Specialty billing · Radiation oncology
The equipment time, physicist hours, and physician oversight are already spent before most of the money comes back.
247 Medical Billing Services gets more of every course paid the first time with radiation oncology billing services that run your full revenue cycle — freestanding, hospital outpatient, and physician groups across Medicare, commercial, and radiation-benefit-manager payers. You get a dedicated account manager, a free 360° reporting dashboard, and HIPAA-compliant, SOC 2 Type II operations, coding since 2005.
Radiation oncology has its own version of buy-and-bill: instead of a single encounter, you finance and deliver a whole course of care up front, then have to recover every dollar of it across weeks of claims. One prescription sets off planning, simulation, dosimetry, immobilization devices, daily delivery, image guidance, and weekly management — commonly 20 to 40 fractions over four to eight weeks.
77261–77290Clinical treatment planning by documented complexity, with the simulation level tied to the technique actually planned.
77301 · 77338IMRT plan development billed once per plan, with dosimetry, MU verification, and immobilisation devices documented against it.
77385/6 · 77387Delivery level and daily image guidance recorded for every fraction actually delivered, reconciled to the treatment log.
77427One unit per five fractions, billed on the five-fraction rule rather than by calendar week.
That timing gap is exactly what quietly erodes margin.
Miss one fraction of image guidance, code a complex plan as intermediate, let an authorization lapse before a technique change, or split a freestanding claim as though it were hospital outpatient, and you don't lose a line item — you lose a slice of an episode you have already paid to deliver. Because the losses arrive one code at a time, they rarely trip an alarm; they just show up as an underperforming course.
We track each service in the course from prescription to payment, split every code into its professional and technical component for your site of service, and reconcile every unit to the treatment record — nothing packaged away, nothing left uncoded:
| Service in the course | What it covers | What we manage |
|---|---|---|
| Treatment planning | Clinical treatment planning by complexity — simple, intermediate, complex (77261–77263) | Complexity matched to documented clinical decision-making, never defaulted to a lower level |
| Simulation | Simulation-aided field setting, simple through complex, including 3D (77280–77290) | Simulation level tied to the technique actually planned |
| IMRT planning & dosimetry | IMRT plan development (77301) with dosimetry calculations (77300, 77331) | 77301 billed once per plan, with dosimetry and MU verification documented |
| Devices & immobilization | Treatment devices, blocks, bolus, immobilization (77332–77338), including IMRT MLC devices (77338) | Devices captured per plan, with 77338 supported by the IMRT plan |
| Treatment delivery | IMRT delivery (77385/77386), 3D/conformal delivery, plus image guidance IGRT (77387) | Delivery level and daily IGRT recorded for every fraction actually delivered |
| Weekly treatment management | Weekly physician management, one unit per five fractions (77427) | Billed on the five-fraction rule, reconciled to the delivery log |
| SBRT / SRS | Stereotactic body (77373) and cranial (77435) delivery and management | Fraction limits and management coded to the stereotactic rules, not standard delivery |
| Brachytherapy | Source application and isodose planning (e.g., 77316–77318, 77761–77778) | Loading, channels, and planning coded to the procedure, with device and delivery aligned |
The strongest case to outsource radiation oncology billing services is the money already sitting inside your machines. Every course you deliver is capital you have fronted — linac time, physicist labor, and physician planning spent before the first remittance posts.
When that recovery is handled part-time by staff who also answer phones and check in patients, the specialized codes are where it breaks down: image guidance gets written off as bundled, plan complexity drifts down to whatever is easy to defend, and a prior authorization expires the week a technique changes. None of those look like a crisis on any single claim, which is exactly why they persist.
Handing the revenue cycle to a specialist team closes those gaps without adding headcount, retraining coders on OPPS-versus-freestanding rules every year, or losing cash flow when your one biller who understands 77427 goes on leave. You keep clinical control of the treatment plan; we absorb the coding depth, the payer follow-up, and the authorization tracking that a high-dollar, multi-week episode demands. For most centers, outsourcing turns radiation oncology from the line the front desk dreads into a predictable, fully captured revenue stream.
One certified team carries a full course from the treatment plan to paid, instead of your claims changing hands between vendors:
Planning, simulation, dosimetry, devices, delivery, IGRT, SBRT/SRS, and weekly management coded in sequence, with the 26/TC split set correctly for freestanding or hospital outpatient.
Technique, dose, and fraction count submitted to the payer or radiation-benefit manager, peer-to-peer reviews scheduled before the first fraction, and re-authorizations filed the moment a plan changes.
Every fraction, device, and image-guidance event reconciled to the treatment record and filed within a day, so nothing in the episode goes unbilled.
Medical-necessity, prior-auth, component, and packaging denials appealed with the clinical documentation attached, not just refiled.
Coders who read the physician, dosimetry, and physics record together, so the code reflects the documented complexity of the plan.
Radiation oncologists and physicists enrolled and re-credentialed, and the site enrolled correctly as freestanding or provider-based.
Prefer radiation oncology billing and coding services under one roof? That is the default model here — the same team reading the same treatment record, rather than passing your claims between companies.
Revenue review
We'll put a dollar figure on the downcoded plans, uncaptured image guidance, and prior-auth denials draining a full course.
A radiation oncology billing specialist will reach out within one business day.
A radiation oncology billing specialist will reach out within one business day.
Choosing us is not adding a general biller who happens to accept radiation claims. It is engaging a radiation oncology billing services company that already knows where a course of therapy leaks and how to seal it before submission:
Planning and simulation are coded to the documented decision-making, so complex plans stop being paid as intermediate ones.
IGRT and daily delivery are reconciled to the treatment log, so the imaging that guided each fraction lands on the claim instead of being written off.
