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Radiation Oncology

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Radiation oncology is a highly specialized and technology-driven field that involves intensive treatment protocols, high-value procedures, and stringent compliance requirements. At Velora, we offer expert medical billing and credentialing services designed specifically for radiation oncology practices. Our deep knowledge of the specialty’s clinical and administrative nuances helps ensure that your services are properly documented, coded, and reimbursed without delays or denials.

Radiation oncology treatments often span several weeks and involve a complex sequence of services — from simulation and planning to delivery and follow-up. Each stage carries specific billing requirements, with CPT codes that must be billed in precise combinations and timeframes. Velora’s certified coders are highly trained in the unique documentation and coding guidelines required for radiation therapy, including IMRT, 3D conformal therapy, brachytherapy, SRS/SBRT, and proton therapy.

Improper billing for radiation oncology can lead to substantial revenue loss, audits, and compliance risks. We help avoid these outcomes by carefully reviewing physician notes, treatment plans, and dosimetry reports to ensure that all services are billed accurately and backed by medical necessity. Our rigorous claim scrubbing process reduces rejections and ensures that documentation meets Medicare and private payer standards.

Radiation oncology billing also requires close coordination between clinical staff and administrative teams to manage prior authorizations, patient benefits, and billing timelines. Velora’s team supports every step of the revenue cycle, including eligibility checks, authorization management, timely charge entry, and persistent follow-up on unpaid claims. We help practices accelerate reimbursement while minimizing the burden on internal teams.

Credentialing is equally critical in radiation oncology due to the high cost of treatments and the need for payer approval. Delays in credentialing can result in substantial revenue gaps. Velora expedites the credentialing and recredentialing process for radiation oncologists, dosimetrists, physicists, and nurse practitioners. We handle the entire process — gathering documents, submitting to insurance panels, and tracking applications until approvals are secured — so your team can begin treating patients without interruption.

Compliance is paramount in radiation oncology, especially with federal programs like Medicare and CMS. We conduct internal audits and offer documentation support to ensure that your practice is in full compliance with all applicable regulations. Our services help reduce the risk of audits, denials, and financial penalties while ensuring continuity of care for patients.

Additionally, Velora provides advanced reporting and analytics so you can monitor every aspect of your billing performance. From claim status and collections to denial trends and payer performance, our custom dashboards give you the insights needed to make informed business decisions.

Our IT support team works closely with your practice to ensure seamless EHR and practice management system integration, HIPAA compliance, and secure handling of protected health information (PHI). Whether you’re operating an independent radiation oncology center or are part of a hospital-affiliated group, Velora customizes its solutions to match your workflow and scale.

With Velora as your partner, you gain peace of mind knowing that your radiation oncology billing and credentialing are in expert hands. We focus on increasing your revenue, improving compliance, and reducing administrative stress so you can focus entirely on delivering lifesaving cancer treatment to your patients.