Oncology Medical Billing & Revenue Cycle Management
Oncology and infusion billing combines high-dollar drug claims, complex administration coding, and demanding payer authorization rules where a single error can be costly. Quantix Health manages drug accountability, precertification, and administration coding so your practice is paid accurately for the care it delivers.
- Chemotherapy and infusion administration coding
- Buy-and-bill drug J-code accuracy
- Prior authorization and precertification
Specialty expertise, not generic billing
Drug J-codes billed with precision
Buy-and-bill economics leave no room for error. We reconcile units, wastage, and NDC-to-J-code mapping so high-dollar drug claims match what was administered and purchased.
Administration coding done right
Initial, sequential, concurrent, and hydration services follow strict hierarchy rules. We sequence infusion and injection codes correctly to capture the full administration encounter.
Prior authorization and precert
Nearly every regimen requires authorization. We manage precertification for drugs and imaging up front so treatment is approved before administration and claims are not denied.
High-dollar claims protected
We monitor high-value claims closely through submission, remittance, and appeal so underpayments and takebacks on expensive therapies are identified and pursued.
Where oncology practices lose revenue
These are the specialty-specific leaks we watch for — and fix at the root.
- Buy-and-bill exposure when drug units, wastage, or NDC-to-J-code mapping are billed incorrectly
- Complex administration hierarchy for initial, sequential, concurrent, and hydration services
- Prior authorization and precertification failures that halt payment on high-dollar regimens
- Payer-specific drug policies, step therapy, and site-of-care restrictions
- Underpayments and retroactive takebacks on expensive infused and injectable therapies
- Coordination of benefits and specialty pharmacy versus medical-benefit billing confusion
Full support for oncology practices
One accountable partner for billing and the business side of your practice.
Revenue Cycle Management
End-to-end RCM — eligibility, coding, claims, denials, A/R, posting, and reporting, all under one roof.
Learn moreCredentialing & Enrollment
Payer enrollment and credentialing so your providers can bill without delay.
Learn moreMedical Support Staffing
Vetted, remote billers, coders, and back-office staff — dedicated to your practice, when and where you need them.
Learn morePractice Management Consulting
Operational, financial, and compliance consulting to run a healthier, more profitable practice.
Learn moreCommon questions
How do you protect us on buy-and-bill drug claims?
We reconcile administered units, documented wastage, and NDC-to-J-code mapping against purchasing so high-dollar drug claims are billed accurately, and we track remittances to catch underpayments and takebacks.
Do you handle infusion administration coding?
Yes. We apply the initial, sequential, concurrent, and hydration hierarchy correctly so the full administration encounter is captured and sequenced according to payer rules.
Can you manage prior authorizations for chemotherapy regimens?
We manage precertification for drugs and imaging before administration, tracking step-therapy and site-of-care requirements by payer so treatment is authorized in advance and claims are supported.
Billing guides for oncology practices
Let's strengthen your oncology revenue
Book a free, no-obligation consultation. We'll review your billing and show you the opportunity — no pressure.