Specialized Billing for High-Risk, High-Complexity Cardiology Practices

oncology billing isn’t “regular billing.” It’s high-risk, high-volume, modifier-heavy, and utterly unforgiving. One coding error, one missed authorization, or one documentation gap—and thousands in revenue vanish. Neo MD fixes that with oncology-certified billers, clean claims from day one, and aggressive denial recovery built for chemo, infusion, and radiation workflows.

97-99%

Clean Claim Rate

+22%

Revenue Increase

90 Days

To See Results

Is Your Oncology Practice
Bleeding Revenue? (Most Are.)

If you fall behind your revenue goals, it’s time to get our professional consultation about the Revenue Cycle Management process. If any of these are happening, you’re losing $200K–$500K+ annually:

Visible Revenue Bleed

Immediate Impact

Priority: Critical
Audit Code: ONC-901

Chemo Infusion Claims Denied

JW/JZ wastage modifiers applied incorrectly

Priority: Critical
Audit Code: ONC-902

Drug Administration Claims Rejected

Infusion sequencing errors (96360-96417 series)

Priority: High
Audit Code: ONC-903

Immunotherapy Claims Denied

Missing medical necessity documentation

Priority: High
Audit Code: ONC-904

High-Cost Drug Claims Delayed

Prior authorization failures are holding up treatment

Priority: Critical
Audit Code: ONC-905

Biosimilar Claims Bundled

When they should've been billed with Q-codes separately

Priority: Medium
Audit Code: ONC-906

NDC Format Violations

Triggering automatic denials on drug claims

Invisible Losses

According to MGMA and COA oncology benchmarking data, practices lose 18%–25% of revenue due to:

1 unit ≠ 1 mg confusion

Chemo Drug Unit Errors

22% underpayment

Initial vs subsequent coding

Infusion Time Documentation

$15K-$35K/month

Service sequencing errors

Hydration vs Therapeutic

High-dollar loss

JW/JZ modifier missing

Drug Wastage Reporting

18% denial rate

Wrong code selection

Biosimilar Q-Code Errors

Critical miss

Incorrect treatment series

Multi-Day Regimen Billing

Systematic loss

ICD-10 pairing failures

Diagnosis-to-Drug Linkage

Compliance risk

Incomplete documentation

Growth Factor Injections

Untapped revenue
"You didn't train for 10+ years to fight with insurance companies. But right now, coding errors cost more than a mid-level provider's salary."
Cumulative Revenue Variance
$500,000+
Per Annum Potential

Why General Medical Billing Companies Fail Oncology Practices

Oncology billing requires specialty expertise that general billers don’t have.

Chemo infusion coding chaos

Can't determine the correct administration code hierarchy

Drug unit calculation blindspot

Misapply unit conversions constantly

NDC formatting confusion

Don't understand 11-digit format requirements

Initial vs subsequent miss

Can't distinguish infusion code types (96413 vs 96415)

Wastage documentation underbilling

Don't understand JW/JZ modifier requirements

Medical necessity gaps

Can't track immunotherapy justification

Multi-drug regimen errors

Undercode complex chemotherapy protocols

LCD policy blindspot

Don't track coverage determinations by diagnosis

Result: 15%–22% denial rates, 45-60 day payment cycles, and constant staff time wasted on resubmissions.

The NEO MD Oncology Advantage

Specialty-Exclusive Billing Built for Complex Oncology Workflows.

Oncology-Certified Billing Teams

  • All billers are oncology-trained and certified
  • Deep expertise in chemo infusion, immunotherapy, and targeted therapy
  • Correct coding across 96401–96417, J-codes, Q-codes, and wastage reporting

→ 96% first-pass acceptance rate

Full Prior Authorization Management

  • Chemotherapy (all regimens)
  • Immunotherapy
  • Radiation oncology
  • Diagnostic imaging
  • Genetic testing

→ Average PA turnaround: 48–72 hours
→ No more treatment delays
→ No more revenue freezes

Oncology-Specific Denial Prevention

  • NDC formatting & units
  • JW/JZ wastage compliance
  • LCD medical necessity
  • Sequencing of infusion services
  • Diagnosis-to-drug pairing

→ Denials drop below 4% in 60 days

Maximum Reimbursement Coding

  • Correct hierarchy of infusion codes
  • Proper billing of hydration/therapeutic/chemo
  • Capture of prolonged infusion
  • Correct revenue units for high-cost drugs

  • Documentation support for medical necessity

→ Average +22% revenue increase in 90 days

Complete Revenue Transparency

  • Real-time dashboards
  • Weekly performance reports
  • Monthly revenue strategy calls
  • Quarterly compliance audits

→ You always know where your money is.

