Radiation Oncology Billing Optimization at Christus Health Texarkana

Christus Health Texarkana offers advanced radiation oncology services, requiring accurate, compliant billing due to the complexity of procedures and frequent policy changes. Errors in coding and documentation posed a significant risk to revenue and compliance.

Problem

• Inconsistent coding (CPT, HCPCS, ICD-10)
• High claim denials from errors and incomplete documentation
• Missed revenue from billing inefficiencies
• Compliance vulnerabilities
• Staff lacked specialized billing training
• Manual workflows delayed the revenue cycle

Solutions

 OriginQS delivered a comprehensive solution:

• Conducted a detailed billing and coding audit
• Matched clinical documentation with coding for accuracy
• Analyzed payer policies to improve submission practices
• Assessed compliance with Medicare and other regulations
• Trained staff on errors, coding updates, and documentation standards
• Recommended workflow enhancements and automation

Key Results and Impact

• 10–15% projected revenue increase within 6 months
• 25% reduction in claim denials within 3 months
• Faster cash flow through quicker, cleaner claims
• Stronger compliance posture
• Staff gained billing and coding expertise
• Reduced errors and streamlined revenue operations

5.5 Services Provided

• Radiation oncology billing and coding audit
• Denial management and root-cause analysis
• Compliance assessment against regulatory standards
• Revenue cycle improvement consultation
• Customized staff training and education
• Full audit report with actionable insights