● Hematology Revenue Cycle Specialists
Hematology Billing Services for Infusion and Diagnostic Claims
Trusted by urgent care centers and multi-site groups.
97.6%
Clean claim rate
● The Real Cost of Generic Billing
Hematology billing breaks in ways general billers never catch
Every one of these is a high-dollar claim your practice has probably already lost revenue on this month.
Incorrect J-codes & NDC mismatches
Buy-and-bill biologics and infused therapies billed with the wrong J-code or an NDC that doesn't match the units administered trigger automatic denials or underpayment.
Missed prior authorizations
High-cost specialty drugs and biologics require prior auth that's often overlooked until the claim is already denied — after the drug has been administered.
Malignant/non-malignant coding errors
A patient with anemia alongside leukemia requires precise ICD-10 sequencing — generalist coders routinely miscode these overlapping conditions and get the claim rejected.
Drug waste (JW/JZ) documentation gaps
Unused single-dose vial amounts must be reported with the correct waste modifier — missing this documentation means real, billable drug cost goes unreimbursed.
Shared-care billing confusion
When a hematologist and oncologist both treat the same patient, overlapping E/M and infusion charges get duplicated, denied, or bundled incorrectly.
High-dollar denials with no recourse
A single denied infusion or biologic claim can represent thousands of dollars — and generalist billers often let these age out instead of appealing them.
● How We Fix It
A billing team built around hematology's complexity, from prior auth to payment
We don't hand your claims to generalists. Every coder on your account is trained specifically on hematology diagnosis coding, buy-and-bill drug billing, and infusion administration rules.
● Full-Service RCM
Every stage of hematology revenue cycle management
From prior authorization to appealed denials, we run the parts of your revenue cycle that pull attention away from patient care.
Insurance Verification & Prior Auth
Eligibility and prior authorization confirmed before treatment for every biologic, infused therapy, and specialty drug.
Charge Capture & Coding
Every visit, infusion, and drug captured and coded correctly — J-codes, CPT, ICD-10, and NDC, by hematology specialists.
Claim Submission
Clean claims scrubbed against payer-specific edits before they ever leave the building — fewer rejections, faster payment.
Payment Posting & Reconciliation
ERA/EOB reconciliation posted daily, with buy-and-bill drug cost matched against reimbursement to catch underpayment.
Denial Management
Every denial is diagnosed, corrected, and appealed with the documentation high-dollar hematology payers require.
AR Management & Patient Billing
Aging high-dollar claims worked back to payment, plus clear, timely patient statements that improve self-pay collections.
● Built For Hematology Specifically
We speak fluent J-codes, NDC, and infusion CPT for every case you see
No learning curve, no generic templates — just billers who already know the codes your practice uses every single shift.
● Why Practices Switch to Us
What actually changes when Claim Click Solutions takes over
● The Bottom Line
What specialized hematology billing does for your practice
● Case Study
How a hematology-oncology group recovered $620K in stalled infusion claims
A multi-provider hematology-oncology group came to us with a 31% denial rate driven by J-code and prior-auth errors, plus months of unworked high-dollar AR.
● Common Questions
Hematology billing FAQ
What makes hematology billing different from general medical billing?
Hematology claims combine complex ICD-10 coding for overlapping malignant and non-malignant blood disorders, high-dollar buy-and-bill drug billing with J-codes and NDC numbers, infusion/chemo administration CPT coding, and frequent prior authorizations — all of which require coders trained specifically on hematology, not general E/M billing.
Do you handle buy-and-bill drug billing and J-codes?
Yes. We manage J-code selection, NDC and unit conversion, WAC-based pricing checks, and JW/JZ drug-waste modifier documentation so every biologic and infused therapy is billed accurately and reimbursed at the correct rate.
Can you manage prior authorizations for specialty drugs?
Yes. We track prior authorization requirements for high-cost biologics and specialty infusions before the appointment, so treatment isn't delayed and claims aren't denied for missing authorization.
How do you code combination malignant and non-malignant diagnoses?
Our coders are trained to document and sequence overlapping conditions correctly — for example, anemia coexisting with leukemia — with the modifiers and medical necessity documentation payers require to avoid rejections.
How much revenue can my hematology practice realistically recover?
Results vary by practice, but hematology clients typically see meaningfully fewer high-dollar denials and faster reimbursement on infused therapies within the first two quarters. A free billing audit will give you numbers specific to your practice.
● Free Billing Audit
See exactly what your current billing process is missing
We'll review a sample of your recent hematology claims and show you where high-dollar revenue is being left on the table — no cost, no obligation.