Oncology Billing Services in California

No one became an oncologist to fight billing errors. Across California, clinics lose thousands every month to underpayments and missed reimbursements that have nothing to do with patient care. Dastify Solutions makes sure you secure every dollar your practice has earned. From chemotherapy infusions to radiation therapy treatments, we handle every detail so your reimbursements are faster, cleaner, and more predictable.

Why California Oncology Practices Trust Dastify Solutions

With us, every claim moves faster, every reimbursement lands cleaner, and your oncology revenue cycle management stays one step ahead of payer changes.

Precision-driven oncology medical billing in California for chemotherapy, radiation therapy, and infusion centers
Deep understanding of Medicare, Medi-Cal, and commercial oncology claim policies
Automated claim scrubbing and denial prevention built for oncology practices
Certified coders ensuring HIPAA, CMS, and California DHCS compliance
Transparent dashboards and reporting that track every dollar of your revenue

Our Results-Driven Approach for Oncology Practices

We measure our success by the financial health of your practice. Our clients' experience:

Collection Ratio

93 %+

Reduction in AR

40 %

First Pass Clean Claims Rate

95 %+

Revenue Increase

Up to 20 %

Denial Rate

≤ 4 %

Turnaround Time

7- 14 Days

Achieve outcomes through automated claim Scrubbing

We achieve these outcomes through automated claim scrubbing, electronic remittance and payment posting, and real-time reporting dashboards, ensuring transparency and efficiency across your revenue cycle.

Let’s discuss your oncology RCM needs today.

Simplifying Complex Oncology Billing Across California

California has one of the nation’s largest cancer populations, with more than 176,000 new diagnoses expected this year (California Cancer Registry). Each patient represents complex treatments, multiple payers, and thousands of dollars in potential reimbursement. With treatment costs for a single Medicare patient averaging $35,000 to $80,000 per year (California Health Care Foundation), even small coding errors or delayed claims can significantly impact a practice’s revenue.

Dastify Solutions helps oncology practices across California streamline these complexities. Our certified billing specialists and compliance-driven workflows ensure you get what you earned. From chemotherapy infusion billing to radiation oncology coding and Medi-Cal compliance management services, we take care of everything so your physicians and administrators can focus exclusively on patient care.

Common Sources of Revenue Leakage in Oncology Practices:

We specialize in identifying and mitigating these risks. Our certified oncology coding and billing make sure that your claims are accurate, compliant, and submitted promptly. Our automated claim scrubbing, analytics, and real-time reporting help practices improve collections, reduce denials, and accelerate cash flow.

Denials stemming from inaccurate chemotherapy billing services or radiation therapy coding
Delayed reimbursements due to poorly managed Medicare and Medi-Cal claims
Lost revenue from overlooked prior authorizations and eligibility checks
Inefficient workflows that hinder oncology revenue cycle management

Comprehensive Oncology Medical Billing Services in California

We offer comprehensive oncology revenue cycle management in California, including:

Chemotherapy Billing Services:

Our Washington medical billing and coding experts stay up to date on the latest federal and state regulations, including Medical Debt Reporting Restrictions. Learning never stops at our end.

Infusion Center Billing:

Specialized billing for infusion services, addressing drug wastage, modifiers, and bundling rules.

Radiation Oncology Billing Services:

Expertise in billing for radiation therapy, including CPT codes 77385–77387 and 77427, ensuring compliance with NCCI edits.

Claim Denial Management:

Proactive strategies to identify and resolve common denial reasons, such as missing modifiers, invalid codes, and prior authorization issues.

Oncology Coding and Billing Audits:

Regular audits to ensure accurate charge capture and adherence with oncology-specific CPT and ICD-10 coding standards.

AR Management and Reimbursement Optimization Strategies:

Strategies that decrease average AR days while optimizing reimbursement across treatment modalities.

California Oncology Billing Compliance and Regulatory Expertise

Ensuring your oncology practice stays compliant with ever-changing regulations isn’t optional; it’s essential for protecting revenue and avoiding costly denials. We combine local California payer expertise with certified oncology billing specialists to keep your claims accurate, timely, and audit-ready.

Our dedicated team keeps up with the latest updates from organizations like the Centers for Medicare & Medicaid Services (CMS), California Department of Health Care Services (DHCS), and the Office of Inspector General (OIG). This way, we ensure that your oncology billing is not only compliant and accurate but also optimized for maximum reimbursement.

We help practices comply with:

Medicare Part B coverage for chemotherapy and radiation therapy
California Medi-Cal oncology billing guidelines
Prior authorization rules for expensive cancer treatments
NCCI (National Correct Coding Initiative) edits related to oncology services
HIPAA and NIST cybersecurity standards

Frequently Asked Questions

What makes oncology billing different from other specialties?

Oncology billing stands apart due to its unique requirements for there are several types of treatment services including chemotherapy treatments, radiation therapy and infusion services all of which have specific CPT, ICD-10, and HCPCS codes. It has become more complicated with bundled payments, prior authorization requirements and multiple payers involved, all of which necessitate precise coding and AR management.

How do you ensure compliance with California-specific regulations?

Our oncology billing and coding professionals are continuously updated on California oncology payer compliance, Medi-Cal changes, Medicare Part B reporting, and NCCI edits. We provide HIPAA-compliant oncology billing, automated claim scrubbing, and regular oncology documentation and coding audits to prevent denials and audit risks.

How do you manage claim denials for oncology services?

We implement automated claim scrubbing for oncology to catch errors before submission and apply claim denial management strategies for both chemotherapy and radiation therapy services. Our team handles appeals, modifier corrections, and payer contracting issues to ensure maximum reimbursement.

How often should oncology billing audits be performed?

Regular oncology documentation and coding audits are integral to providing accurate charge capture for treatments and minimizing denials. It’s best to get an oncology billing audit at least every quarter. This ensures accurate charge capture for oncology treatments and reduces denials.

Do you handle chemotherapy and radiation therapy billing under Medicare and Medi-Cal?

Absolutely. Our team specializes in oncology billing under Medicare and Medi-Cal, ensuring all claims for chemotherapy administration (CPT 96413–96417, HCPCS J9000–J9999) and radiation therapy (CPT 77385–77387, 77427) are compliant, accurate, and optimized for reimbursement.