Performance Benchmarking

Neo MD Versus Industry Standards

Performance Metric National Oncology Benchmark Neo MD Client Average
Clean Claim Rate 82–87% 97–99%
Initial Denial Rate 12–18% 3–6%
Days in A/R 42–55 days 24–32 days
Collection Rate (Net) 94–96% 98–99.5%
Drug Reimbursement Accuracy 87–92% 98–99%
Prior Auth Approval Rate 76–83% 94–97%
Prior Auth Turnaround 7–12 days 2–4 days

Oncology Services & Treatment Types We Bill With Zero Errors

Chemotherapy

IV infusion (initial, subsequent, prolonged)

Chemo multi-drug regimens

Oral chemotherapy management

Intrathecal chemotherapy

Immunotherapy & Targeted Therapy

Keytruda, Opdivo, Yervoy

CAR-T therapy coding

Monoclonal antibodies

Biosimilars (specific Q-codes)

Radiation Oncology

IMRT

SBRT

IGRT

Proton therapy

Hematology Services

Iron infusion (Venofer, Injectafer)

Blood transfusions

Growth factor injections (Neulasta, Neupogen)

Diagnostic & Treatment Support

Real Results

Oncology Clinic — 4 Providers

( Florida )

Denial Rate
21%
Days to Payment
56 days
Annual Loss
$310K
Staff overwhelmed by prior auth delays
Denial Rate
4.2%
Days to Payment
22 days
Monthly Revenue
$48,000
Staff freed to focus on patients

“We didn’t realize how much revenue was leaking until NEO MD fixed our infusion billing. It’s night and day.”

— Dr. Elaine H., Medical Oncologist

Mid-Page CRO Lead Magnet: Free Oncology Revenue Leak Report

This report is worth $1,500 — yours free.

Get a free audit that identifies:

$1,500

Value — Yours FREE

How We Increase Oncology Revenue in 90 Days

Free 90-Day Revenue Analysis

We evaluate denials, drug units, NDC errors, infusion coding, and payer-specific issues.

Clean Billing Transition (10–14 Days)

No downtime. No lost claims.

Revenue Acceleration (30–90 Days)

Correct coding → PA workflow → denial elimination → faster payments.

Continuous Optimization

Compliance checks, quarterly audits, documentation training, and ongoing coding updates.

Critical Compliance Issues We Handle

Oncology is heavily audited. We protect your practice by managing:

JW/JZ wastage reporting

NDC unit accuracy

LCD policies for cancer diagnostics

Medical necessity documentation

Biosimilar coding rules

Prior authorization logs

CLIA compliance

OIG audit readiness

We keep you compliant, paid, and audit-ready.

Frequently Asked Questions

No — we transition you in 10–14 days without missing a claim.

 Yes — all regimens, all payers.

Yes — we work with all major oncology systems.


5%–7% of collections — typically yielding +20% more revenue.

Stop Losing $200K–$500K+ Every Year to Oncology Billing Errors

Every month you stay with a general billing company, you lose

Switching to NEO MD pays for itself in the first 30 days.

Stop Oncology Revenue Leakage. Start Earning What You Deserve.

Oncology billing isn’t supposed to drain your time, your team, or your revenue.
If denials, authorizations, chemo coding, or documentation issues are costing you money, it ends here.NEO MD’s oncology-trained billers deliver higher first-pass approvals, cleaner claims, faster reimbursements, and predictable cash flow — without disrupting your practice.

You Get:

Ready to see how much revenue you’re missing?