M&M Claims Care
M&M Claims Care’s Leading Oncology Billing Services
M&M Claims Care brings a unique solution for all the cancer and radiation treatment collections. With our years of experience, we understand that every minute matters in Cancer Care. That’s why your oncology practice needs quick medical billing services that M&M Claims Care provides for you.
Expert Medical Billing and Coding Services for Oncology Practices
Cancer is a very critical and life-altering disease. That’s why treating cancer is also not an easy task. Oncologists need a multidisciplinary approach to treat the patients, which requires proper time and attention. In the United States, cancer is increasing day by day and is the 2nd leading cause of death. This increasing number requires an efficient billing solution as providers can’t manage their patients. Oncology billing isn’t just complex, but it’s also emotionally and financially sensitive. That’s why M&M Claims Care has an entire team dedicated to Oncology Billing Services, taking the administrative load and providing a complete cancer center medical billing solution.
Challenges of Oncology Billing that M&M Claims Care Handles
Oncology treatment not only has high-cost medications but it also includes evolving treatment protocols and bundled services. Oncology practices face:
- Frequent claim denials due to coding errors
- Delays caused by incomplete documentation
- Complex insurance policies with prior authorizations
- High volumes of chemotherapy and infusion claims
- Multiple payer rules and medical necessity requirements
To handle these challenges, M&M Claims Care provides an efficient billing solution. At M&M Claims Care, we underpant that oncology is a specialty that demands attention to detail, up-to-date knowledge, and serious follow-through.
Our Smart Solutions for Complex Oncology Billing Issues
- We’ve certified coders who specialize in oncology and hematology and diagnosis coding that aligns with treatment protocols.
- With automated checks and real-time claim scrubbing, we make sure your claims go out clean the first time.
- We handle the complexities of prior authorizations, which are especially critical in oncology due to the high cost of treatments and drugs.
- We provide a complete RCM solution with real-time analytics dashboards and customized reports to monitor your practice’s financial health.
- To handle the denials, our oncology billing experts find the root cause, submit corrected claims and appeals fast, and identify ways to prevent future denials.
At M&M Claims Care, we not only provide billing services but also help your patients understand their bills. With our patient billing support, we provide easy-to-understand patient statements and responsive customer service reps to handle billing inquiries. Now you are going to take a solution that solves all your complexities and provides you with peace of mind.
Billing Services That Understand and Meet Your Oncology Practice’s Needs
At M&M Claims Care, we provide an all-in-one solution and take complete responsibility for all of your billing operations with continuous financial support.
Patient Scheduling & Demographic Entry
is the first information gathered from patients and we handle all the demographics of patients with great accuracy so you don't face denials due to errors later.
Insurance Eligibility Verification
to verify coverage in advance and avoid any claim rejection. We save your team's time and reduce costly delays in reimbursements and revenue cycles by making it error-free.
Claim Submissions & Management
to ensure all the claims are submitted on time. You just focus on patients and we focus on handling all the complexities of submitting clean claims and managing follow-ups.
Payment Posting
with ease and accuracy. All your payment is recorded clearly and properly in detail so you can easily view all the details of your finances without any confusion.
Accounts Receivable Management
helps you reduce outstanding bills efficiently. It's your right to get the money that you’re owed without unnecessary delays.
Specialized Oncology Services We Support
Oncology contains different oncology subspecialties. That’s why M&M Claims Care provides medical billing solutions for:
⭐ Medical Oncology – Chemotherapy, immunotherapy, hormone therapy
⭐ Radiation Oncology – Linear accelerators, brachytherapy, proton beam
⭐ Hematology – Leukemia, lymphoma, anemia-related treatments
⭐ Radiation Oncology – Linear accelerators, brachytherapy, proton beam
⭐ Hematology – Leukemia, lymphoma, anemia-related treatments
⭐ Gynecologic Oncology – Cancer surgeries, targeted therapies
⭐ Pediatric Oncology – Unique coding protocols for younger patients
⭐ Surgical Oncology – Oncology-related surgeries and postoperative care
⭐ Pediatric Oncology – Unique coding protocols for younger patients
⭐ Surgical Oncology – Oncology-related surgeries and postoperative care
Why Choose M&M Claims Care for Oncology Billing Services?
Our Oncology medical billing company is working on 3 principles, including precision, compliance, and cash flow optimization. These principles make us a unique choice for Oncology practices.
⭐Real-time Insights: We provide you with real-time insights to show the overall performance of your practice revenue trends. Our monthly reports show you collections, AR trends, and denial reasons so you know where your money is.
⭐Experienced team of Professionals: We have a certified team of professionals who are trained specifically in Oncology coding and billing, stay updated with the latest billing and coding regulations, and save your oncology practice from penalty or fine.
