MZ Medical Billing is a leader in medical billing services, specializing in the intricate field of Oncology billing. Our expertise, dedication, and commitment to excellence make us the preferred choice for healthcare providers seeking precision, compliance, and optimized reimbursement in Oncology billing. Here's why MZ Medical Billing is recognized as experts in this specialized field:

• Comprehensive Mastery of Oncology Billing Guidelines: Our team comprises seasoned experts with extensive knowledge of Oncology billing intricacies. From coding for chemotherapy administration to radiation therapy procedures, we ensure meticulous adherence to the latest coding standards and regulations.
• Strategic Revenue Optimization: MZ Medical Billing employs strategic methodologies to maximize reimbursements for Oncology services. Through comprehensive documentation and accurate coding, we optimize revenue while minimizing the risk of claim denials and audits. Our proactive approach guarantees consistent revenue streams for healthcare providers.
• Awareness of State-Specific Guidelines: Oncology billing regulations may vary from state to state across the USA. MZ Medical Billing understands the critical importance of understanding these differences and tailoring our approach accordingly. By staying informed about state-specific guidelines, we ensure compliance and prevent penalties, regardless of geographic boundaries.
• Integration of Advanced Technological Solutions: MZ Medical Billing harnesses cutting-edge technology and advanced software systems to streamline the billing process. Our sophisticated systems enable automated claims submission, real-time tracking of reimbursements, and seamless integration with healthcare providers' existing platforms, enhancing efficiency and accuracy.
• Personalized Client Support: At MZ Medical Billing, we prioritize personalized client support to meet the unique needs of healthcare providers. Our dedicated team offers ongoing assistance, promptly addressing inquiries, resolving issues, and offering proactive guidance to optimize revenue cycles in Oncology billing.

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Step 1: Patient Registration and Insurance Verification

1. Patient Registration: The patient is registered and their demographic information is collected.
2. Insurance Verification: The patient's insurance coverage is verified, including the type of insurance, coverage limits, and any specific requirements or restrictions.

Step 2: Medical Record Review and Coding

1. Medical Record Review: The medical record is reviewed to identify all relevant services and procedures performed.
2. Coding: The services and procedures are coded using the International Classification of Diseases, 10th Revision (ICD-10) for diagnoses and the Current Procedural Terminology (CPT) for procedures.

Example Codes:

• Diagnosis Codes (ICD-10):
  • C50.91: Malignant neoplasm of unspecified part of breast
  • C81.9: Malignant neoplasm of unspecified part of lymphoid tissue
• Procedure Codes (CPT):
  • 10060: Destruction of tumor by radiation therapy
  • 10140: Administration of chemotherapy, single or multiple medications

Step 3: Claim Preparation and Submission

1. Claim Preparation: The coded information is used to prepare a claim, which includes the patient's demographic information, insurance information, and the services and procedures performed.
2. Claim Submission: The claim is submitted to the insurance provider electronically or on paper.

Step 4: Claim Processing and Reimbursement

1. Claim Processing: The insurance provider processes the claim, verifying the services and procedures performed and the patient's insurance coverage.
2. Reimbursement: The insurance provider reimburses the provider for the services and procedures performed, based on the insurance coverage and the provider's contracted rates.

Step 5: Follow-up and Appeals

1. Follow-up: MZ Medical Billing follows up with the insurance provider to ensure the claim has been processed and to address any issues or denials.
2. Appeals: If the claim is denied, MZ Medical Billing appeal the decision, providing additional information or documentation to support the claim.

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Navigating the complexities of Oncology billing demands expertise, attention to detail, and a profound understanding of state-specific guidelines. With MZ Medical Billing as their trusted partner, healthcare providers can confidently rely on a dependable ally committed to excellence, compliance, and revenue maximization in Oncology billing, regardless of jurisdiction.

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CPT Codes for Oncology

• 77261-77299: Radiation Therapy Planning and Preparation
• 77600-77615: Radiation Therapy with Hyperthermia
• 96401-96417: Administration of Chemotherapy and Other Complex Drugs or Biological Agents

ICD-10 Codes for Oncology

• C17.0: Malignant Neoplasm of Duodenum
• C17.1: Malignant Neoplasm of Jejunum
• C17.2: Malignant Neoplasm of Ileum
• C17.3: Malignant Neoplasm of Meckel’s Diverticulum
• C17.8: Malignant Neoplasm of Overlapping Sites of Small Intestine
• C18.0: Malignant Neoplasm of Cecum
• C18.1: Malignant Neoplasm of Appendix
• C18.2: Malignant Neoplasm of Ascending Colon
• C18.3: Malignant Neoplasm of Hepatic Flexure
• C18.4: Malignant Neoplasm of Transverse Colon
• C18.5: Malignant Neoplasm of Splenic Flexure
• C18.6: Malignant Neoplasm of Descending Colon
• C18.7: Malignant Neoplasm of Sigmoid Colon
• C18.8: Malignant Neoplasm of Overlapping Sites of Colon
• C21.1: Malignant Neoplasm of Anal Canal
• C21.2: Malignant Neoplasm of Cloacogenic Zone
• C21.8: Malignant Neoplasm of Overlapping Sites of Rectum, Anus, and Anal Canal
• D12.0: Benign Neoplasm of Cecum
• D12.1: Benign Neoplasm of Appendix
• D12.2: Benign Neoplasm of Ascending Colon
• D12.3: Benign Neoplasm of Transverse Colon
• D12.4: Benign Neoplasm of Descending Colon
• D12.5: Benign Neoplasm of Sigmoid Colon
• D12.7: Benign Neoplasm of Rectosigmoid Junction
• D12.8: Benign Neoplasm of Rectum
• C69.21: Malignant Neoplasm of Right Retina
• C69.22: Malignant Neoplasm of Left Retina
• C69.31: Malignant Neoplasm of Right Choroid
• C69.32: Malignant Neoplasm of Left Choroid
• C69.41: Malignant Neoplasm of Right Ciliary Body
• C69.42: Malignant Neoplasm of Left Ciliary Body
• C70.0: Malignant Neoplasm of Cerebral Meninges
• C70.1: Malignant Neoplasm of Spinal Meninges
• C71.0: Malignant Neoplasm of Cerebrum, Except Lobes and Ventricles
• C71.1: Malignant Neoplasm of Brain, Frontal Lobe
• C71.2: Malignant Neoplasm of Brain, Temporal Lobe
• C71.3: Malignant Neoplasm of Brain, Parietal Lobe
• C71.4: Malignant Neoplasm of Brain, Occipital Lobe
• C71.5: Malignant Neoplasm of Brain, Cerebral Ventricle
• C71.6: Malignant Neoplasm of Brain, Cerebellum
• C71.7: Malignant Neoplasm of Brain, Brain Stem
• C71.8: Malignant Neoplasm of Brain, Overlapping Sites
• Z85.840: Personal History of Malignant Neoplasm of Eye
• Z85.841: Personal History of Malignant Neoplasm of Brain
• Z85.848: Personal History of Malignant Neoplasm of Other Parts of Nervous Tissue

HCPCS Codes for Oncology

• 81445: Targeted Genomic Sequence, DNA Analysis
• 81450: DNA Analysis
• 81455: Combined DNA and RNA Analysis

Other Codes for Oncology

• G2212: Prolonged Services, First 30 Minutes
• G0316: Prolonged Services, Each Additional 15 Minutes
• G2213: Prolonged Services, First 30 Minutes
• G0317: Prolonged Services, Each Additional 15 Minutes

These codes are used to report various oncology services, including radiation therapy, chemotherapy, and genetic testing.