Oncology Billing Services
Incorrect Billing is Burning Your Oncology Practice Revenue
Beware of incorrect billing for your cancer treatment center. It will burn your practice revenue. Go for an expert oncology medical billing solution before it’s too late, and you find your clinic dead.
Cancer care is complicated, but billing shouldn’t be as well. We handle chemo coding, infusion sequencing, J-codes, prior authorization, and full RCM for oncology practices nationwide.
Oncology Billing Problems
Cancer Treatment Centers Lose Revenue Due to Oncology Billing
Handling oncology billing is difficult for many general billing companies because cancer treatments involve complex infusion procedures, expensive specialty drugs, and highly specific coding requirements.
Medical billers must accurately track chemotherapy administration, drug dosages, prior authorizations, and changing treatment plans. In that case, oncology providers may lose thousands of dollars if they don’t perform Chemotherapy & Infusion Billing Services properly. Therefore, specialized oncology billing services can save their practices from losing a huge amount of money.
Here we discuss why billing is difficult for oncology care centers:
- Wrong Infusion Code Sequence
- J-Code Errors on Drug Claims
- Missing Prior Authorization
- Buy-and-Bill Drug Reimbursement Errors
- Missing Time Documentation
- Radiation Therapy Coding Gaps
Who We Serve
We Offer Full Scale Billing Support Built For Oncology Clinics
Our oncology billing solution is not limited to claim submission or payment collection. We provide complete oncology revenue cycle management solutions designed to handle the complexity of modern cancer care billing.
Chemotherapy & Infusion Billing
Chemo, therapeutic infusion, and hydration codes need to be recorded in the correct sequence. We correctly do that with accurate time documentation to support every claim.
J-Code & Drug Billing (Buy-and-Bill)
We note accurate HCPCS J-code selection, correct dosage units, and proper modifiers (JW, JZ) to ensure full drug cost recovery.
Radiation Oncology Billing
We do proper billing for simulation, treatment planning, IMRT/SBRT delivery, and weekly management services separately and accurately.
Prior Authorization Management
Some procedures at oncology practices demand prior authorization. We handle pre-auth for chemotherapy, biologics, immunotherapy, and CAR-T therapy before treatment starts.
ICD-10, CPT & HCPCS Coding
As medical codes are updated regularly, practices need to comply with new codes. Our oncology-trained coders stay current with annual code updates and payer-specific guidelines.
Insurance Eligibility Verification
Many time patients get surprise bills due to outdated coverage plans, and that also creates problems for oncology clinics. We verify coverage, benefits, and cost-sharing before each patient visit.
Denial Management & Appeals
Some oncology practices think that insurers deny claims without any reason, which is not true. However, if claims are denied, we identify why the claims were denied, correct them, and resubmit them.
Accounts Receivable Management
It affects the revenue grown of any care practice if claims are not paid on time. We inspect aging claims and chase down unpaid balances to help your oncology practice run smoothly.
Credentialing Support
Providers must be credentialed to bill insurers. We handle the credentialing and enrollment paperwork if you need to get credentialed with new payers or add a provider.
Drug Billing Services
How The Buy-and-Bill Model Work to Receive Payment
Cancer treatment centers often get confused or misunderstand the buy-and-bill model. The model is a financially important part of oncology billing.
When your oncology practice buys cancer drugs directly from a contracted supplier and uses them for patients, you later bill insurance to get reimbursed for both the drugs and the procedure you perform. This is called “buy-and-bill.” Most of the chemotherapy and biologic drugs are reimbursed under Medicare Part B at ASP (average sales price) +6%.
If you code wrong J-code, write wrong units, or use the wrong modifier, your practice will lose the drug cost entirely. Therefore, we have extended our oncology billing services. You can get paid for the medicine you buy and administer after opting for your buy-and-bill model.
We Verify the Correct J-Code
Every drug has a specific HCPCS code. We match the procedure code with the administered right code.
We Report the Right Dosage Units
Each J-code has a specific unit (per mg, per mL, per dose). We record the right codes for specific drug units.
We Apply JW and JZ Modifiers
We correctly apply these modifiers to reimburse you for drug waste, as Medicare requires these for the amount of discarded drug.
We Handle CAR-T and Emerging Therapies
We stay updated with billing guidelines for advanced cancer treatment, e.g., CAR-T cell therapy, which is billed differently than standard chemo.
Why WeCare
Cancer Centers Choose the Best Billing Partner for Oncology RCM Services
Choosing the right billing partner for managing oncology billing tasks can be a wise decision for oncology service providers. The oncology claims need to be processed carefully, as a single mistake can cause oncologists to bear heavy losses in the form of claim denials and halted payments. Therefore, many oncologists chose us for their oncology RCM services because oncology is a speciality we know very well.
Missing Q Modifiers
Medicare requires providers to add Q7, Q8, or Q9 for at-risk patients. One missing modifier leads to automatic denial. We know the correct use of all the modifiers related to foot and ankle care.
Instant Claim Submission
We submit claims instantly when the patient leaves your practice. Faster claim submission means faster payment, and that is what your practice needs.
HIPAA Compliant
We keep your practice safe from any audit and penalties by keeping your billing records and patient data. Only authorized staff have access to your billing records.
98% Clean Claim Rate
Clean claims are those that are accepted in the first submission. We make sure that payers accept your claims on the first attempt. We carefully review every claim before submission.
