studies, and radiopharmaceuticals. Ensuring the right codes, the right documentation, and the right reimbursement.
Oncology Billing Company with Nationwide Coverage
As one of the leading oncology billing companies in the USA, Transcure is changing how cancer care practices handle billing and coding. With a strong presence across all major states and a growing footprint, our mission is simple. We deliver specialty-driven oncology medical billing services that adapt to each state’s payer rules, compliance standards, and regional healthcare demands.
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 oncology coding guidance. Our oncology billing and 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
Running oncology billing in-house feels like control. But for most small to mid-sized cancer care practices, it costs far more than it saves. Here is what you need to know before hiring in-house oncology billers.
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 Oncology Claim Denials With Simplified Prior Authorizations With Transcure
Chemotherapy, targeted therapies, and advanced imaging all require pre-authorization. A missed auth means a denied claim. A denied claim means delayed treatment and disrupted cash flow. Transcure manages the entire prior authorization process from medical-necessity documentation to payer follow-up. So, oncology practices receive faster approvals and fewer denials from day one.
Our dedicated oncology billing team verifies patient benefits, builds evidence-based clinical summaries, and pursues every authorization until payers respond. With integrated EHR workflows and real-time status tracking, your clinicians stay informed, and your patients never wait longer than necessary.
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
Why Oncology Practices Hire Transcure for Oncology Billing Services
Transcure is not just another oncology billing company. We work as a direct extension of your oncology practice management. Here is what that means for you:
Dedicated Account Manager
Transcure assigns every practice a dedicated oncology billing manager who knows your payers, your workflows, and your revenue challenges personally.
Transparent Pricing Structure
We offer a flat percentage model with no hidden fees, no surprise charges, and fully predictable collections from day one.
Advanced Reporting and Dashboards
Our real-time dashboards give your practice complete visibility into AR aging, denial rates, and drug-specific collections, so nothing goes untracked.
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.
How does chemotherapy infusion billing differ from standard medical billing?
Standard billing is straightforward. Chemotherapy billing is not. Every claim needs correct code sequencing, documented start and stop times, and exact drug units. One sequencing error and the whole claim falls apart. Transcure’s oncology billing services make sure that never happens.
Why do payers deny oncology claims even when treatment was medically necessary?
The treatment was necessary. The paperwork did not prove it. Missing prior authorizations, mismatched ICD-10 codes, and weak medical necessity documentation are the three biggest denial triggers in oncology. Transcure catches every one of them before the claim leaves the door.
What safeguards do oncology billing companies use to prevent payer audits?
Audits do not appear out of nowhere. They follow patterns. Transcure builds real-time alerts, audit trails, and eligibility checks directly into every billing workflow. Problems get flagged before they become findings. Your practice stays protected.
What happens if drug wastage is not reported correctly in oncology billing?
You lose money. Simple as that. High-cost drugs require JW and JZ modifiers to bill every unused unit correctly. Transcure applies these modifiers precisely and in full compliance with oncology billing guidelines, so not a single dollar gets left behind.
How do oncology billing services manage clinical trial billing without compliance risks?
Routine care and research charges cannot mix on the same claim. Ever. Transcure separates both within oncology medical billing services, billing payers only for covered services. Your revenue stays clean. Your practice stays audit-proof.
How do oncology billing guidelines affect infusion time documentation and coding accuracy?
Payers want specifics. Infusion times. Drug strength. Units per vial. Vague documentation gets denied. Transcure documents every infusion detail in line with current oncology billing guidelines so your claims go out complete and come back paid.