● Urgent Care Revenue Cycle Specialists
Oncology Billing Services for Chemotherapy and Infusion Claims
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
● Why Practices Switch to Us
What actually changes when Claim Click Solutions takes over
● The Bottom Line
What specialized oncology billing does for your practice
● 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.
● 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.
Can you handle billing when a patient's treatment plan changes mid-cycle?
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.
Why choose a specialty oncology billing company over a general biller?
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.
Do you integrate with our existing oncology EHR and practice management system?
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.
How do you prevent denials on high-cost chemotherapy drugs?
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.