A Software and Billing Platform
for Oncology Providers 

Claimocity offers a variety of credentialing support services customized to the needs of our RCM customers to make the process easy, understandable, and predictable.  Our expert Credentialing Specialists possess a deep understanding of the intricacies involved in the credentialing process, encompassing state and payor-specific regulations. 

We integrate with both public and private hospital systems via HL7 ADT feeds from Cerner, Epic and MediTech.  For post-acute care, we have direct partnerships with PointClickCare (PCC), MatrixCare, SigmaCare and American HealthTech (AHT).  If an EHR is not listed here, integration may still be possible. We will integrate with any facility willing to engage with us on a project.  

The Claimocity platform provides simplified MIPS attestation with charge capture.  Practices configure the appropriate MIPS measures that will be reported for the calendar year and providers attest to MIPS for appropriate patient encounters.  Claimocity has partnered with Patient360 as our fully-integrated CMS Qualified Registry solution to deliver MIPS reporting.   

Yes. In the infusion center, oncology billing centers on drug administration. Codes follow a hierarchy of initial, sequential, and concurrent services, and time-based infusion codes need documented start and stop times. Drug billing has its own rules, including the JW modifier for discarded amounts and the JZ modifier when no drug from a single-dose container is wasted. In the hospital, the picture changes. Drug administration for an inpatient is billed by the facility, so the oncologist’s claim is the E/M visit. Claimocity understands both settings, so your practice doesn’t lose revenue whichever side the service falls on.

Yes. Cancer patients are often admitted with neutropenic sepsis, tumor lysis syndrome, or other complications that put them in the ICU. When an intensivist and an oncologist both care for the patient, Medicare will pay critical care from each specialty only if the documentation shows each physician provided medically necessary care that wasn’t duplicative. If the oncologist is advising on the cancer while the intensivist manages the organ failure, the oncologist’s visit is often a hospital E/M, not critical care. Procedures like a bone marrow biopsy or thoracentesis are billed separately and can’t be counted toward critical care time. Goals-of-care discussions also need care, since advance care planning codes can’t be billed on the same date as critical care. Claimocity helps your team document each service on its own, so both get paid.

Drug administration and drug units cause many of them. Billing an initial infusion code twice in one encounter, missing start and stop times, or reporting drug units that don’t match the dose given will all get a claim denied. Missing JW or JZ modifiers on Medicare drug claims are another common problem. Bone marrow procedures also cause trouble. When the biopsy and aspiration are done at the same session, they’re billed together as 38222 instead of as separate codes. Our RCM services check these details across your entire patient panel and catch problems before claims go out.

Your onboarding is led by revenue cycle experts who know your specialty, service locations, and the best practices for getting paid, enrolled, and credentialed. From there, our Implementation Team manages the whole process and timeline, so your billing and credentialing move over smoothly with minimal delay.

Claimocity offers a user-friendly design with no training required, but access to our extensive training library is available. Our US-based support team, achieving an 87% one-minute response rate, is easily reachable by phone or chat. With a 9 out of 10 customer satisfaction rating, we guarantee top-tier service as your trusted partner.