Do You Make These Simple Mistakes In Oncology Billing Service?

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Do You Make These Simple Mistakes In Oncology
Billing Service?

• Greater efficiency in medical billing leads to
  greater reimbursements. The same holds true for
  oncology where although care is the topmost
  priority of any physician, the practice needs to
  be in a financially stable form too. From billing
  and coding, processing of claims, and chasing
  patients for unpaid bills, the oncology billing
  and coding services department need to be on
  their feet all the time.
• Oncology constantly undergoes technological and
  procedural updates (guidelines provided by the
  American Society of Clinical Oncology). Though
  there is little room for errors or
  inefficiencies, some as those mentioned below do
  occur.
• Hence, it is essential for the oncology billing
  and coding team to stay abreast with the
  revisions related to codes, documentation,
  and revenue cycle management (RCM).
• Numerous errors are made by coders if they are
  not updated with the recurrent changes. Failure
  to capture the CPT codes along with usage of
  incorrect modifiers can lose a great deal of
  revenue.

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Do You Make These Simple Mistakes In Oncology
Billing Service?

• No framework exists for recording the claims in a
  timely manner. It is imperative to document and
  file the claims within the schedule. Usually, the
  filing limit for most insurance payers is 30
  days beyond this, it could be denied for
  erroneous filing.
• Coders are also sometimes not well versed with
  bone marrow procedures, blood transfusions, and
  transplantations leading to a loss of revenue.
  Reading and understanding the EoB (Explanation of
  Benefits) is vital (understanding what and why of
  the payments) as well. Under-coding or
  over-coding can lead to revenue losses too.
• Neglecting codes related to equipment used in
  oncology (e.g. radiation oncology) can lead to
  incorrect medical billing and coding. Continuous
  training and awareness should be the norm for
  oncology billers and coders (awareness of the
  latest codes and modifiers - AMA frequently
  updates the oncology codes, office visit codes,
  in-patient visit codes, etc.).
• Many coders tend to code as per the diagnosis
  only, wherein it must be coded as per the
  decision taken.

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Do You Make These Simple Mistakes In Oncology
Billing Service?

• Ensuring insurance verification of cancer
  patients before the treatment is becoming
  increasingly important due to new rules and
  regulations and high-cost cancer therapies.
  Missing out on this step can cause a great deal
  of payment issues, especially co-pays.
• Another error often overlooked leading to cash on
  the table is not reviewing reports or following
  up on the unpaid claims. Claim filing must be
  based on automated processes along with a robust
  system which supports billing and administration.
• Not checking the clearinghouse reports is another
  error committed by the oncology billing and
  coding team, predominantly if there are new
  reports coming in. Another error often overlooked
  is the non-compliance of oncology billing
  guidelines leading to a tremendous amount of
  reimbursements not accrued.
• Usually, on the part of the physician, errors can
  occur when he tends to leave out documenting the
  negative findings they have incurred during tests
  and examinations. The physician must ensure that
  along with the positive, the negative findings
  too are included in the examination level as
  costs have been incurred on these tests and
  examinations as well.

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Do You Make These Simple Mistakes In Oncology
Billing Service?

• Errors also occur when drug units listed are
  incorrect. This usually occurs as HCPCS has set
  different codes for specific billing units, but
  the drugs are available as single or
  multiple-dose vials. Hence, to get appropriate
  reimbursements, it is imperative to document this
  appropriately.
• The place of service and type of service are
  interconnected. Sometimes, errors occur if the
  place of service is not aptly mentioned. For a
  comprehensive oncology billing practice, these
  details must not be ignored.
• Especially under radiation oncology,
  documentation details that are sometimes missing
  are the initial treatment plan or the radiation
  order, the physician's signature or attestation,
  radiation treatment records and/or plan,
  physician instructions for the specific radiation
  treatment and its management, and/or the
  dispensation of the billed IMRT delivery.
• Time is Money, and is especially indispensable in
  the medical discipline. The team at Medical
  Billers and Coders (MBC) are specialists in the
  field of radiology and oncology-related medical
  billing services, and ensure timely services with
  no money being left on the table. 

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Do You Make These Simple Mistakes In Oncology
Billing Service?
Since cancer treatment is very complex, the
documentation and tracking of tests, diagnosis,
and treatment, along with the required medical
billing and coding, it gets very critical to
obtain reimbursements at each stage.  Hence, the
team at Medical Billers and Coders are
tech-savvy, aware of the constant changing
guidelines and rules, and provides an error and
denial-free service to their customers
nationwide. To know more about our Oncology
billing and coding services, contact us
at info_at_medicalbillersandcoders.com/888-357-3226.