We Guarantee Improved Medical Billing Efficiency, Effectiveness & Compliance

97% Retention - Expert Auditors

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of claim denials are overturned
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improvement in net patient revenue
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of claims are collected within 90 days or less
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Medical Billing Services for Oncology Practices

Maximizing Benefits of Oncology Billing Services

Oncology billing can be a complex and daunting task for healthcare providers, but it doesn’t have to be. With the help of expert oncology billing services like Fortis Medical Billing, providers can optimize their revenue cycle, maintain compliance, and ensure patient satisfaction. Read on to discover how Fortis’ expertise and technology-driven approach can maximize the benefits of oncology billing services for your practice.

Key Takeaways

  • Accurate oncology billing is essential for financial sustainability and patient satisfaction.
  • Fortis Medical Billing provides personalized services delivered by certified coders to optimize revenue and efficiency.
  • Regular training, proactive monitoring, leveraging technology, and comprehensive service offerings ensure successful oncology billing with accuracy & compliance.

Put our highly experienced team on your side

Dr. Stephen Taylor

DOL Consultant

Roger Bach

Former Special Agent (OIG)

Chris Quick

Former Special Agent
(FBI & IRS-CI)

Kevin Smith

Former Assistant Regional Inspector General

Michael Koslow

Former Supervisory Special Agent (DOD-OIG)

Beverly Gibson

Director of Coding

James Hunt

Former Special Agent-in-Charge (DEA)

Kevin Sheridan

Former Special Agent (FBI)

The Importance of Accurate Oncology Billing

In the complex realm of oncology billing, accuracy holds paramount significance. Financial sustainability and patient satisfaction hinge on precise medical billing services, as errors can lead to delays in treatment and revenue loss. Oncology medical billing involves:

  • Verifying patient coverage
  • Accurately recording medical history
  • Submitting claims in a timely manner
  • Adhering to regulations

Charge entry, usually performed using medical billing software, is a fundamental step in the billing process. Following this, precise oncology coding becomes indispensable for compiling detailed claims ready for submission.

Staying updated on code changes and equipping the billing staff with appropriate coding practice training are crucial for ensuring accurate medical coding and minimizing errors. Under-coding, or the omission of charging for all services provided, can negatively impact oncology medical billing services and even result in a loss of credentialing for an oncology practice. Therefore, monitoring all codes employed during patient interactions and entrusting patient demographics entry to a competent team is indispensable for oncology billing success. By utilizing coding services, oncology practices can further enhance the accuracy of their medical billing process.

An illustration of a medical billing services company providing accurate oncology billing services.

Fortis Medical Billing’s Expertise in Oncology Services

Fortis Medical Billing, a leading medical billing company, stands out in the field of oncology billing by offering certified oncology coders and customized solutions tailored to the specific requirements of oncology practices. This expertise ensures that healthcare providers receive the highest level of service, enabling them to focus on patient care while Fortis manages the complex billing process.

Certified Oncology Coders

Fortis staffs certified oncology coders with the proficiency to accurately apply ICD-10-CM codes and interpret medical records related to oncology and hematology. These professional coders are proficient in the complex coding and billing procedures that are unique to oncology, ensuring accurate and compliant billing. Their expertise in intricate coding and billing processes guarantees precise and compliant billing, ultimately maximizing revenue and efficiency for oncology practices.

Certified oncology coders, also known as oncology billing specialists, are integral to the oncology billing process. Their specialized knowledge guarantees accurate billing of all services while conforming to the most current coding guidelines and regulations. This helps prevent errors that could lead to claim denials or compliance issues, reducing costs and enhancing patient satisfaction.

Customized Solutions for Oncology Practices

Fortis understands that each oncology practice has unique needs and requirements. To cater to these individualized needs, Fortis offers tailored solutions such as:

  • SmartLinQ
  • Customizable flowsheets
  • Oncology clinical decision support
  • McKesson Oncology Solutions

These customized solutions are designed to optimize revenue and efficiency, ultimately benefiting both the practice and the patients they serve.

