Augmented revenues and focus on patient care...is the aspiration of every practitioner/healthcare center. However, most of the medical specialties get hit due to mistakes in billing and coding (incorrect modifiers or inappropriate documentation) leaving revenues on the table. The same holds true for oncology; especially with strict Medicare rules for reimbursement. This practice also faces reduced reimbursements due to over-coding, ignorance of payer guidelines, compliances not being followed, loss-making reimbursements on drugs, and/or Medicare reimbursement on chemotherapy administration, only on the condition if a cancer diagnosis is given to the patient by an oncologist, thereby drastically eroding revenues.
