Precision Reimbursements for Complex Cancer Care
Pediatric Billing Services
Pediatric care is about growth, prevention, and reassurance, and so is billing. AnnexMed’s pediatrics billing services help practices capture accurate reimbursement for well-child visits, vaccines, screenings, and urgent care encounters. With compliant coding and payer-specific expertise, we keep revenue as reliable as the care you deliver.
Pediatric Revenue Cycle Management That Scales With Your Practice
From newborn checkups to adolescent care, pediatric billing covers a wide range of services. AnnexMed’s pediatric revenue cycle management ensures every visit, preventive, acute, or developmental, translates into clean claims and faster payments. We adapt our workflows to Medicaid, CHIP, and commercial payer rules, so practices stay financially strong while focusing on children’s health.
Pediatric Billing Challenges That Need Precision
Pediatric billing isn’t difficult, it’s detailed. Success depends on aligning every service with payer rules and documentation standards.
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Prior authorization breakdowns
Expensive oncology drugs administered without pre-approval lead to automatic denials. -
Clinical trial billing errors
Misalignment of research vs. routine care charges creates compliance and audit risks.
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Incorrect infusion coding
Errors in oncology billing codes for initial vs. sequential vs. concurrent chemotherapy sessions cause underpayments. -
Non-compliance with oncology billing guidelines
Overlooking time-based infusion documentation, drug units, or NCCI edits stalls payments.
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Drug wastage not reported
Unused vials not billed with modifier JW or JZ result in lost reimbursement opportunities. -
Eligibility verification gaps
Patients not pre-checked for oncology benefits face claim denials and delayed treatment reimbursement.
Why Oncology Practices Choose AnnexMed?
As one of the leading oncology billing companies, AnnexMed delivers unmatched accuracy, compliance, and revenue protection for cancer care providers.
- AnnexMed manages medical billing for oncology at scale, covering private practices, hospital departments, and infusion centers, while staying aligned with payer requirements.
- We implement payer-driven compliance rules, preventing denials tied to infusion start/stop times, drug units, or medical necessity gaps.
- Our RCM specialists handle chemo, immunotherapy, supportive drugs, and radiation-related billing, ensuring correct application of oncology billing codes and modifiers.
- We provide analytics that track underbilled infusions, missed wastage claims, and payer underpayments, giving oncology practices actionable insights.
- Onboarding is seamless, AnnexMed integrates into oncology EMRs and practice systems while providers focus on patient care.
Our Oncology Medical Billing Services
Oncology billing services demand precision at every step, drug units, infusion coding, prior authorizations, and payer-specific guidelines. AnnexMed delivers end-to-end support so oncologists can focus on patients while we protect their revenue.
Infusion & Drug Administration Coding
We manage initial, sequential, and concurrent infusion coding (96413, 96415, 96417) with accurate drug units and modifier usage.
Prior Authorization for Oncology Treatments
Securing approvals for chemotherapy, immunotherapy, and supportive drugs before administration to avoid high-value denials.
Claims Submission & Eligibility Verification
Submitting claims under oncology billing guidelines, with upfront benefit verification and payer-specific coverage checks.
Oncology Billing Compliance & NCCI Edits
We ensure claims adhere to oncology billing guidelines, including infusion time documentation, drug units per HCPCS, and NCCI bundling rules.
Accounts Receivable Follow-Up
Our AR team aggressively pursues unpaid claims, resolving denials linked to medical necessity, drug units, wastage modifiers, infusion coding, and eligibility mismatches.
Clinical Trial & Supportive Care Billing
Managing research vs. routine care separation, while capturing supportive treatments like antiemetics and growth factors correctly.
Protect Every Dollar Behind Every Dose.
With AnnexMed’s oncology billing services, your life-saving treatments never go unpaid.
Adhering to Industry Standards
Delivering Oncology Billing With Compliance at Its Core
Compliance in oncology medical billing services goes beyond checking for errors, it safeguards every claim against payer scrutiny, denials, and audit risk. AnnexMed integrates oncology billing guidelines into each stage of the revenue cycle, ensuring accuracy and accountability.
We back this with system-led audit trails, payer-specific policy enforcement, and quarterly compliance drills. From intake to collections, every oncology claim is protected by layered controls, real-time alerts, and ongoing staff training. This approach minimizes risk, prevents denials, and keeps your practice audit-ready at all times.
SOC 2 Type 1
ISO 27001:2022
ISO 9001:2015
SOC 2 Type 2
Case Studies
Mid-Size Ohio Health System Untangled $22M in Legacy AR with Annexmed
FAQs in Outsourcing Pediatric Billing Services
Ready to Get Started?
Whether you need full-scale support or help with just one part of the revenue cycle, AnnexMed offers modular services tailored to your most pressing needs.
Let's get started with,
- A quick discovery call to understand your goals
- Insights on how our services align with your workflows
- Guidance on compliance, turnaround, and scaling
- Option to request case study examples
Why AnnexMed?
- 20+ Years of RCM Excellence
- HIPPA Complaince Workflows
- 50+ Specialties Supported​
- U.S. Based & Offshore Hybrid Teams​