Through their tailored oncology billing solutions, Fortis addresses the unique needs of each practice, guaranteeing an efficient and effective management of all aspects of the billing process. This level of personalization not only streamlines the billing process but also helps to maximize revenue, providing a significant advantage for oncology practices that choose to partner with Fortis.

Fortis Medical Billing, a medical billing company providing expertise in oncology services.

Streamlining the Oncology Billing Process

Efficient claims submission and effective denial management are two key components of a streamlined oncology billing process. Fortis excels in both areas, leveraging state-of-the-art software and experienced staff to ensure efficient claims submission, resulting in faster reimbursements and fewer denials.

This commitment to streamlining the oncology billing process leads to improved cash flow and reduced AR days, ultimately benefiting both healthcare providers and their patients.

A medical billing software displaying the efficient oncology billing services process for healthcare providers.

Efficient Claims Submission

At the heart of efficient claims submission lies the use of advanced software and experienced staff. Fortis leverages these resources to facilitate efficient claims submission, expediting reimbursements, and minimizing denials. With a focus on accuracy and efficiency, Fortis ensures that:

  • Patient information is up-to-date on claims
  • Patient eligibility is verified in advance
  • Pre-authorization is managed
  • Electronic claims submission is utilized through computerized databases or online portals known as clearinghouses.

By adopting these best practices, Fortis improves the medical billing process and simplifies claims management for oncology practices. Efficient claims submission not only results in faster reimbursements and fewer denials, but it also enables healthcare providers to concentrate on patient care, knowing that their billing process is being managed effectively.

Denial Management and Appeals

Fortis’ impressive track record in denial management and appeals speaks for itself. With an astounding success rate of overturning 85% of claim denials and reducing AR days by an average of 33%, Fortis demonstrates their commitment to addressing and resolving denied claims. This proactive approach to denial management allows for the timely resolution of potential compliance issues, leading to improved cash flow and reduced revenue loss.

Denial management and appeals, crucial processes in oncology billing, involve identifying the root causes of denials, crafting compelling appeal letters, and actively seeking resolution of denied claims. By excelling in these areas, Fortis helps to ensure the utmost accuracy and compliance in oncology billing, leading to satisfied clients and successful practices.

Benefits of Outsourcing Oncology Billing to Fortis

Outsourcing oncology billing to Fortis offers numerous benefits, including a high retention rate and comprehensive service offerings for various healthcare providers. By entrusting their billing process to Fortis, oncology practices can focus on providing exceptional patient care while Fortis handles the complex billing process, ensuring accuracy, compliance, and financial success.

A medical billing company providing benefits of outsourcing oncology billing.

High Retention Rate

Fortis boasts a 97% retention rate, demonstrating their commitment to providing exceptional oncology billing services and client satisfaction. This impressive retention rate is a testament to the accurate and efficient processing of all claims, ensuring that oncology practices receive the highest level of service and support.

A high retention rate not only signifies the success of Fortis’ oncology billing services but also brings peace of mind to healthcare providers, knowing that they have partnered with a company that is dedicated to their financial success and patient satisfaction.

Comprehensive Service Offerings

Fortis serves a wide range of healthcare providers, including:

  • Hospitals
  • Surgery centers
  • Physician groups
  • Laboratories
  • Pharmacies

Fortis offers comprehensive oncology billing solutions tailored to each provider’s unique needs. These service offerings showcase Fortis’ ability to adapt and provide exceptional billing services to a diverse range of healthcare providers, ultimately benefiting both the practice and their patients.

With its wide range of service offerings, Fortis caters to the individual needs of each healthcare provider, guaranteeing efficient and effective management of all aspects of the oncology billing process. This level of customization and dedication to client satisfaction sets Fortis apart, making them the ideal partner for oncology practices looking to optimize their billing process and maximize revenue.

