Oncology Billing That Pays What You Earn
Oncology billing is among the highest-stakes in medicine: chemotherapy administration codes, expensive drug passthrough billing, clinical trial billing restrictions, and the sheer complexity of multi-drug regimen coding all create enormous revenue risk. A single miscoded infusion visit can cost thousands. 360Solutions provides oncology billing specialists who manage chemotherapy drug billing, infusion time tracking, clinical trial coordination, and radiation therapy coding with the precision that cancer care demands.
Where Oncology Practices Lose Revenue
These are the coding and billing pitfalls that cost oncology practices the most — and where our specialised billers add the most value.
Chemotherapy Infusion Coding
Chemotherapy infusion codes (96401–96417) are time-based and drug-type specific — push vs. infusion, initial vs. sequential. Each drug in a multi-drug regimen must be coded separately with the correct add-on code. Missing an add-on costs $150–400 per visit.
Drug Passthrough Billing
Chemotherapy drugs are billed at Average Selling Price (ASP) + 6% under Medicare. Commercial payers have varying drug coverage and markup policies. We verify drug codes (J-codes), units, and NDC numbers against pharmacy records before every claim.
Clinical Trial Billing
Patients on clinical trials require careful separation of routine care (billable) from research-specific services (non-billable). Incorrect billing to insurance for trial-covered services triggers False Claims Act exposure. We maintain trial billing protocols.
Prior Auth for Biologics
Targeted therapies, immunotherapy agents, and biosimilars require step therapy documentation and prior auth from nearly every payer. We manage the auth lifecycle — from initial request through appeals — to prevent drug administration delays.
High-Risk CPT Groups
Code ranges payers audit most aggressively in Oncology.
Common Denial Patterns
Knowing these before submission is the difference between a 60% and a 96% first-pass rate.
Chemotherapy add-on code billed without corresponding primary infusion code
Drug J-code units do not match pharmacy dispense record
Clinical trial service incorrectly billed to insurance (non-billable trial protocol)
Prior auth for biologic agent obtained for wrong indication or dose
Radiation treatment planning code billed without documented dosimetry calculation
Send us your last 90 days of remittance data — we'll identify your top 3 fixable denial sources at no cost.
Request Free Audit →How 360Solutions Works for Oncology Practices
Free 2-Week Billing Audit
We review your last 90 days: denial breakdown by category, AR aging by payer, charge lag, collection rate, and any recurring coding issues specific to your specialty. No commitment required.
Specialty Coder Assignment
You are paired with a coder trained specifically in oncology coding. They learn your providers, your documentation patterns, and your payer mix before touching a claim.
Parallel Billing Transition
We run alongside your current billing for 10–14 days with zero cash flow disruption. Claims keep moving during the transition. Your account manager provides daily status updates.
Live KPI Dashboard
Real-time visibility into billed, paid, denied, AR aging, and collection rate — segmented by provider and payer. No black box, no month-end surprises.
Weekly Account Manager Call
Every week your dedicated account manager walks through last week's KPIs, denial trends, and any action items. Critical issues are escalated the same day — not at the next scheduled call.
Questions From Oncology Practices
Start With a Free,
No-Obligation Audit
Two weeks, no contract. A certified oncology billing specialist reviews your claims, denial patterns, and AR — and shows you exactly what is recoverable.