Each service carries the correct component for your site of service, removing both the underbilling and the component-edit denials a mismatch causes.
Techniques, doses, and fraction counts are approved before the first fraction, peer-to-peers happen on time, and mid-course changes trigger a fresh approval — so delivered care isn't denied after the fact.
Your named account manager owns the relationship and a live dashboard shows every claim, denial, and dollar across the course, with no long-term lock-in.
A generalist learns radiation oncology on your remittances. We arrive already fluent — and it shows up on the payments:
Those results hold month after month, which is why retention sits at 98%:
Most radiation oncology losses trace to the same few failure points. We close each at the front end, before it becomes a denial or a recoupment:
Treatment planning (77261–77263) billed above documented complexity
Downcode or medical-necessity denial on audit
We match plan complexity to the physician's documented decision-making
IMRT delivery (77385/77386) without the planning or devices supported
Bundling denial and IMRT plan-integrity audit
We confirm the 77301 plan and 77338 device documentation before delivery bills
Image guidance (77387) or a fraction not reconciled to the treatment log
Unbilled charges or an overbilling recoupment
We reconcile every delivered fraction and IGRT event to the record
Weekly management (77427) billed off the five-fraction rule
Frequency denial and management-unit recoupment
We bill one unit per five fractions, reconciled to the delivery log
Course delivered without valid prior authorization or after a technique change
Full denial of delivered fractions
We authorize technique, dose, and fractions up front and re-auth on any change
Professional/technical component mismatch to site of service
Component-edit denial or duplicate-global payment demand
We apply 26/TC to the correct component for freestanding or hospital outpatient
Each of these is preventable before submission rather than argued after the fact. Request a revenue review and we'll show you which are hitting your remittances now.
The rules shift with the setting, and we bill each one to the detail it demands:
Independent centers on the physician fee schedule, where clean component splitting and full episode capture decide the margin on every course.
What decides the moneyComponent splitting and episode capture
Provider-based departments under OPPS, where facility packaging and technical-component rules differ from the freestanding model.
What decides the moneyPackaging and technical-component rules
Oncology groups running radiation across locations, where credentialing, site-of-service logic, and consistent coding have to line up everywhere.
What decides the moneySite-of-service logic, everywhere
Advanced-modality programs where stereotactic fraction limits, source coding, and heavy authorization scrutiny make specialist billing essential.
What decides the moneyFraction limits and authorisation scrutiny
Centers that pair radiation with drug administration and E/M work, billed so the two service lines don't collide or double-count. For chemotherapy, infusion, and medical oncology revenue, see our oncology billing services.
What decides the moneyTwo service lines that never collide
Changing billers should never open a cash-flow gap, and here it doesn't.
We work inside your existing practice-management and oncology information systems, so no one relearns a platform mid-course.
Credentialing, facility-enrollment review, and prior-authorization handoff run in parallel while your claims keep going out the door, and your account manager leads the transition from day one.
Most radiation oncology practices are fully live within a few weeks.
The denial drop and the faster A/R show up in the first cycles, not a quarter later.
Recover the full margin on a course you have already paid to deliver.
The linac time, physicist hours, and physician planning spent long before the first remittance posts. Because a single prescription generates weeks of claims — planning, simulation, dosimetry, devices, daily delivery, image guidance, and weekly management — we bill radiation oncology as the whole episode, not one office visit at a time. Every service is coded to the treatment record, the professional and technical components are split to your site of service, and each delivered fraction and image-guidance event is reconciled to the delivery log before it transmits — so nothing gets written off as bundled and no complex plan quietly pays as intermediate. That is how our radiation oncology medical billing turns a fronted capital cost into a fully captured revenue stream: first-pass clean claims near 99%, denials down up to 40%, and days in A/R under 25. Request a revenue review
Not learned on your remittances
The radiation oncology billing services provider worth hiring already understands a course of therapy — it does not learn it on your remittances. 247MBS does. We catch the complex plan billed as intermediate, the IMRT delivery unsupported by its planning and device documentation, and the authorization that lapsed the week a technique changed — the exact failures that drain a full episode.
A general radiation oncology billing company can post payments and refile claims, but recovering a multi-week course takes a team that codes plan complexity to the record, reconciles image guidance to the treatment log, and manages peer-to-peer reviews before the first fraction.
NAMEDAn account manager who owns your accountLIVEA dashboard on every claim and denial across the courseFREENo long-term lock-inA partner built to recover the whole episode, not just process the claims it happens to receive.
Request a Revenue ReviewWhat changes hands
Outsource radiation oncology billing to 247MBS and the money sitting inside your machines actually comes back — the fronted capital of every course recovered by certified coders who read the physician, dosimetry, and physics notes together, not a part-time biller juggling the front desk.
Outsourcing radiation oncology billing services here means the freestanding-versus-hospital-outpatient rules, the professional/technical split, plan-complexity coding, and authorization tracking are simply handled every time, while you keep full clinical control of the treatment plan.
And radiation oncology billing services outsourcing with us is never a black box: a named account manager owns the relationship and a free 360° dashboard shows every claim, denial, and dollar across the episode in real time. You trade the overhead of hiring and retraining coders on rules that change yearly for a transaction-based model — and for most centers the revenue recovered on captured image guidance and correctly coded plans more than covers the fee. See what a full course should really pay — request a revenue review or call +1 888-502-0537.
TOGETHERPhysician, dosimetry and physics notes read as oneREAL TIMEEvery claim and dollar across the episodeNO RETRAINRules that change yearly, carried by usWhether you run a freestanding center, a hospital outpatient department, or a multi-site oncology group, our radiation oncology billing services protect every service in every course — plan complexity, the 26/TC split, prior authorization, and advanced-modality coding handled as routine. Put the revenue you're leaving on the table back where it belongs.
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