About MZ Medical Billing specialities

MZ Medical Billing is a leader in medical billing services, specializing in the intricate field of Oncology billing. Our expertise, dedication, and commitment to excellence make us the preferred choice for healthcare providers seeking precision, compliance, and optimized reimbursement in Oncology billing. Here's why MZ Medical Billing is recognized as experts in this specialized field:

Comprehensive Mastery of Oncology Billing Guidelines: Our team comprises seasoned experts with extensive knowledge of Oncology billing intricacies. From coding for chemotherapy administration to radiation therapy procedures, we ensure meticulous adherence to the latest coding standards and regulations.
Strategic Revenue Optimization: MZ Medical Billing employs strategic methodologies to maximize reimbursements for Oncology services. Through comprehensive documentation and accurate coding, we optimize revenue while minimizing the risk of claim denials and audits. Our proactive approach guarantees consistent revenue streams for healthcare providers.
Awareness of State-Specific Guidelines: Oncology billing regulations may vary from state to state across the USA. MZ Medical Billing understands the critical importance of understanding these differences and tailoring our approach accordingly. By staying informed about state-specific guidelines, we ensure compliance and prevent penalties, regardless of geographic boundaries.
Integration of Advanced Technological Solutions: MZ Medical Billing harnesses cutting-edge technology and advanced software systems to streamline the billing process. Our sophisticated systems enable automated claims submission, real-time tracking of reimbursements, and seamless integration with healthcare providers' existing platforms, enhancing efficiency and accuracy.
Personalized Client Support: At MZ Medical Billing, we prioritize personalized client support to meet the unique needs of healthcare providers. Our dedicated team offers ongoing assistance, promptly addressing inquiries, resolving issues, and offering proactive guidance to optimize revenue cycles in Oncology billing.

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Step 1: Patient Registration and Insurance Verification

Patient Registration: The patient is registered and their demographic information is collected.
Insurance Verification: The patient's insurance coverage is verified, including the type of insurance, coverage limits, and any specific requirements or restrictions.

Step 2: Medical Record Review and Coding

Medical Record Review: The medical record is reviewed to identify all relevant services and procedures performed.
Coding: The services and procedures are coded using the International Classification of Diseases, 10th Revision (ICD-10) for diagnoses and the Current Procedural Terminology (CPT) for procedures.

Example Codes:

Diagnosis Codes (ICD-10):
- C50.91: Malignant neoplasm of unspecified part of breast
- C81.9: Malignant neoplasm of unspecified part of lymphoid tissue
Procedure Codes (CPT):
- 10060: Destruction of tumor by radiation therapy
- 10140: Administration of chemotherapy, single or multiple medications

Step 3: Claim Preparation and Submission

Claim Preparation: The coded information is used to prepare a claim, which includes the patient's demographic information, insurance information, and the services and procedures performed.
Claim Submission: The claim is submitted to the insurance provider electronically or on paper.

Step 4: Claim Processing and Reimbursement

Claim Processing: The insurance provider processes the claim, verifying the services and procedures performed and the patient's insurance coverage.
Reimbursement: The insurance provider reimburses the provider for the services and procedures performed, based on the insurance coverage and the provider's contracted rates.

Step 5: Follow-up and Appeals

Follow-up: MZ Medical Billing follows up with the insurance provider to ensure the claim has been processed and to address any issues or denials.
Appeals: If the claim is denied, MZ Medical Billing appeal the decision, providing additional information or documentation to support the claim.

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Navigating the complexities of Oncology billing demands expertise, attention to detail, and a profound understanding of state-specific guidelines. With MZ Medical Billing as their trusted partner, healthcare providers can confidently rely on a dependable ally committed to excellence, compliance, and revenue maximization in Oncology billing, regardless of jurisdiction.

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MZ MEdical Billing

Oncology billing services

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Medical Codes in more detail

CPT Codes for Oncology

77261-77299: Radiation Therapy Planning and Preparation
77600-77615: Radiation Therapy with Hyperthermia
96401-96417: Administration of Chemotherapy and Other Complex Drugs or Biological Agents

ICD-10 Codes for Oncology

C17.0: Malignant Neoplasm of Duodenum
C17.1: Malignant Neoplasm of Jejunum
C17.2: Malignant Neoplasm of Ileum
C17.3: Malignant Neoplasm of Meckel’s Diverticulum
C17.8: Malignant Neoplasm of Overlapping Sites of Small Intestine
C18.0: Malignant Neoplasm of Cecum
C18.1: Malignant Neoplasm of Appendix
C18.2: Malignant Neoplasm of Ascending Colon
C18.3: Malignant Neoplasm of Hepatic Flexure
C18.4: Malignant Neoplasm of Transverse Colon
C18.5: Malignant Neoplasm of Splenic Flexure
C18.6: Malignant Neoplasm of Descending Colon
C18.7: Malignant Neoplasm of Sigmoid Colon
C18.8: Malignant Neoplasm of Overlapping Sites of Colon
C21.1: Malignant Neoplasm of Anal Canal
C21.2: Malignant Neoplasm of Cloacogenic Zone
C21.8: Malignant Neoplasm of Overlapping Sites of Rectum, Anus, and Anal Canal
D12.0: Benign Neoplasm of Cecum
D12.1: Benign Neoplasm of Appendix
D12.2: Benign Neoplasm of Ascending Colon
D12.3: Benign Neoplasm of Transverse Colon
D12.4: Benign Neoplasm of Descending Colon
D12.5: Benign Neoplasm of Sigmoid Colon
D12.7: Benign Neoplasm of Rectosigmoid Junction
D12.8: Benign Neoplasm of Rectum
C69.21: Malignant Neoplasm of Right Retina
C69.22: Malignant Neoplasm of Left Retina
C69.31: Malignant Neoplasm of Right Choroid
C69.32: Malignant Neoplasm of Left Choroid
C69.41: Malignant Neoplasm of Right Ciliary Body
C69.42: Malignant Neoplasm of Left Ciliary Body
C70.0: Malignant Neoplasm of Cerebral Meninges
C70.1: Malignant Neoplasm of Spinal Meninges
C71.0: Malignant Neoplasm of Cerebrum, Except Lobes and Ventricles
C71.1: Malignant Neoplasm of Brain, Frontal Lobe
C71.2: Malignant Neoplasm of Brain, Temporal Lobe
C71.3: Malignant Neoplasm of Brain, Parietal Lobe
C71.4: Malignant Neoplasm of Brain, Occipital Lobe
C71.5: Malignant Neoplasm of Brain, Cerebral Ventricle
C71.6: Malignant Neoplasm of Brain, Cerebellum
C71.7: Malignant Neoplasm of Brain, Brain Stem
C71.8: Malignant Neoplasm of Brain, Overlapping Sites
Z85.840: Personal History of Malignant Neoplasm of Eye
Z85.841: Personal History of Malignant Neoplasm of Brain
Z85.848: Personal History of Malignant Neoplasm of Other Parts of Nervous Tissue