Advertisement
With a focus on maximizing key reimbursement metrics, ORS offers acomprehensive revenue cycle management program, a full curriculum of oncologybilling and coding education, and assistance in accessing patient assistanceprograms.
Advertisement
The stand-alone service provides oncologists with unparalleled expertisein revenue cycle management to ensure proper reimbursement for their services.As a leader in oncology business operations, US Oncology has an experiencedreimbursement team that supports the billing processes for over 1,000 oncologyproviders in more than 325 sites of service across the nation. The USOncology reimbursement team oversees approximately $8 billion in gross patientrevenue each year. ORS leverages this vast experience to offer services thatsupport all critical front and back office activities of a practice.
"In today's complex and evolving oncology reimbursement landscape,oncologists require a comprehensive revenue cycle management solution designedspecifically for their practices," said Karen Pilley, vice president ofReimbursement Solutions for US Oncology. "ORS expertly meets that need byproviding support through proven operational processes, state-of-the-arttechnology, and US Oncology's unparalleled oncology reimbursement expertise."
US Oncology has customized the ORS practice management system tospecifically meet the complex needs of oncologists. Understanding the needfor an integrated revenue cycle model, the ORS technology solution supportsboth front and back office business functions. Benefits of the technologyinclude efficient scheduling models; integrated claim scrubbing; payercontract management; a virtually paperless accounts receivable and denialmanagement process; and advanced reporting and analytics.
Payer contract management helps ensure accurate and timely paymentsthrough monitoring of contractual rates and fee schedules. Under the ORSmodel, overpayments or underpayments are identified at the time of cashposting. Proper contract management helps practices reduce write-offs ofcollectible revenue and apply EOB audit processes on all new and existingcontracts.
Proper denial management is critical in creating an efficient revenuecycle process. The ORS team identifies the source of any issues anddetermines a recommended plan of action. Whether working with the practice toput proper front office procedures in place or working complex denials withpayers, ORS aims to resolve the source of the denial.
"The goal of ORS is to make sure we resolve the reasons claims are deniedin the first place," said Karen Pilley. "With our advanced technologysolution, we have the ability to write claim edits and increase our claimscrubber functionality. This means the claims have a greater likelihood ofbeing approved the first time they are submitted."
ORS also offers valuable billing and coding education for practice staff.Resources include a web-based library featuring articles on coding updates andreimbursement operational best practices; audio conference and webcasteducation; billing, coding and E/M educational tutorials; and a field teamavailable for state-specific reimbursement needs.
Another service feature is the ORS Patient Assistance Support team. Thisteam works with national foundations to help secure funding for financiallyqualified patients who cannot afford their coinsurance for oncologytreatments. They help patients navigate the national assistance programsavailable to them, providing support in the application, follow-up andprocessing steps. By acting as an extension of the practices, ORS PatientAssistance Support
