Expert Billing for Complex
Oncology Care
Oncology Billing
Let our dedicated team handle your oncology billing while you focus on patient care.
At Med Karma, we recognize that oncology practices are about more than clinical care – they’re about hope, resilience, and giving patients and their families the confidence to fight back against some of life’s toughest diagnoses. Behind every session lies an incredibly complex financial workflow that demands accuracy, speed, and continuous oversight.
Oncology billing is more than just a challenge — it’s a vital part of keeping your practice running and your patients supported. Between rising drug costs, complex authorizations, tight filing deadlines, and strict documentation rules, the pressure adds up fast. That’s why our dedicated Oncology Billing and Revenue Cycle Management service is built to ease that burden. With a blend of expert support and smart automation, we help ensure you get paid fully and compliantly for every service you provide — so you can stay focused on what matters most: your patients.
We combine compassionate, oncology-specialized billing professionals with smart, AI-driven automation tools to simplify your revenue cycle, reduce denials, and improve cash flow — while you remain focused on patient care.
Why Oncology Billing is So Complex
Oncology billing involves a unique mix of high-cost injectable drugs, radiation therapy services, complex chemotherapy regimens, surgical procedures, and time-based services — each governed by intricate CPT/HCPCS coding rules, Medicare coverage policies, and payer-specific guidelines. In addition to strict medical necessity requirements and rules, oncology has one of the most demanding revenue cycle processes in healthcare. Our combination of specialty-trained experts and intelligent automation makes a real difference to your practice’s billing operations.
How Our Automation-Enhanced
Oncology Billing Services Work
At Med Karma, we’ve thoughtfully built automation into every stage of the oncology revenue cycle to support accuracy, efficiency, and compliance – while giving your clinical team peace of mind. Here’s how:
Automated Patient Registration & Real-Time Insurance Eligibility
Before each appointment, our system verifies everything your team needs to know, from insurance benefits and chemotherapy drug coverage to authorizations and financial responsibilities. It all happens in real time, so treatments can move forward without delay, and your patients know exactly what to expect.
Key Benefits
- Automated insurance eligibility and benefits verification
- Real-time checks for chemotherapy drug coverage and prior authorizations
- Batch eligibility for high-volume infusion centers
- Integration with oncology EMRs, scheduling, and EHR systems
AI-Powered Coding & Charge Capture for Oncology Services
Oncology coding demands precision. Whether it’s chemotherapy administration, radiation therapy, immunotherapy, or surgical oncology procedures — each requires accurate CPT, HCPCS, and ICD-10 codes, often with complex modifier use. Our certified oncology coders work alongside AI-assisted coding platforms that review documentation, auto-suggest codes, and flag discrepancies before claims are created.
Features Include:
- AI-driven CPT/HCPCS coding recommendations based on chart notes
- Automated modifier suggestions for sequential, concurrent, or prolonged services
- Diagnosis-to-drug code validation for medical necessity
- Real-time coding audits and NCCI edit checks
Automated Claim Scrubbing, Submission & Status Tracking
Before a claim ever leaves your system, our automated claim scrubbing engine scans for payer-specific rules, oncology-specific coding edits, and medical necessity errors. Clean claims are then submitted electronically to payers with real-time status tracking. The system automatically flags rejections and denials for instant follow-up.
What You’ll Gain:
- Automated claim validation using oncology billing guidelines
- Real-time electronic submission and clearinghouse integration
- Immediate notification of claim rejections or processing delays
- Custom dashboards for monitoring claim statuses and payments
Smart A/R Management & Denial Handling
Oncology claims are vulnerable to denials for reasons like missing authorizations, drug coding mismatches, or coverage policy conflicts. Our AI-powered A/R follow-up system prioritizes outstanding claims based on aging, balance, and denial reasons, auto-generates appeal letters for common oncology denial types, and tracks claim resolution from start to finish.
Highlights
- AI-assisted claim follow-up prioritization by dollar value and payer trends
- Automated appeal letter creation for denied chemotherapy and infusion claims
- Denial root-cause analysis and trend reporting
- Real-time A/R aging reports and cash flow forecasting
Automated Patient Statements & Digital Payment Solutions
Our system automatically generates patient-friendly statements and sends them by email, text, or traditional mail. Patients can pay securely online or set up payment plans, helping reduce stress and making it easier for your practice to get paid on time.
Key Features:
- Automated patient balance statements and reminders
- Mobile-friendly online payment portals
- Text-to-pay and digital billing options
- Recurring payment plan automation for larger balances
The Benefits You’ll See
- Faster insurance verifications and fewer treatment delays
- Improved claim accuracy and higher first-pass payment rates
- Reduced denials, especially for prior authorization and drug compatibility issues
- Real-time claim tracking and transparent financial reporting
- Less administrative burden on your clinical and front-office staff
- Improved patient financial satisfaction with modern, discreet billing options
- HIPAA-compliant technology safeguarding sensitive oncology data
- Peace of mind knowing your revenue is protected by a specialty-trained team
Why Oncology Practices Trust Med Karma
At Med Karma, we treat your oncology revenue cycle with the same urgency and care you show your patients. Our dedicated oncology billing specialists know your codes, your drugs, your payers, and your documentation needs inside and out. We stay ahead of coding updates, payer policies, and regulatory changes so you don’t have to.
At Med Karma, we don’t just manage your oncology billing — we simplify it, automate it, and safeguard your financial future so you can continue delivering life-saving care.