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Advanced Cancer Care

Streamlining Oncology Revenue Cycle Management

In oncology, the stakes are high and the complexities are significant. Effective revenue cycle management (RCM) is essential for ensuring that cancer care providers can focus on what matters most—delivering cutting-edge treatment and compassionate care. At One Hive, we specialize in providing innovative RCM solutions designed specifically for the oncology field, addressing the unique needs of your practice or hospital.

Complexities

The Unique Challenges in Oncology RCM

Oncology services involve a range of sophisticated treatments, from chemotherapy and radiation to immunotherapy and precision medicine. This complexity brings specific challenges to the revenue cycle:

Complex Treatment Protocols

Oncology treatment plans often include multiple procedures and medications, requiring meticulous coding and documentation to ensure accurate billing.

High-Cost Medications and Therapies

The use of expensive drugs and advanced therapies necessitates precise handling of reimbursement processes and payer negotiations.

Lengthy Treatment Durations

Oncology care often involves long-term treatment plans, which can impact cash flow and require specialized billing strategies.

Compliance and Documentation

Adhering to regulatory requirements and ensuring detailed documentation for each stage of care is crucial to avoid compliance issues and denials.

Innovative solutions

Our Advanced Approach to Oncology RCM

At One Hive, we bring a wealth of expertise and innovative solutions to oncology RCM:

Expert Coding and Billing

Our team is proficient in oncology-specific coding and billing practices, ensuring accurate claims submission and maximizing reimbursement for complex treatments.

Robust Financial Analytics

We leverage advanced analytics to monitor financial performance, identify trends, and optimize reimbursement strategies, helping you navigate the financial intricacies of oncology care.

Payer Relations and Negotiation

Our expertise in payer relations ensures that you receive fair compensation for high-cost medications and treatments, and we assist in negotiating favorable terms with insurers.

Streamlined Compliance Management

We implement comprehensive compliance measures to safeguard against regulatory risks, ensuring that your practice adheres to all relevant guidelines and standards.

Tailored Solutions

Understanding the unique nature of oncology practices, we offer customizable RCM solutions that align with your specific needs and objectives.

let's Start

Partner with Us for Excellence in Oncology RCM

In the realm of oncology, partnering with a dedicated RCM provider can enhance your practice's financial health and operational efficiency. One Hive is committed to delivering specialized RCM services that support your mission to provide exceptional cancer care.

Reach out to us today to discover how our oncology RCM expertise can optimize your revenue cycle and support the vital work you do.

Case Studies

Popular Use Cases

Medical Coding

4.8

(5.8K +)

Cardiology Case Study

Client: A large cardiology practice struggling with claim denials for complex cardiac procedures. 

  • Challenge: The practice was facing a high denial rate for procedures like cardiac catheterizations and echocardiograms due to coding errors and insufficient documentation. 
  • Solution: We implemented a tailored RCM solution focused on accurate coding (CPT and ICD-10) and pre-authorization workflows. Our team provided specialized training to ensure cardiologists and staff understood the importance of detailed documentation for these high-value procedures. 
  • Result: Denial rates dropped by 30%, and overall collections increased by 20% within six months. 

Medical Billing

4.8

(5.8K +)

Oncology Case Study

Client: A multi-location oncology clinic experiencing slow reimbursements from payers. 

  • Challenge: The clinic’s complex chemotherapy billing, along with frequent coding errors, resulted in delayed payments and denials. 
  • Solution: We optimized their billing processes, ensuring accurate coding for drug administration, therapies, and supportive care. We also developed a system for monitoring claims and tracking prior authorizations to minimize delays. 
  • Result: Claims processing times were reduced by 40%, and their accounts receivable over 90 days decreased by 25%. 

Transcription

4.8

(5.8K +)

Orthopedics Case Study

Client: An orthopedic group facing issues with high patient balances post-surgery. 

  • Challenge: Many patients were unaware of their out-of-pocket costs, leading to a high volume of unpaid bills after surgeries. 
  • Solution: We created a patient financial engagement plan that provided upfront cost estimates based on insurance benefits and out-of-pocket requirements. Our RCM team also implemented automated payment plans for patients. 
  • Result: The practice saw a 35% increase in patient collections and a 20% reduction in the time it took to receive payments from patients. 

Medical Coding

4.8

(5.8K +)

Pediatrics Case Study

Client: A pediatric practice with a high rate of claim rejections due to coding inconsistencies. 

  • Challenge: The practice struggled with frequent rejections on well-child visits and immunizations, which affected their revenue stream. 
  • Solution: We worked with the pediatricians to ensure proper coding for preventive care and vaccinations, while also enhancing their billing software to identify errors before submission. 
  • Result: The claim rejection rate dropped by 45%, and the practice experienced a 15% increase in monthly revenue. 

Medical Billing

4.8

(5.8K +)

Behavioral Health Case Study

Client: A behavioral health clinic dealing with denied mental health service claims. 

  • Challenge: The clinic faced constant challenges from payers regarding the medical necessity of services, which led to claim denials. 
  • Solution: Our team provided detailed training on the necessary documentation to establish medical necessity. We also revamped their claim appeals process and set up follow-up procedures for denied claims. 
  • Result: The clinic reduced their denial rate by 50% and increased collections by 18%. 

Testimonial

What Our Clients Say

Our doctors’ testimonials showcase how OneHive’s RCM solutions have streamlined billing, improved cash flow, and enhanced patient care. Their feedback underscores our commitment to efficiency and exceptional support.

4.9 Rated

4.9/5

Partnering with OneHive Billing Solutions has been a game-changer for my practice. Their team handles everything from billing to denial management with incredible efficiency, allowing me to focus solely on my patients. My revenue has never been this consistent!

Dr. Sarah Mitchell

@Family Medicine

5.0 Rated

5/5

What sets OneHive Billing Solutions apart is their personalized approach and commitment to excellence. From the moment we signed on, they’ve been proactive in resolving billing issues, improving cash flow, and keeping us compliant. They’re a fantastic partner!

Dr. Angela Lee

@Dermatologist

4.9 Rated

4.9/5

I used to spend hours dealing with billing errors and insurance claims. Since we started working with OneHive Billing Solutions, I’ve seen a 30% improvement in collections, and my claims are getting paid faster than ever. Their expertise is unmatched.

Dr. James Carter

@Cardiologist

4.8 Rated

4.8/5

I’ve worked with other RCM companies in the past, but none have matched the level of service and results we’ve experienced with OneHive Billing Solutions. Their attention to detail and quick follow-up on denied claims have been essential in growing my practice’s revenue.

Dr. Michael Brown

@Neurologist

5.0 Rated

5/5

Before OneHive Billing Solutions, we struggled with delayed payments and high denial rates. Their streamlined process has transformed our revenue cycle, and I no longer worry about unpaid claims. They truly understand the needs of physicians.

Dr. William Harris

@Orthopedic Surgeon

4.9 Rated

4.9/5

The team at OneHive Billing Solutions is highly professional and knowledgeable. They’ve significantly reduced our claim rejection rates, and their reporting tools provide valuable insights into our financial health. I highly recommend their services to any medical practice!

Dr. Emily Rodriguez

@Pediatrician