First-pass claim acceptance
Average days in A/R
Revenue recovery improvement
Fraction billing accuracy
Radiation oncology billing ranks among the most technically demanding specialties in healthcare reimbursement. Treatment planning codes (77263 for complex planning, 77280-77295 for simulation), delivery codes for IMRT (77385-77386), SBRT (77373), and proton beam therapy (77520-77525) each carry distinct documentation and authorization requirements. A single patient course of radiation can generate 30 or more billable fractions, and each fraction must be coded with the correct technique, body site, and treatment parameters to avoid bundling denials.
Our billing team handles the complete radiation oncology revenue cycle, from initial consultation coding (99201-99215 with oncology-specific documentation) through treatment planning, daily treatment delivery, and weekly management (77427). We manage the physics and dosimetry charges (77300, 77306-77321), image guidance codes (77014, 77387), and the special handling required for concurrent chemotherapy billing. For practices offering newer modalities like stereotactic radiosurgery or adaptive radiation therapy, we stay current with evolving code sets and payer coverage policies to protect your reimbursement on advanced treatments.
Every Radiation Oncology billing team deals with payer delays, coding nuance, and collection leakage. We tighten those weak points before they turn into write-offs.
A standard radiation course involves 25-35 daily fractions, each requiring individual claim submission with correct technique codes. Managing this volume while preventing duplicate billing or missed fractions is operationally demanding.
Planning codes (77263 complex planning, 77280-77295 simulation, 77300 dosimetry) must align with documented clinical complexity. Undercoding the planning phase undervalues the significant physics and physician work involved.
IMRT (77385-77386), SBRT (77373), and proton therapy (77520-77525) require prior authorization from most payers, with clinical justification demonstrating superiority over conventional techniques for the specific tumor site.
CCI edits frequently bundle image guidance (77387) with treatment delivery and physics charges with planning services. Correct modifier application is essential to capture all billable components without triggering compliance flags.
Support spans the full revenue cycle, from front-end verification to denial recovery and reporting.
Daily treatment fraction billing and tracking
Treatment planning and simulation coding
IMRT, SBRT, and proton therapy reimbursement
Prior authorization for advanced radiation modalities
Physics and dosimetry charge management
Weekly management and concurrent therapy billing
We support independent practices, multisite groups, and growing provider organizations with flexible workflows.
Independent physician groups
Multi-location practices
Private equity backed platforms
Hospital-owned outpatient groups
Radiation oncology billing ranks among the most technically demanding specialties in healthcare reimbursement. Treatment planning codes (77263 for complex planning, 77280-77295 for simulation), delivery codes for IMRT (77385-77386), SBRT (77373), and proton beam therapy (77520-77525) each carry distinct documentation and authorization requirements. A single patient course of radiation can generate 30 or more billable fractions, and each fraction must be coded with the correct technique, body site, and treatment parameters to avoid bundling denials.
Our billing team handles the complete radiation oncology revenue cycle, from initial consultation coding (99201-99215 with oncology-specific documentation) through treatment planning, daily treatment delivery, and weekly management (77427). We manage the physics and dosimetry charges (77300, 77306-77321), image guidance codes (77014, 77387), and the special handling required for concurrent chemotherapy billing. For practices offering newer modalities like stereotactic radiosurgery or adaptive radiation therapy, we stay current with evolving code sets and payer coverage policies to protect your reimbursement on advanced treatments.
Answers to the questions practice owners and managers ask most often before switching billing partners.
We maintain a fraction-by-fraction tracking system that logs each daily treatment, verifies the technique code matches the treatment plan, and flags any gaps or duplicate submissions. At treatment completion, we reconcile total fractions billed against the prescribed course to ensure nothing is missed.
We submit prior authorization requests with clinical documentation that demonstrates tumor location, proximity to critical structures, and published evidence supporting the selected modality. For SBRT (77373), we include the treatment plan showing dose conformality and fractionation schedule that payers require for approval.
We coordinate radiation billing with medical oncology chemotherapy charges, ensuring correct date-of-service alignment, proper use of modifier 59 for distinct services, and separate claim submission pathways for the radiation and infusion components.
Yes. We code basic dosimetry (77300), isodose plan review (77306-77307), teletherapy isodose planning (77316-77321), and special physics consultations with appropriate documentation linking each charge to the treatment plan.
Proton therapy codes (77520-77525) face coverage variability across payers. We verify coverage before treatment begins, submit clinical justification based on tumor type and published comparative data, and manage appeals when initial authorization requests are denied.
Our radiation oncology clients typically recover 12-18% more revenue through accurate planning code capture, elimination of missed fractions, and successful authorization of advanced modalities. Average days in A/R decrease from 55 to 32 days.
The difference is operational discipline. We focus on clean submissions, fast follow-up, and transparency.
Get a revenue review and a clear action plan tailored to your practice, payers, and claim mix.