Denial Management and Prevention in Radiation Oncology.
n this presentation, we take a deep dive into Denial Management and Prevention in Radiation Oncology. Radiation oncology practices face some of the highest prior authorization burdens and denial rates in healthcare, with commercial payers often seeing denial rates between 30–40%. This video covers practical strategies to reduce denials and improve revenue recovery, including: Common […]
Understanding Hypertension Coding: Connecting the Clinical Picture to Accurate ICD-10-CM Reporting
High blood pressure is one of the most commonly documented chronic conditions in healthcare. While assigning a diagnosis code for uncomplicated hypertension may seem straightforward, coding becomes more complex when the condition affects organs such as the heart and kidneys. Understanding how ICD-10-CM guidelines link these conditions is critical for accurate coding, compliance, and appropriate […]
Understanding IGRT Bundling and CPT Code 77387 in Radiation Oncology
Image Guided Radiation Therapy (IGRT) has become a critical component of modern radiation oncology, helping clinicians improve treatment accuracy while minimizing radiation exposure to surrounding healthy tissue. As technology and treatment delivery methods have evolved, coding and reimbursement policies have also changed. One of the most significant recent developments is the bundling of the technical […]
Understanding CPT Code 77435 and the Billing Challenges Behind It
Radiation oncology billing continues to be one of the most complex areas in healthcare reimbursement, and CPT code 77435 is a perfect example of how payer requirements and billing rules can create ongoing challenges for providers and billing teams alike. CPT code 77435 is used for stereotactic body radiation therapy (SBRT) treatment management and represents […]
Why Insurance Denials Continue to Challenge Radiation Oncology Billing
Radiation oncology practices provide life-saving treatment to patients facing some of the most difficult moments of their lives. While providers focus on delivering high-quality care, many clinics continue to face ongoing challenges with insurance billing, claim denials, prior authorizations, and reimbursement delays. Medical billing for radiation treatment is far more complex than standard healthcare billing. […]