At Gemini, we understand the complexities of medical billing

Oncology billing is a highly specialized field that requires a deep understanding of complex coding, regulations, and high-value drugs. At Gemini, we offer more than just billing—we provide a complete end-to-end Revenue Cycle Management solution, or we can focus on specific areas where your practice needs support. Our expertise ensures that every facet of the RCM process is optimized for maximum reimbursement.

• End-to-End RCM & Point Solutions: We manage the entire revenue cycle from start to finish, including crucial "point solutions" like prior authorizations, claims processing, and appeals. We know every little facet to achieve higher reimbursement.
  • Prior Authorizations & Appeals: We meticulously handle all prior authorization requests for high-cost treatments and drugs, and aggressively appeal any denials.
  • Claims Processing & Appeals: We submit claims with a focus on first-pass acceptance and manage a strategic appeals process to recover every dollar for your services.
  • Charge Capture: We work to ensure every billable service is accurately documented and captured, preventing revenue leakage.

• Specialized Expertise: Our team is proficient in navigating the unique challenges of both radiation and medical oncology.
  • Radiation Oncology Billing: Expert handling of billing for advanced therapies such as IMRT (e.g., CPT code 77301), Proton Therapy (e.g., CPT codes 77520-77525), Brachytherapy (e.g., CPT codes 77761-77763 for intracavitary), and MR-Linac treatments. We are experts in billing for simulation, treatment planning, and daily treatments.
  • Medical Oncology Billing: Precise coding for chemotherapy administration (e.g., CPT codes 96409-96417), infusions (e.g., CPT codes 96365-96379), and dealing with Payer Benefit Organizations (PBOs) to secure reimbursement for high-cost medications. We know the ins and outs of both professional and facility billing.

Urology billing has its own set of complexities, from diagnostic tests and surgical procedures to recurring treatments. Gemini offers a comprehensive RCM solution to manage all aspects of your practice's billing, or we can provide targeted assistance where you need it most. We know the nuances of urology billing inside and out, ensuring a robust revenue stream.

• End-to-End RCM & Point Solutions: We manage your entire revenue cycle or provide specific services such as prior authorizations, charge capture, and claims appeals. We know every little facet to achieve higher reimbursement.
  • Prior Authorizations: We handle the time-consuming prior authorization process for a wide range of urological procedures, minimizing delays and denials.
  • Charge Capture: Our meticulous process ensures every service, from an in-office cystoscopy (e.g., CPT code 52000) to a complex robotic prostatectomy (e.g., CPT code 55866), is correctly documented and billed.
  • Claims Processing & Appeals: We submit clean claims and, in the event of a denial, manage the entire claims appeal process to fight for your rightful reimbursement.

• Specialized Expertise: Our team is well-versed in the unique coding challenges of urology, including:
  • Surgical Billing: Accurate coding for a wide range of procedures such as laparoscopic nephrectomy (e.g., CPT code 50548), vasectomy (e.g., CPT code 55250), and ureteroscopy with laser lithotripsy (e.g., CPT code 52353).
  • Procedures and Diagnostics: Proper billing for prostate biopsies (e.g., CPT code 55700), urodynamic studies (e.g., CPT codes 51725-51798), and extracorporeal shock wave lithotripsy (ESWL) (e.g., CPT code 50590).

Accurate and timely billing is crucial for radiology practices, given the high volume of procedures. Gemini’s RCM services are designed to streamline your entire billing process, from order to payment, or to provide specialized support for key RCM functions.

• End-to-End RCM & Point Solutions: Whether you need full-service RCM or targeted help, we can provide prior authorizations, charge capture, and claims appeals. We know every little facet to achieve higher reimbursement.
  Prior Authorizations: We manage prior authorization requests for advanced imaging modalities like MRI and PET scans, which are often required by payers.
  • Charge Capture: We ensure every scan and interpretation is accurately captured and billed.
  • Claims Processing & Appeals: Our team ensures claims are processed efficiently, and we manage all claims appeals to address denied claims promptly and effectively.

• Specialized Expertise: We have extensive experience with all major imaging modalities, including:
  • MRI (Magnetic Resonance Imaging): Expert coding for various scans such as MRI of the spine (e.g., CPT code 72148), brain (e.g., CPT code 70551), and joints (e.g., CPT code 73721).
  • PET (Positron Emission Tomography): Navigating the complex requirements for PET scans for cancer staging (e.g., CPT code 78816) and diagnosis.
  • Mammogram Billing: Ensuring accurate billing for both screening (e.g., CPT code 77067) and diagnostic mammograms (e.g., CPT code 77066), including tomosynthesis.
  • CT (Computed Tomography) Billing: Efficient handling of CT scan billing for various body areas, including CT angiograms (e.g., CPT code 75635) and CT-guided biopsies (e.g., CPT code 77012).

 Orthopedic billing is particularly challenging due to the complexities of surgical procedures, implants, and trauma care. At Gemini, we understand every detail, from initial consultation to post-operative care, and we optimize every step of your revenue cycle to maximize your collections.

• End-to-End RCM & Point Solutions: We provide comprehensive RCM solutions, or specific, high-impact services, including prior authorizations, charge capture, and claims appeals. We know every little facet to achieve higher reimbursement.
  • Prior Authorizations: We handle all prior authorizations for surgical procedures, implants, and durable medical equipment, which are common requirements in orthopedics.
  • Charge Capture: Our team ensures that all surgical services are accurately captured to prevent revenue leakage.
  • Claims Processing & Appeals: We process claims with precision and, in the case of a denial, manage the entire claims appeal process to secure the reimbursement you deserve.

• Specialized Expertise: Our experts are knowledgeable in the specific coding for a wide range of orthopedic surgeries, including:
  • Joint Replacements: Accurate billing for total hip replacement (e.g., CPT code 27130), total knee replacement (e.g., CPT code 27447), and shoulder arthroplasty (e.g., CPT code 23472), including the associated implants.
  • Spinal Procedures: Navigating the intricacies of billing for procedures like thoracic cage placements, spinal fusion (e.g., CPT codes 22558-22856), laminectomy (e.g., CPT code 63047), and scoliosis correction (e.g., CPT code 22800).
  • Fracture Care and Trauma: Ensuring proper coding and reimbursement for fracture repair, open reduction and internal fixation (ORIF) (e.g., CPT code 27244), and other orthopedic trauma cases.