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Oncology Brochure

Oncology RCM, built around the chemo chair

Buy-and-bill drug billing, JW/JZ waste automation, and regimen-level prior authorization for oncology practices.

Why oncology billing is different

Oncology billing revolves around the treatment chair. Drug acquisition cost, payer reimbursement, and clinical documentation all have to line up before a single chemotherapy claim goes out. Generic billing software treats a J-code like any other line item, missing the waste modifiers, regimen tracking, and biosimilar substitution rules that protect an oncology practice's drug margin.

What generic software misses

  • Drug waste going unbilled because JW and JZ modifiers are calculated by hand, if at all.
  • Authorizations approved for one regimen that no longer match after a dose change or added agent.
  • Biosimilar substitutions left on the original reference-product code, mismatched to what was actually administered.
  • 340B and non-340B inventory tracked in the same ledger, with no separation for covered-entity claims.

What the platform does about it

Regimen-matched prior authorization

Authorizations are held against the full regimen, not a single visit, so mismatches surface before infusion day.

JW/JZ waste automation

Documented dose is compared against vial size automatically, with the correct waste modifier applied at charge entry.

Drug margin reporting

Acquisition cost, contracted reimbursement, and actual payment are compared by drug, regimen, and payer.

Denial routing by reason and payer

High-value chemotherapy denials are grouped and routed to the right queue, with timely-filing deadlines surfaced first.

Generic software vs. Unlimited Financials

Biosimilar billing
Reference product and biosimilar codes share one field, and substitutions get missed.
Reference products and biosimilars map to distinct HCPCS codes, so a substitution updates the charge.
Drug waste capture
Waste is calculated manually, if it's calculated at all.
Documented dose and vial size are compared automatically, with JW/JZ applied at charge entry.
Regimen changes
An authorization approved for the original regimen ships even after the regimen changes.
Authorizations are held against the regimen, so a change flags a mismatch immediately.

Get the full oncology brochure

Sent to your work email, usually the same day.

SEE IT LIVE

See your own J-codes, not a sample chart

Bring your regimens and payer mix to a demo, and we'll show you exactly how the platform handles them.

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