Dedicated Account Manager
Oncology facilities partnered with us have a dedicated billing manager who handles all their billing matter. They don’t need to wait hours for a generic helpdesk.
Real-Time Reporting
After assigning your billing tasks to wecare, you can anytime login to see claim status, collected amount, and financial performance of your practice.
Who We Serve
Complete Oncology RCM Services for All Practices
Oncology practices, either small clinics or multi-specialty practices, require proper billing services. However, some small practices find it difficult to partner with a reliable and quality oncology RCM service for oncology billing. WeCare Billing Solution provides specialized oncology medical billing services to a wide range of healthcare providers involved in cancer care.
We support practices of all sizes that deliver cancer diagnosis, treatment, and ongoing patient care, helping them reduce denials and improve revenue cycle efficiency.
We serve:
- Oncology clinics (medical and hematology-oncology)
- Oncology departments in hospitals
- Radiation oncology centers
- Infusion centers
- Hematology practices
- Ambulatory care centers (ASCs) providing oncology services
- Multispecialty practices providing oncology services
- Cancer treatment hospitals
What We Bill
We Bill All Oncology Procedures & Treatments
Performing oncology procedures and providing treatments to patients is easy, but billing them to get paid fully is really difficulty for practices. Our oncology claim management expertise make them easy for providers and ensures they receive the full amount.
We bill for:
- Chemotherapy administration (IV, oral, and injectable drugs)
- Immunotherapy treatments
- CAR T-cell therapy billing and related services
- Radiation therapy procedures (external beam, IMRT, brachytherapy)
- Infusion therapy services (hydration, supportive care infusions)
- Targeted therapy treatments
- Hormone therapy for cancer treatment
- Bone marrow biopsy and aspiration procedures
- Diagnostic oncology labs and pathology services
- Supportive care medications (anti-nausea, pain management infusions)
- Evaluation & Management (E/M) visits related to oncology care
- Drug waste billing (including JW/JZ modifier reporting)
Don’t Let Complex Oncology Claims Impact Your Revenue Graph
Focus on oncology care while our billing specialists maximize your reimbursements with zero-error billing.
Nationwide Oncology Billing Services
We Support Oncology Practices with Billing Solution across 50 States in the US
Anywhere in the US, all 50 states, if you are saving lives by providing cancer care services, we are with you to manage the financial side of your practice. As the cancer kills cells, its billing should not kill your revenue. Our team understands the unique billing challenges associated with chemotherapy infusions, radiation therapy, immunotherapy, drug wastage reporting, prior authorizations, and payer-specific oncology guidelines.
Whether your practice is located in
- California
- New York
- New Jersey
- Florida
- Texas
- Illinois
- Michigan
- Ohio
- Florida
- Pennsylvania
- Mississippi
- Georgia
Our team works with hepatology practices across all 50 states.
We understand the varying payer guidelines, documentation requirements, and insurance processes followed across different states.
Testimonials
What Endocrinologists Say About WeCare Medical Billing LLC
Dr. Alan Mercer, MD Lead Oncologist, Ohio
“We recovered our lost revenue with the help of the Wecare team. There were errors in our infusion and chemotherapy billing, but thanks to them, they solved.”
Thalia Sterling, Practice Administrator , Virginia
“WeCare’s oncology billing specialists improved our first-pass claim acceptance rate to 96%. Their expertise in J-code billing and payer compliance is just amazing and beneficial.”
Stellan Cross, Director of Revenue Cycle, Delaware
“We struggled with delayed reimbursements and complex radiation oncology coding before partnering with WeCare. But then we outsourced their team, and they lowered our A/R days from 72 to 41 and helped improve overall revenue.”
Dr. Alan Mercer, MD Lead Oncologist, Ohio
“We recovered our lost revenue with the help of the Wecare team. There were errors in our infusion and chemotherapy billing, but thanks to them, they solved.”
Thalia Sterling, Practice Administrator , Virginia
“WeCare’s oncology billing specialists improved our first-pass claim acceptance rate to 96%. Their expertise in J-code billing and payer compliance is just amazing and beneficial.”
Stellan Cross, Director of Revenue Cycle, Delaware
“We struggled with delayed reimbursements and complex radiation oncology coding before partnering with WeCare. But then we outsourced their team, and they lowered our A/R days from 72 to 41 and helped improve overall revenue.”
Frequently Asked Questions
Questions? We’ve got you covered
Yes. We handle billing for medical oncology (chemotherapy, immunotherapy, targeted therapy, infusion services) and radiation oncology (IMRT, SBRT, treatment planning, simulation, weekly management).
Yes, we manage. For some procedure prior authorization is mandatory, i.e., chemotherapy, biologics, immunotherapy, and other high-cost cancer treatments. We know which payers require it and what documentation is needed for it.
Many oncology practices lose revenue due to incomplete infusion stop times, incorrect hierarchy selection, missing modifiers, or underbilling for prolonged infusion services.
Oncology practices focus only on denied claims. They miss silent underpayments caused by payer contract issues, incorrect fee schedules, or partially processed drug reimbursements.
Your Endocrinology Clinic Deserves the Best Billing Partner Like WeCare
Discuss your endocrinology practice billing problem with endocrinology billing experts like us for free. We will look at your denial patterns, billing gaps, and missed opportunities, and show you how we win that.
No setup fees. No risk. Just results.