⭐Latest Billing Tools: We process claims through automated software so each claim takes less time and must be error-free. We always invest in the latest technology so your practice’s billing operations always remain smooth and accurate.
⭐HIPAA Compliant: M&M Claims Care is a HIPAA-compliant Oncology billing company that ensures all your patient data is saved and protected. Our billing operations are always compliant with payer-specific policies and CMS guidelines.
Staying Compliant with Oncology Billing Guidelines
Compliance issues can lead to denials, penalties, and affect the reputation of practices. Working in the US for years, M&M Claims Care understands the importance of compliance. That’s why we keep up with CMS updates, OIG compliance rules, and payer policy changes. To stay compliant, we support regular internal audits, real-time coding updates, annual compliance training for our staff, and HIPAA-secure systems to protect patient data. With our compliance billing approach, you can rest easy knowing we’re keeping your billing safe and sound.
Common CPT and ICD-10 Codes in Oncology Billing
For efficient revenue cycle management, we keep up with the latest oncology billing codes. Some of them include:
⭐ CPT Codes
- 96413 – Chemotherapy administration, IV infusion, initial
- 96415 – Each additional hour of chemo infusion
- 96372 – Subcutaneous or intramuscular injection
- 77263 – Radiation therapy planning, complex
- 77300 – Radiation therapy dose calculation
⭐ ICD-10 Codes
- C50.911 – Malignant neoplasm of unspecified site of right female breast
- C34.90 – Lung cancer, unspecified side
- C61 – Malignant neoplasm of prostate
- C18.9 – Colon cancer, unspecified site
- Z51.11 – Encounter for antineoplastic chemotherapy
Our Track Record Says It All
We know your ROI expectations so when you start a partnership with M&M Claims Care, we’ll take complete responsibility for your Oncology practice and work to improve your revenue outcomes. Our clients have benefited:
Reduced denial rates by 40% in the first 90 days
Increased average reimbursement by 22%
Cut AR days from 65 to
under 30
Increase in clean claims rate to 98%+
Benefits of Choosing M&M Claims Care
M&M Claims Care provides customized billing solutions according to the unique needs of Oncologists in the US. Our efficient oncology revenue cycle management process starts from initial patient encounters to follow-up and ensures a higher patient satisfaction rate. We take responsibility to:
FAQ's
Oncology billing is all about managing claims for cancer-related treatments, from chemotherapy and radiation therapy to infusion services and diagnostic testing. At M&M Claims Care, we handle everything, whether it’s complex oncology coding procedures or submitting claims. We ensure your practice gets paid faster without any headaches.
Oncology billing is one of the most complex areas of medical billing. From managing high-cost drugs and infusion codes to dealing with constant payer updates, it can get overwhelming fast. M&M Claims Care solves all these challenges by handling everything from coding accuracy and insurance verification to claim tracking and appeals. Our goal is simple: to minimize denials and keep your oncology practice’s revenue flowing smoothly.
Absolutely. Denials are common in oncology billing services, especially for high-cost chemo drugs or bundled procedures. We focus on eligibility verification, prior authorization, and detailed documentation review to prevent denials before they happen—and if they do, our oncology denial management team investigates them immediately, corrects the issue, and fights to get them overturned quickly.
Absolutely! We know the importance of pre-authorization in oncology, especially for high-cost drugs and radiation therapies. Our team verifies patient benefits before treatment begins and secures necessary approvals to avoid claim rejections later. By taking charge of oncology insurance verification and pre-auth steps, we make sure you get paid on time and your patients aren’t stuck waiting for care.
Absolutely. Data security is a top priority for us. Oncology billing is closely monitored due to the cost of treatments and frequent payer audits. We follow strict HIPAA guidelines, use encrypted systems, and train our staff regularly to keep patient information safe and confidential. We ensure that every claim we submit follows HIPAA, CMS, and payer compliance regulations. If an audit ever happens, you’ll have clean, well-documented claims ready to go.
When you start a partnership with M&M Claims Care, we help you save time, reduce overhead costs, and boost collections. Instead of paperwork, chasing denials, and dealing with payer red tape, your staff can focus on patient care. Our end-to-end oncology billing services simplify your revenue cycle, reduce claim errors, and maximize reimbursements, which leads to faster and more reliable cash flow.
We use a mix of certified medical coders, advanced billing software, and payer-specific compliance checks. Our team knows oncology CPT and ICD-10 codes inside and out, like J9000 for chemotherapy injections or 96413 for infusion administration, so your claims are submitted successfully the first time.
What sets M&M Claims Care apart is our personal touch and deep focus on oncology. We understand that every oncology practice is different—some deal more with chemotherapy, while others focus on radiation or immunotherapy. Our customized approach to oncology revenue cycle management (RCM) means we tailor solutions to your workflow, reduce errors, and improve your bottom line. We also keep in touch with you throughout all the processes, so you never face any confusion about your billing.
