Specialties

Oncology

Revenue Cycle Management for Oncology Practices & Infusion Centers

Oncology billing is among the highest-stakes in medicine — chemotherapy administration codes, complex drug reimbursement, and prior authorization for biologics require dedicated expertise. Rev Health protects your oncology revenue at every step.

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Our Expertise in Oncology

Chemotherapy Administration Coding

Accurate CPT coding for IV push, infusion, and injection administration of chemotherapy and non-chemotherapy agents — including all sequential and concurrent drug administration rules.

Oncology Drug Reimbursement

Expert HCPCS J-code assignment for chemotherapy drugs, biosimilars, and immunotherapy agents, with ASP-based pricing compliance and payer-specific drug billing requirements.

Prior Authorization Management

Proactive authorization management for targeted therapies, immunotherapy, and high-cost biologics — including peer-to-peer reviews, step therapy exceptions, and appeals for denied treatments.

What We Do

RCM Services

Comprehensive revenue cycle management solutions tailored to Oncology.

[01]

Eligibility Verification

Real-time insurance verification and benefits validation with prior authorization management and patient eligibility reporting.

→Real-time insurance verification
→Benefits and coverage validation
→Prior authorization management
→Patient eligibility reporting

[02]

CPT & ICD-10 Coding

Expert diagnostic note interpretation and comprehensive coding accuracy aligned with CPT and ICD-10 compliance standards.

→CPT and ICD-10 compliance standards
→Validation of superbill codes
→Expert diagnostic note interpretation
→Comprehensive coding accuracy

[03]

Charge Entry

24-hour electronic submission with fee schedule verification, patient demographic validation, and same-day rejection resolution.

→Fee schedule verification
→Patient demographic validation
→24-hour electronic submission
→Same-day rejection resolution

[04]

Claims Submission

Streamlined electronic submission with rigorous quality checks and first-pass acceptance optimization to minimize rejections.

→Streamlined electronic submission
→Rigorous quality checks
→First-pass acceptance optimization
→Rejection minimization protocols

[05]

Payment Posting

Daily posting and reconciliation with EFT/ERA enrollment facilitation and detailed tracking and payment trend analysis.

→EFT/ERA enrollment facilitation
→Daily posting and reconciliation
→Detailed tracking and documentation
→Payment trend analysis

[06]

Denial Management

Specialized appeals team with root cause analysis, secondary/tertiary claims expertise, and revenue recovery optimization.

→Specialized Appeals Team
→Secondary/tertiary claims expertise
→Root cause analysis
→Revenue recovery optimization

Expertise on 30+ EMRs
and Billing Platforms

Our team has extensive experience working with leading EMR and billing platforms, ensuring seamless integration and optimized revenue cycle management.