1. Infusion Time Under‑Coding
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30min infusion → 96413 (1st hour)
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Document start/stop times precisely
Designed for oncology clinics and infusion centers, our solutions ensure compliance, accuracy, and consistent cash flow.
Oncology billing is one of the most complicated revenue cycles in healthcare due to expensive chemotherapy infusion drugs, the complexity of drug administration codes, the prevalence of prior authorizations, and the investigation of costly biologics and immunotherapies by payers. One mistake in coding will cost thousands per claim.
Acuity Health Solutions is an oncology billing services company whose precision oncology revenue cycle management optimizes reimbursements and complies with them. Being a reputable oncology billing firm in the USA, we assist medical oncology, hematology, radiation oncology, and infusion centers to obtain 98% of clean claim rates.
Oncology generates high‑dollar claims but faces high denial risks:
Industry Stats: Oncology denial rates are 18-25% as compared to 10% industry standard.
CPT 96413: Chemo administration, 1 hour
J9190: Cyclophosphamide injection
J9250: Methotrexate sodium
Q0083-Q0085: Chemo drug reimbursement
End‑to‑end oncology RCM:
96413-96417 Chemo administration
J9000-J9999 Chemotherapy drugs
77301 IMRT planning
G6001 SRS delivery
Oncology prior authorizations create significant revenue bottlenecks for oncology billing services:
92% PA approval rate vs. industry 65%, reducing treatment delays by 7-10 days. Our oncology revenue cycle management eliminates the #1 cause of oncology claim denials while ensuring patients receive therapies faster.
Acuity Health Solutions is a solution that combines with oncology-optimized systems that provide a fully functioning oncology Revenue Cycle Management.
J-code precision tracking eliminates revenue leakage:
Automated verification of NDC (11-digit matching)
Buy-and-bill reconciliation (used vs. purchased drug).
340B split billing (covered vs. non‑covered services)
JW automation of the modifier (waste reporting).
High‑Value Drug Examples:
J9265: Paclitaxel 30mg ($250/dose)
J9190: Cyclophosphamide ($15/dose)
J9271: Pembrolizumab ($12K/dose)
C9047: CAR‑T therapy ($475K/treatment)
Oncology payers demand strict adherence:
HIPAA oncology data security
Real‑Time Oncology Dashboards:
99% J -code rate, 98% clean claims, 15% improvement of oncology practices’ drug reimbursement rates nationwide.
Certified Oncology Billing Specialists:
Results:
25% denial reduction
15% revenue increase
A/R: 42 → 28 days
340B compliance
“I have worked with this medical billing company since its inception, and I could not be more pleased with the service they provide. Their attention to detail, responsiveness, and commitment to personalized, one-on-one support are truly unparalleled. Having previously worked with several different medical billing companies, I can confidently say that none has come remotely close to the quality, reliability, and individualized service this team consistently delivers. I have referred multiple colleagues to them without hesitation, and I will continue to do so. I could not recommend them more highly. Exceptional service from an exceptional company—A+!”
Amerson Pegram, MD
Eyesthetics
“Working with Acuity Health has been an exceptional experience. Their team is incredibly knowledgeable, professional, and genuinely committed to helping our practice succeed. They make even the most complicated processes feel seamless, keep everything running smoothly behind the scenes, and are consistently responsive whenever we need support. Their expertise and reliability allow us to focus on caring for our patients and growing Ravora Health with confidence. We truly could not do what we do without them and would enthusiastically recommend Acuity Health to any healthcare practice looking for a knowledgeable, dependable, and dedicated partner.”
James Nguyen & Juliet Chhor
Ravora Health
“Credentialing was one of those areas that was constantly taking time away from our internal team. Since Acuity took it over, it has been much easier for us to keep track of where everything stands. Matthew has been very responsive whenever we have questions, and Priya has been great about following up with the insurance companies and letting us know when something is still pending. We no longer feel like we have to chase every application ourselves.”
Lane Holbrook, DO
Pocahontas Memorial Hospital
“The biggest compliment I can give Acuity is that I don't feel like I need to manage them every day. Matthew checks in when something genuinely needs our input, John gives us a clear picture of what is happening with billing, and the backend team handles most issues without creating additional work for our office. Over time they have learned our preferences and how we like things handled, which is exactly what we wanted from an RCM partner.”
Dean Kubacz, MD
Bonner General Family Practice
EHR Systems We Support
Oncology billing is too complex for generic RCM. We optimize chemotherapy coding, prior authorizations, and payer workflows to maximize reimbursement, reduce denials, and stabilize cash flow for oncology practices and infusion centers.