Surgical Oncology EHR and AI Medical Billing Software

Surgical oncologists perform complex cancer operations that fit into a wider treatment plan. XEHR keeps staging, tumor board decisions, operations and follow-up in one record.

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Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

New pancreatic head mass on CT; referred for resection.

C25.0 Malignant neoplasm of head of pancreas

ReviewSign note

Diagnosis carried to the claimC25.0

THE HARD PARTS

What makes surgical oncology billing hard

Treatment decided by a team

Surgery is one step in a plan agreed with medical and radiation oncology, and the plan must be documented.

Long, multi-part operations

Complex resections and reconstructions must be fully documented for every part to be paid.

Approvals for big cases

Major cancer operations and imaging usually need prior authorization with staging attached.

WHERE THE WORK HAPPENS

How surgical oncology care is delivered and billed

Surgical oncologists work in cancer centers and hospitals, with clinic visits for evaluation and surveillance and major operations in the hospital. Operations are billed with the hospital place of service and long global periods; clinic visits and surveillance are billed on the professional claim. Most patients are also treated by medical and radiation oncology, so records, staging and plans have to move between teams.

What payers check on surgical oncology claims

Cancer is coded by primary site, and spread is coded with secondary cancer codes for each site.
After treatment ends with no evidence of disease, personal history codes replace active cancer codes.
Major cancer operations carry a 90-day global period.
Prior authorization for major resections usually requires documented stage and the treatment plan.
Multiple procedures in one operation are billed with modifiers that tell the payer how to reduce them.

Common surgical oncology diagnoses ICD-10-CM

C25.0	Malignant neoplasm of head of pancreas
C16.9	Malignant neoplasm of stomach, unspecified
C78.7	Secondary malignant neoplasm of liver and intrahepatic bile duct
C48.0	Malignant neoplasm of retroperitoneum
C43.9	Malignant melanoma of skin, unspecified
Z85.038	Personal history of other malignant neoplasm of large intestine

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

A surgical oncology visit, start to payment

1
Stage and present

Imaging, pathology and the stage are documented and the case is prepared for the tumor board.
2
Approve and plan surgery

The operation is scheduled with prior authorization prepared from staging and the team plan.
3
Operate and document

The operative note records the resection, margins, nodes and any reconstruction.
4
Follow and survey

Global period visits are tracked; surveillance visits and imaging continue on the agreed schedule.

How XEHR helps

From the surgical oncology visit to the payment

Staging and plan in the chartStage, pathology and the team’s plan are recorded and visible at every visit.
Detailed operative notesOperative notes record each organ, margin and reconstruction.
Approvals with staging attachedRequests are prepared with the pathology and imaging from the record.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for surgical oncology

AI medical billing for surgical oncology practices

XEHR is an agentic EHR: AI agents do the administrative work around every surgical oncology visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Cancer is coded by primary site, and spread is coded with secondary cancer codes for each site.
After treatment ends with no evidence of disease, personal history codes replace active cancer codes.
Major cancer operations carry a 90-day global period.
Prior authorization for major resections usually requires documented stage and the treatment plan.

Around the visit

Agents run on their own

Coverage checked before each surgical oncology visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose a surgical oncology EHR

Ask every vendor, including us. The answers show whether a system was built for surgical oncology work or only adapted to it.

Ask us on a demo

Can staging, pathology and the tumor board plan be seen at every visit?
Do operative notes capture resection, margins and reconstruction?
Are approvals prepared with staging and imaging attached?
Do history codes replace active cancer codes after treatment?
Can surveillance be scheduled on the agreed plan?

QUESTIONS

Surgical Oncology practices ask us

Does XEHR support surgical oncology practices?

Yes. Staging, team plans, operations and follow-up are documented and billed from one record.

Can tumor board decisions be recorded?

Yes. The plan agreed by the team is documented in the patient’s chart.

Does XEHR help with prior authorization for cancer surgery?

Yes. Requests are prepared from the chart with staging and imaging attached.

Can XEHR coordinate with medical oncology?

Yes. Notes, pathology and referrals are shared from the same patient record.

Does XEHR support cancer centers with several surgeons?

Yes. Each surgeon documents and bills under their own credentials.

Can XEHR share records with radiation oncology?

Yes. Notes and pathology are shared from the same record.

Can survivorship visits be documented?

Yes. Survivorship care is documented and billed.

How much does XEHR cost for a surgical oncology practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take a surgical oncology practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

Related specialties

See all specialties

See XEHR set up for surgical oncology

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

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