Urgent Care Revenue Cycle Specialists

Oncology Billing Services for Chemotherapy and Infusion Claims

Claim Click Solutions manages drug coding, prior authorizations, and infusion billing for oncology practices, protecting revenue on high cost treatments.

Trusted by urgent care centers and multi-site groups.

97.6%

Clean claim rate

The Real Cost of Generic Billing

Oncology billing breaks in ways general billers never catch

Every one of these is a claim your practice has probably already lost significant revenue on this quarter.

2026 radiation complexity-level downcoding

CMS's 2026 overhaul consolidated radiation therapy codes into new Complexity Levels — and commercial payers are already using the shift to downcode high-acuity treatments to lower-paying tiers.

Bundled procedure codes billed wrong

Oncology surgeries and infusion series get bundled into a single code, but any variance in anesthetic, site, or add-on service that isn't separately coded reads as a duplication and gets denied.

Off-label chemo drug denials

Payers reject high-cost chemotherapy claims the moment a drug's use isn't matched to an FDA- or NCCN-recognized indication for that specific cancer diagnosis.

Prior authorization lapses

High-cost infusions, PET/CT/MRI imaging, and new therapies require prior auth that must be updated in real time whenever a treatment plan changes mid-cycle.

Multi-disciplinary coding gaps

When surgeons, radiation oncologists, and other specialists from different entities touch one case, each provider's role has to be coded and billed separately — generalist billers routinely tangle this.

Under-coding compliance exposure

Under-coding to spare a patient a bigger bill is still a compliance violation — one that can cost your practice its credentialed provider status.

● How We Fix It

A billing team built around oncology's complexity, from prior auth to appeal

We don't hand six-figure claims to generalists. Every coder on your account is trained specifically on chemotherapy, infusion hierarchies, radiation complexity levels, and compendia-referenced compliance.

Oncology-certified coders

Certified specialists fluent in chemo/infusion CPT codes, drug J-codes, and the 2026 CMS radiation complexity-level framework.

Real-time prior authorization

Authorizations and payer records updated the moment a treatment plan changes, so a mid-cycle dosage or therapy switch never creates a claims gap.

Compendia-referenced claim scrubbing

Every chemo claim is cross-checked against recognized oncology compendia before submission, with clinical evidence attached to prove medical necessity up front.

Persistent denial appeals

Denied high-dollar claims are corrected and appealed — repeatedly — with a dedicated account manager tracking every one to resolution.

● Full-Service RCM

Every stage of oncology revenue cycle management

From prior authorization to appealed denials, we run the parts of your revenue cycle that pull attention away from patient care.

Prior Authorization & Verification

Coverage and prior auth confirmed before treatment begins, and updated in real time whenever a care plan changes mid-cycle.

Oncology Coding & Charge Capture

Chemotherapy, infusion, radiation therapy, and surgical oncology coded to CPT, HCPCS J-codes, and 2026 complexity-level standards.

Claim Submission & Scrubbing

High-dollar claims scrubbed against payer-specific and compendia-referenced edits before they ever leave the building.

Payment Posting

ERA/EOB reconciliation posted daily so your AR reports always reflect what's actually been collected.

Denial Management & Appeals

Every denial is diagnosed, documented, and appealed with the clinical evidence oncology payers require.

Credentialing, AR & Patient Billing

Provider credentialing maintained and aging high-value claims worked back to payment, plus clear patient statements.

Built For Oncology Specifically

We speak fluent chemo, infusion & radiation codes

No learning curve, no generic templates — just billers who already know the codes your oncology practice uses every single cycle

CHEMOTHERAPY & INFUSION

Concurrent Infusion Hierarchies

Correct sequencing and modifiers for multi-drug, multi-hour infusion sessions, so every administered agent is captured.

RADIATION ONCOLOGY

2026 CMS Complexity Levels

Radiation therapy coded to the new complexity-level framework, with documentation that defends against payer downcoding

SURGICAL ONCOLOGY

Bundled Code Variance Handling

Bundled surgical and procedure codes billed with the correct add-ons for any variance from the standard package.

PRIOR AUTHORIZATION

High-Cost Imaging & Drug Approvals

PET/CT/MRI and specialty drug authorizations tracked and renewed before a lapse can delay treatment or payment.

● Why Practices Switch to Us

What actually changes when Claim Click Solutions takes over

01

Oncology-certified coders

Not general billers learning chemo codes on your dime.

02

Same-week onboarding

Live claim tracking active within days, not months.

03

Dedicated account manager

One person who always knows your claim status.

04

No long-term lock-in

Month-to-month terms — we earn your business every cycle.

● The Bottom Line

What specialized oncology billing does for your practice

+ 0 %

Average revenue lift

Recovered through corrected coding and worked denials in the first 6 months.

- 0 %

Fewer claim denials

Achieved through pre-submission scrubbing built for oncology-specific edits.

0 Days

Faster reimbursement

Average time from claim submission to posted payment across our client base.

● Case Study

How a 3-site oncology group recovered $1.2M in stalled AR

A regional oncology group came to us with a 34% denial rate driven by bundled-code errors and prior authorization lapses on infusion and radiation claims, plus months of unworked accounts receivable.

AR recovered
$ 0 M
Denial rate
%→9%
New avg. payment time
0 Days

● Common Questions

Oncology billing FAQ

How does the 2026 CMS radiation code overhaul affect our reimbursement?

CMS restructured radiation therapy codes into new Complexity Levels in 2026, and some commercial payers are already downcoding high-acuity treatments to lower-paying tiers. We build the documentation trail that defends your correct complexity level before a payer gets the chance to downcode it.

Yes. When an oncologist adjusts a dosage or switches therapies mid-cycle, we update prior authorizations and payer records the same day, so new claims aren't held up behind stale approvals.

Generalist billers routinely miss concurrent infusion sequencing, bundled surgical variances, and radiation complexity staging. Our coders work oncology claims exclusively and cross-check chemo claims against recognized compendia before submission.

Yes. We connect directly to the oncology EHR and PM platforms you already run, so nothing about your clinical workflow has to change for your billing to improve.

We cross-reference each prescribed drug against recognized oncology compendia before the claim goes out, attaching the clinical evidence and modifiers needed to prove medical necessity up front instead of fighting a denial after the fact.

Free Billing Audit

See exactly what your current billing process is missing

We'll review a sample of your recent oncology claims and show you where revenue is being left on the table — no cost, no obligation.