Secure 95%+ Clean Claims - Specialized Hematology Billing Services for Optimal Revenue

Hematology billing isn’t generic, and your billing partner shouldn’t be either. Dastify Solutions delivers specialized hematology billing services that turn your complex diagnostic procedures, cancer treatments, and therapeutic interventions into optimized revenue. We fight for the revenue that your practice deserves. Our hematology RCM (Revenue Cycle Management) experts ensure every ICD-10 and CPT code is applied accurately and in full compliance with the 2025 hematology coding and billing regulations. We never let your practice revenue dwindle!

Tired of Staffing Shortage for your Hematology Practice?

Dastify has 500+ hematology coding and billing experts who are ready to work with dedication on your claims.

Our clients achieved up to 20% revenue growth in just two months. Ready to see what our hematology billing specialists can do for you?

KPI’s That Target Gaps & Maximize the Gains

We measure what matters, eliminate what's costing you, and maximize what you collect.

Collection Ratio

93 %+

Reduction in AR

40 %

First Pass Clean Claims Rate

95 %+

Revenue Increase

Up to 20 %

Lowest Denial Rate

≤ 4 %

Turnaround Time

7- 14 Days

Beyond General Billing — Our Specialized Hematology Billing Always Delivers Results

Your specialty leaves no margin for error. That’s why our hematology billing services are built on precision, compliance, and unwavering attention to detail. We understand the science behind hematology coding and billing, and submit each claim according to its precise clinical and procedural requirements. Whether a patient has a malignant condition like leukemia or a non-malignant blood disorder, our hematology medical billing services in the USA cover it all.

Our experts cross-check each documentation and verify every CPT and ICD-10 code before submission. We master each hematology code, whether its chemotherapy infusion (96413) or complete blood count (85025); our experts know how to use them correctly for successful reimbursements.

Thinking, Why are my Hematology Claims Getting Denied?

If your hematology claims are frequently denied or rejected, you’re not alone. We identify the underlying issues in hematology claim submission and implement proven solutions to stop revenue loss. From high-ticket claim items to costly treatment billing, we manage it all for you.

Common reason for hematology claim denials:

Using outdated CPT or ICD-10 codes or using the wrong combinations of hematology codes. For example, billing CPT 38222 (Bone Marrow Biopsy) without linking it to a valid ICD-10 diagnosis, such as C91.0 (Acute lymphoblastic leukemia)

Missing or Invalid Modifiers

Many hematology procedures require specific modifiers to indicate separate or distinct services: the most common modifiers are -59 (Distinct Procedural Service) or -26 (Professional Component).

Medical Necessity Documentation

We document medical necessity for every claim and apply Q-modifiers to codes 11055–11057, 11719–11721, and G0127 based on the patient’s findings.

Lack of Medical Necessity Documentation

Claims are denied when documentation doesn’t justify the need for procedures. Payers such as Medicare and commercial insurers require detailed clinical documentation for reimbursements.

Authorization and Eligibility Issues

Many high-cost hematology treatments (like iron infusions or biologic drugs) require prior authorization. Missing or delayed prior authorization for Hematology can lead to denials.

Bundling or Unbundling Errors

Hematology treatments often include multiple procedures. Without following NCCI edits and payer-specific bundling rules, claims get denied and rejected.

Comprehensive Hematology Coding and Billing Services That Drive Financial Performance

Need end-to-end hematology RCM (Revenue Cycle Management)?

Dastify Solutions is here to help you reach your revenue dreams. Our easy-to-use billing software and AI-driven billing solutions help reduce your hematology clinic overhead costs by up to 50%.

Eligibility Verification & Prior Authorization Services

Many hematology treatments, such as chemotherapy, iron infusions, and transfusions, need authorization from payers. Our team makes sure to request prior authorizations for high-cost procedures. Moreover, we make sure to notify patients of their EOB to avoid surprise bills. We have a dedicated team for high-cost procedures/drugs.

Hematology Coding & Billing Services

Our hematology coding and billing services are built to handle the code-intensive nature of this specialty. With us, each hematology claim passes through multi-level quality checks. We have mastered CPT (e.g., 38222, 96413) and ICD-10 for blood cancers and disorders. Also, we provide accurate dosing, J-Code usage, and modifier application.

Denial Management Services

Our denial management for hematology focuses on identifying root causes and applying corrective strategies to minimize revenue leakage. To prevent denials, we perform comprehensive denial analysis, appeal filing, and tracking. To avoid denial in the future, we find the root cause of the issue and ensure it is fixed. In short, we create analysis reports to identify recurring patterns.

Credentialing and Enrollment Services

Our credentialing & enrollment services help hematology providers get contracted and stay compliant with all payers, including Medicare, Medicaid, BCBS, Aetna, and UnitedHealthcare. We handle CAQH profile creation, Payer enrollment, and revalidation so you can provide services without necessary delays.

AR & Follow-up Services

Our A/R management team ensures no claim is left behind. We segment accounts by aging buckets (30/60/90+ days). Our goal is to keep your hematology practice A/R under 20–30 days. We keep our follow-ups aggressive with payers for delayed or underpaid claims.

Claim Submission Services

Every clean claim starts with an accurate submission, and that’s where precision pays off. Our claim submission services are powered by automation and deep payer insight. We handle both electronic (EDI) and paper-based submissions and ensure each claim meets payer-specific standards.

Why Choose Our Hematology Medical Billing Services USA?

We don’t just understand billing, but we know hematology medical billing to the core. We provide revenue cycle management for blood disorder specialists, increasing their revenue by 20%.

Our blood disorder billing includes a plethora of benefits:

Streamline Operations with AI-powered Technology

Automate tedious chemotherapy infusion billing tasks and simplify your workflow. We let you focus on patient care while we automate routine tasks like charge capture, data entry, and Prior Authorization tracking with RPA.

Reduce Overhead Costs

Dastify cuts 50% of your administrative expenses without compromising accuracy. Our outsourced hematology billing solutions save your practice time, money, and resources.

HIPAA-Compliant Data Security

We protect sensitive patient data with top-tier HIPAA-compliant systems. Now you can rest easy knowing your bone marrow biopsy billing and health records are fully secure.

NCCN Regimen Library

Our hematology medical billing company leverages the trusted NCCN regimen library for precise hematology billing. Ensure every treatment is coded accurately for optimal reimbursement.

Multi-Payer Billing Expertise

Worried about payer compliance? Our team manages claims across all major payers, reducing denials and accelerating reimbursements. Navigating medicare and private payer rules for hematology (Medicare, Medicaid, Aetna, Humana, BCBS, etc).

AI-Powered Denial Dashboards

Spot denials before they impact revenue with our intuitive AI dashboards. Track, analyze, and resolve issues faster than ever.

High-Ticket Claims Management

Maximize revenue on high-cost treatments and infusions. We handle every detail to ensure timely, full reimbursement for expensive hematology procedures.

FAQs.

What makes hematology billing different from general medical billing?

Hematology billing involves complex treatments such as chemotherapy, bone marrow biopsies, and stem cell transplants. Accurate coding with CPT, ICD-10, and HCPCS codes is essential to ensure proper reimbursement and avoid claim denials.

How do you handle claim denials and rejections?

We employ AI-powered denial dashboards to identify and categorize denied claims by reason. Our team then implements corrective workflows to reduce future denials and ensure timely reimbursements.

Do you assist with prior authorizations and eligibility verification?

es, we manage real-time eligibility verification and handle all prior authorizations for hematology treatments, including high-cost infusions and therapies, ensuring smooth claim approvals.