Staying Compliant with Oncology Billing Regulations

Maintaining compliance with oncology billing regulations is critical to avoid legal issues and guarantee accurate billing. As a dedicated billing company, Fortis recognizes the importance of compliance and takes proactive measures to maintain it, providing regular training and proactive monitoring to their staff.

This commitment to compliance ensures that oncology practices partnering with Fortis can trust that their billing process is being managed accurately and in accordance with all applicable regulations.

A healthcare provider staying compliant with oncology billing regulations through oncology billing software.

Regular Training and Education

Fortis invests in regular training and education for their staff, ensuring they stay up-to-date with the latest oncology billing regulations and best practices. This investment in professional development offers several benefits:

  • Guarantees compliance with regulations
  • Equips Fortis’ staff with the knowledge and skills needed to optimize the billing process
  • Maximizes reimbursement for oncology practices

Regular training and education are critical for successful oncology billing, as it ensures staff are updated on the latest regulations and best practices. Fortis Medical Billing goes above and beyond to provide comprehensive training and education services, ensuring their staff remains at the forefront of the oncology billing field.

Proactive Monitoring and Audits

Fortis conducts proactive monitoring and audits to identify potential compliance issues and address them promptly. By regularly reviewing and evaluating billing practices, Fortis can detect potential compliance issues before they become a problem, ensuring the highest level of accuracy and compliance in oncology billing.

The advantages of proactive monitoring and audits include enhanced accuracy and compliance in oncology billing, as well as cost efficiency resulting from the timely resolution of potential compliance issues. By implementing these processes, Fortis ensures that oncology practices can trust that their billing process is being managed with the utmost care and attention to detail.

Leveraging Technology for Oncology Billing Success

In the fast-paced healthcare landscape of today, harnessing technology is pivotal for oncology billing success. Fortis harnesses the power of advanced software and tools to streamline the billing process, improve accuracy, and enhance revenue cycle management. By staying at the forefront of technological advancements in medical billing services, Fortis is able to provide exceptional oncology billing services to healthcare providers.

Deploying technology for oncology billing success entails using advanced software and tools to streamline the billing process, assure accuracy, and maximize revenue cycle management. Fortis’ commitment to leveraging the latest technology ensures that their clients can trust that their billing process is being managed with the utmost efficiency and accuracy, ultimately benefiting both the practice and the patients they serve.

Summary

In conclusion, Fortis Medical Billing offers exceptional oncology billing services, combining certified oncology coders, customized solutions, streamlined processes, and advanced technology to deliver accurate and compliant billing. With a focus on client satisfaction, high retention rates, and comprehensive service offerings, Fortis is the ideal partner for oncology practices looking to optimize their billing process and maximize revenue. Experience the Fortis difference for yourself and let their expertise work for you.

Frequently Asked Questions

How do I get new clients for medical billing?

Gain new medical billing clients by networking, sending MIB letters, calling potential clients, contacting associations, researching the local market, becoming a specialty medical biller, creating newsletters and direct mail, building a strong digital presence, advertising, and knowing what competitors are doing.

What is oncology coding?

Oncology coding is the process of accurately assigning codes to medical diagnoses and procedures performed by a doctor or nurse, such as radiation, chemotherapy, transfusions, infusions, and injections. Coding specialists use Current Procedural Terminology (CPT) codes and International Classification of Diseases (ICD) codes to ensure proper reimbursement for services rendered.

What is the CPT code for oncology visit?

The CPT code for an oncology visit is 99202, which covers office or other outpatient visits with a new patient that involve medically appropriate history and examination, as well as straightforward medical decision making.

Can you outsource medical billing?

Yes, medical billing can be outsourced to a third-party partner, allowing healthcare providers to benefit from the potential advantages of each approach while ensuring efficient and accurate billing services.

What are the benefits of accurate oncology billing?

Accurate oncology billing ensures financial sustainability and patient satisfaction, prevents treatment delays, and reduces the risk of revenue loss.

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