Oncology Billing Services

Does your billing staff know that Medicare will only pay for chemotherapy administration if the patient was given a cancer diagnosis? Not knowing a critical piece of information like this can cause insurance carriers and other payers not to reimburse your practice for the services you provide. This can lead to a decrease in revenue and can greatly affect your organization’s accounts receivables.

Because oncology billing is complex and requires extensive specialty-specific coding and billing knowledge, working with an experienced oncology medical billing company can make a big difference when it comes to getting paid. At 5 Star Billing Services, our billers understand the specifics regarding multiple chemotherapy administrations, therapeutic infusions, injection reporting, code bundling, and more. We have experience with coding changes and ever-changing compliance rules, as well as with common billing errors that often lead to denied and mis-adjudicated claims.

What We Do

At 5 Star Billing Services, we provide comprehensive billing, collections, and practice management services for oncology providers. We provide initial evaluation of your practice and accounts receivable, and we make it easy to get started - because we're serious about getting you paid! Some of the things our expert billing professionals do include:

• Providing full account receivables management
• Performing 12-hour claims processing
• Checking system based eligibility
• Conducting quarterly coding updates
• Performing system-based claims scrubbing
• Handling all billing calls
• Conducting regular quality assurance checks
• Holding weekly meetings to discuss progress and go over reports
• Providing customizable monthly reports

Why Work With Us?

5 Star Billing Services will work with your practice to identify areas for improvement and to educate your staff on the best practices and procedures for oncology billing. Our certified coders have years of experience working with oncology practices and are equipped with the knowledge to handle coding and billing-related processes to ensure that you receive payments and reimbursements on time. Our extensive knowledge in the oncology field has allowed our billers and coders to meet the demands of a wide variety of oncology providers, clinics, diagnostic centers, hospitals, and multi-specialty groups. We can fulfill your temporary staffing needs or manage all aspects of your billing year-round.

Our oncology billing service is based in the United States and is fully compliant with HIPAA standards and regulations. This means that your patients’ protected health information will never be compromised.

To learn more about 5 Star Billing Services and what we can do for your practice, call 480-821-1371 to speak with one of our representatives.

Benefits

At 5 Star Billing Services, we are large enough to handle multi-physician, multi-location practices yet small enough to give the personal attention your account deserves. We offer:

• Improved collections and income
• Accelerated payments and reduced stress
• 24/7 accessibility to your patient data and financial information
• Transparency throughout the revenue cycle
• Full financial and practice management reporting

Areas of Expertise

Our billing and coding employees are well-trained and keep up to date on the latest changes in oncology codes and payer requirements. This ensures that the claims we submit are accurate and do not delay payment. We also understand the claims denial process and can appeal denied claims quickly and efficiently to ensure speedy reimbursement.

Our billers and coders understand:

• Complex oncology billing codes and rules
• Oncology-related terminology
• Office notes and operative notes
• Coding for surgical procedures
• Code variations related to multiple procedure rules

Receivables Management

• Coding
• Billing
• Payer relations
• Patient relations
• Collections
• Client reporting
• Fee analysis
• Managed-care contracts
• Your Oncology Billing Company

An oncology billing company should increase your reimbursements. In fact, it should be more efficient and effective at billing than your own office. An oncology billing company should let you and your personnel focus on practicing medicine. Whether you own a private practice or work in a hospital or multi-provider facility, an oncology billing service can make your practice more profitable.

According to industry experts, a claims adjustment rate of between 20% and 35% is considered good and acceptable. At 5 Star, our account executives have an average of eight years in oncology billing. Their knowledge, ability, and dedicated follow-up is why our adjustment rate is consistently lower - as low as 12% with Medicare. At 5 Star, we achieve AR rates for our practices that are higher than the industry average. Simply put, you and your practice will get a higher average return per processed claim.

5 Star Billing Services is more than a claims processing center, because we offer multiple benefits and billing services. Our state-of-the-art billing system generates accurately-coded claims daily and submits them electronically. Once your superbills are processed, payment can be received in as little as ten days instead of three months.

An oncology Billing Company Should Help Reduce Your Expenses

Our clients reduce their office expenses by using our services and software – all you need is a PC and access to the Internet. Our practice management software is all-inclusive and is part of our standard service. There are no costly software updates or support fees. There are no hidden costs or additional charges.

5 Star Billing Services is unique in the field of oncology billing. We offer a complete business solution to your medical billing and practice management needs, and we do it all for one fee. All the medical billing services and benefits you receive are included, even your overnight mail for shipping your demographics.

Our fee is below the national average. Our goal is to provide the highest return on your claims at a competitive price, without sacrificing service or patient support.

Our Medical Billing Software

At 5 Star Billing Services, we use advanced, web-based medical billing software that can easily connect to your organization’s own data. We can also work with your own billing or practice management software, as our billing specialists have worked with most major billing systems, including Medisoft, Practice Admin, Lytec, Eclipse, AdvantX, and others.