Answers to Common Questions About Our Oncology-Focused Billing Services
The decision to outsource your billing is a pivotal turning point for your practice, and we want you to move forward with confidence. To support you in your decision-making process, we’ve answered some of our most commonly asked questions.
If your question isn’t listed below or you need more information, please reach out to us directly. We’re here to help!
If your question isn’t listed below or you need more information, please reach out to us directly. We’re here to help!
Yes! Many hospitals turn to RC Billing to fill oncology-specific experience gaps among their existing resources. Our comprehensive solution covers both the professional entities as well as the technical charges. We’ll ensure that your charges are adequate, don’t require edits, and provide support handling denials if necessary.
Is there a minimum size practice or minimum volume of billing that clients must meet to work with RC Billing?
Absolutely not – We work with practices of all sizes. We understand that each business is unique with the correct number of physicians and staff to serve its respective community. With our deep understanding of oncology and expertise in medical billing, RC Billing will create a customized solution to meet your needs.
What makes RC Billing different from other medical billing companies?
RC Billing specializes exclusively in oncology billing, with decades of experience in radiation and medical oncology, including proton therapy. We also offer additional services, like medical record documentation reviews with a formal report, and access to the RCCS Client Resource Center (CRC), at no additional charge.
What services are included in your comprehensive billing model?
Our full-service billing solution includes:
- Clean claim submission
- Prior authorization management
- Full denial resolution and external formal appeals
- Insurance accounts receivable (AR) follow-up
- Patient statement processing and collections
- HL7 interface for secure transfer of data
- Customized weekly and monthly financial reporting
- Compliance documentation reviews and summation reports
- Ongoing payer communication and contract support
- Access to oncology resources and industry updates
What are the risks of outsourcing my medical billing?
We understand your concerns regarding an external company managing your finances. That's why RC Billing integrates seamlessly with your team. Rather than imposing a one-size-fits-all process, we tailor procedures and reports to align with your existing revenue stream. We become an extension of your team, getting to know your staff and training them to be comfortable with any new methods or systems. We conduct regular meetings with your staff and contacts to provide updates and ensure every detail is executed flawlessly.
Are there any additional fees for compliance support or documentation reviews?
No. As a billing client, medical record documentation reviews, summation meetings, and compliance reports are included at no additional cost. We also provide free access to the RCCS CRC, our exclusive oncology coding and compliance resource center.
My current medical billing company is across town. How will you handle my billing if you're not?
When it comes to partner billing, our clients value expertise, responsiveness, professionalism, dedication, and accommodation over location. While our home base is in Cedar Park, Texas, most RC Billing clients are found across the US, and we are committed to meeting their needs regardless of location through various tailored options. Each client is unique, so we customize the logistical fit for every case. We've successfully implemented remote access to oncology electronic health records (EHR) allowing us to easily retrieve medical records.
Additionally, we require an HL7 ADT & DFT interface between your systems and ours for patient demographics and reviewed charge export.
Additionally, we require an HL7 ADT & DFT interface between your systems and ours for patient demographics and reviewed charge export.
My group practices at numerous locations - some hospital-based practices and some freestanding cancer centers.
Can you accommodate these varied locations?
Can you accommodate these varied locations?
Absolutely! In today’s diverse medical and radiation oncology billing market, many practices offer treatment through multiple, separate locations. RC Billing is well-versed in managing various types of partnerships and scenarios, making the logistics of handling billing services across different locations requiring knowledge of place of service billing requirements straightforward. We provide billing and coding management for several of the largest groups in the nation, and we can do the same for you.
If I choose to outsource my medical billing, will I have access to my data?
As an RC Billing client, you'll have access to a private and secure online resource center where you can view your medical and radiation oncology financial reports. You can download weekly snapshots and comprehensive monthly reports —available 24/7, 365 days a year, from any computer. You can create individual, password-protected user accounts for physicians, office managers, or accountants. Reports are organized by week and month and are archived online for 12 months for maximum convenience.
How does RC Billing handle denials and appeals?
We provide full-spectrum denial resolution, including:
- Initial denial analysis and recommended corrective actions on a go forward basis
- Internal and external formal appeals
- Clinical documentation support to strengthen appeal cases
- Payer follow-up through resolution
- Root cause analysis
- Training to prevent future denials
Our goal is to recover revenue quickly and reduce future denials through root cause analysis and process improvement.
Does RC Billing manage prior authorizations?
Yes. We handle end-to-end prior authorization tracking and approvals, particularly for high-cost oncology treatments, such as proton therapy and chemotherapy. We also manage appeals for denied authorizations to keep your practice on track.
What type of practices does RC Billing serve?
We work with:
- Independent oncology practices
- Radiation therapy centers
- Hospital-based oncology departments
- Proton therapy centers
- Imaging centers affiliated with oncology care
- Oncology Physician groups
Are the components of your Complete Oncology Billing Solution sold separately?
All “components” are included in your services when you become an RC Billing client. The only service that may be provided separately is prior authorizations.
I'm not a current billing client. can I still work with RC Billing for prior authorization management?
Yes, Prior Authorization Management is the only standalone offering outside of our comprehensive billing services.
