AI-Powered Oncology Billing Services in New York for 100% Clean Claims
Our oncology billing team helps your practice:
- Manage commonly performed oncology services, including infusion and RT
- Follow NY’s Independent Dispute Resolution rules for fair OON payments
- Make Use of AI Agents for every RCM step, including pre-auth and coding
- Handle high-volume oncology codes, such as 96413 and J9312
- Compliant with NY Medicaid (eMedNY) billing rules, including state-specific formats
What Oncology Billing Challenges Do New York Practices Commonly Face?
Oncology practices in New York commonly face billing challenges, including:
- High Prior Authorization Requirements: Chemotherapy regimens, immunotherapy, and radiation treatments will require multiple layers of payer approval.
- SPARCS and State Reporting Obligations: Oncology billing teams have to submit encounter and treatment data to the New York State Department of Health to avoid penalties.
- Complex Drug Coding and J-Codes: Dealing with high-cost oncology drugs and biologics requires precise HCPCS and J-code usage to get maximum reimbursements.
- Frequent Insurance and Compliance Audits: Oncology practices in New York are heavily audited due to high-cost medications and treatment intensity.
How Transcure Simplifies RCM with Their Oncology Billing Services in New York?
Transcure makes revenue cycle management easier for oncology centers in New York with its AI agents. Our solutions for simplified billing include:
Real-Time Eligibility Checks
We have integrated the ELIXA AI agent into our oncology billing services to instantly confirm insurance coverage for chemotherapy, immunotherapy, and radiation.
Efficient Prior Authorization Handling
Our PRIA AI agent accelerates approvals for complex oncology treatments (immunotherapy, combination therapies) and multi-cycle regimens, minimizing delays in patient care.
Compliance with NY Billing Regulations
Our processes are fully aligned with New York surprise-billing laws, DFS requirements, Medicaid rules, and IDR timelines to help stay compliant for maximum collections.
Accurate Oncology Coding
CODIN, paired with our certified coders, applies precise CPT, ICD-10, and J-code standards for medications, infusion therapy, and radiation services.
Automated Claim Processing
Transcure even integrated the CLAIR AI agent into their workflow to automate oncology claim creation, error checking, and submission for faster reimbursements.
Denial Prevention and Management
We even have an AI agent named DEXA that tracks recurring denial trends and automatically generates appeals to prevent repeated oncology claim losses.
Our Success in Numbers
Which Cities in New York Are Covered by Transcure’s Oncology Billing Services?
New York City
Buffalo
Rochester
View All Cities
Yonkers
Syracuse
Albany
New Rochelle
Mount Vernon
Schenectady
How Much Can NY Oncology Practices Save by Outsourcing Billing to Transcure?
According to ZipRecruiter, the average Medical Billing Specialist in New York earns around $46,675 per year. By outsourcing NY oncology billing services to Transcure, your practice pays just 5% of the revenue collected. In this way, you get to avoid fixed salaries, recruitment costs, and administrative overhead.
For an oncology practice generating $500,000 annually, partnering with Transcure would cost $25,000. This amount is significantly lower than $46,675 for an in-house billing staff, resulting in potential savings of approximately $21,675 per year.
In Which New York Counties Does Transcure Provide Oncology Billing Support?
Kings County (Brooklyn)
Queens County
New York County (Manhattan)
Suffolk County
Bronx County
Nassau County
Westchester County
Erie County
Monroe County
Which Oncology Procedures Does Transcure’s New York Billing Services Handle?
Transcure provides oncology billing support designed to meet the specific requirements of New York payers. Our team helps oncology practices get paid accurately and on time by handling the following procedures:
Chemotherapy Infusion Billing
Our NY oncology billing experts code time-based chemotherapy, biologic infusions, and multi-drug regimens with correct sequencing and cumulative infusion documentation to prevent revenue loss.
Immunotherapy Billing
Transcure’s oncology billing team even manages billing for costly immunotherapy agents, such as pembrolizumab and nivolumab. Our experienced oncology coders help in precise CPT, ICD-10, and HCPCS coding.
Oncology Surgery Billing
Transcure’s billing experts in New York manage authorization, trial-to-permanent conversion documentation, and implant follow-up billing for maximum collections.
Radiation Therapy Billing
Our NY oncology billing services handle 3D-CRT, IMRT, IGRT, SBRT, and SRS billing with complete treatment-planning documentation. We even fulfill physics supervision requirements and technical-professional component separation.
Whole-Body Hyperthermia Billing
Transcure even supports oncology billing in New York for whole-body hyperthermia treatments. We document temperature-controlled therapy sessions, equipment use, and medical necessity to meet New York payer rules.
CAR-T Therapy Billing
We handle CAR-T preparation, collection, infusion, and prolonged observation billing with strict compliance with CMS and NY commercial payer requirements, maximizing reimbursement for this premium-cost therapy.
Why Practices Should Outsource New York Oncology Billing Services to Transcure?
With many billing partners available in New York, Transcure delivers oncology-focused expertise your cancer care center can rely on:
SPARCS Reporting for Oncology Encounters
Our NY oncology billing experts complete SPARCS submissions for chemotherapy and infusion visits for accurate reporting and penalty avoidance.
Credentialing Assistance for New Practices
We help providers get enrolled with New York commercial plans, Medicare, and Medicaid so your practice can serve more patients.
Detailed Revenue and AR Reporting
Each month, you receive oncology-specific revenue insights, AR aging breakdowns, and payer trend analysis for transparent financial performance.
Dedicated NY Oncology Billing Manager
We will assign an NY billing manager who understands Medicaid rules, prior-authorization workflows, and oncology-specific compliance needs.
Automate the Complete RCM Process with Transcure’s AI Agents
Transcure has integrated 7 AI agents into their oncology billing.
- ELIXA instantly verifies patient insurance eligibility using real‑time AI insights.
- PRIA automates prior authorization by detecting cases and following up with payers.
- CODIN reads clinical documentation and assigns precise CPT and ICD-10 codes.
- CLAIR scrubs and builds claims intelligently, detecting errors before submission.
- DEXA analyzes denial trends, drafts appeal letters, and calls payers to recover revenue.
- ARIS tracks unpaid claims, prioritizes them, and engages payers using predictive AI.
- REMITA reconciles payments automatically by matching ERA and EOB data.
Which Oncology EHRs Does Transcure Support?
Our billing specialists work across a wide range of oncology EHR systems to help practices eliminate errors.
How Oncology Practices Benefit from Our Medical Billing Services?
Read our partners’ success stories to recognize the worth of our New York oncology billing services for improved collections.
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 does the New York Surprise Medical Bill Law do?
New York’s surprise medical bill law protects patients from unexpected out-of-network charges. It ensures that patients pay only in-network rates for covered services. In the event of a dispute, the Independent Dispute Resolution (IDR) process intervenes.
What is the typical cost of oncology billing services in New York?
Oncology billing services generally charge between 6% and 10% of monthly collections. Transcure, however, provides expert New York oncology billing at a competitive 5%, giving practices an affordable option without sacrificing accuracy.
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 Is the Independent Dispute Resolution (IDR) Process in New York?
IDR resolves OON or surprise billing disputes between providers and insurers. If negotiations fail, either party submits documentation to an independent arbiter, who issues a binding decision within 30 days. This process, backed by federal and New York law, protects patients and helps providers secure fair reimbursement.