Billing for oncology is not general billing with a different code set. Drug billing by NDC and units alongside administration codes, where a units error is immediately expensive.
Specialty-drug authorization is the gating step for most treatment, and peer-to-peer review is routine rather than exceptional.
At a glance
What drives the coding
Drug billing by NDC and units alongside administration codes, where a units error is immediately expensive.
What drives the payer behavior
Specialty-drug authorization is the gating step for most treatment, and peer-to-peer review is routine rather than exceptional.
Coding
Assigned by certified coders from your documentation.
Reporting
Denials segmented by reason, payer, and provider.
Where oncology claims actually fail
- Drug units miscalculated against the NDC
- Authorization not in place before infusion
- Administration codes billed without hierarchy
How we work it
We code from what your record documents and query you when it does not support a code, which in oncology is where most of the avoidable exposure sits.
Denials are worked by cause rather than in queue order, so the same failure stops recurring instead of being re-worked every month.
We keep the books. You run the business.
Categorization, reconciliation, month-end close, and clean financial statements — with nothing left for you to chase.
View pricingHow It Works
Review
We look at your current oncology denials and aging.
Scope
A written scope and price before any work starts.
Transition
Coding and submission move across without a gap.
Report
Denial causes reported monthly, segmented by payer.
Oncology — Frequently Asked Questions
Do you have coders who know oncology?
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Yes. All coding is performed by certified coders, and specialty assignment is deliberate — drug billing by NDC and units alongside administration codes, where a units error is immediately expensive.
Do you guarantee we will collect more?
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No, and nobody honestly can. Payment is decided by the payer. What we commit to is the process and the six numbers we report, which you can check against your own system.
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