Radiation Oncology EHR and AI Medical Billing Software

Radiation oncology delivers treatment as a course over weeks, with planning steps before the first session. XEHR documents each step and bills the course in the right order.

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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

Left breast cancer after lumpectomy; planning radiation.

C50.912 Malignant neoplasm of left female breast

ReviewSign note

Diagnosis carried to the claimC50.912

THE HARD PARTS

What makes radiation oncology billing hard

Treatment courses with many steps

Consultation, simulation, planning, delivery and weekly management are each billed under their own rules.

Approval before the course

Most payers require prior authorization for the treatment technique and number of sessions.

Weekly management counted by sessions

Weekly physician management is billed per set of sessions, so the count has to be right.

WHERE THE WORK HAPPENS

How radiation oncology care is delivered and billed

Radiation oncologists treat cancer in hospital departments and freestanding centers. A course of treatment moves through consultation, simulation, planning, delivery over days or weeks, weekly physician management and follow-up. In a hospital the physician bills professional services and the hospital bills the technical ones; a freestanding center bills both. Prior authorization for the technique and number of sessions is standard.

What payers check on radiation oncology claims

Weekly treatment management is billed per set of five sessions, so delivered sessions must be counted accurately.
Most payers require prior authorization for the treatment technique and the number of sessions.
The encounter for radiation therapy is coded first when the visit is for treatment, followed by the cancer.
Planning services have their own complexity levels, which the planning documentation must support.
In a hospital the physician bills the professional services; a freestanding center bills global services.

Common radiation oncology diagnoses ICD-10-CM

C50.912	Malignant neoplasm of unspecified site of left female breast
C61	Malignant neoplasm of prostate
C34.90	Malignant neoplasm of unspecified part of unspecified bronchus or lung
C79.31	Secondary malignant neoplasm of brain
C71.9	Malignant neoplasm of brain, unspecified
Z51.0	Encounter for antineoplastic radiation therapy

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 radiation oncology visit, start to payment

1
Consult and approve

The consultation documents diagnosis, stage and the planned technique; the approval is prepared from it.
2
Simulate and plan

Simulation and each planning step are documented in order.
3
Treat and count

Each session is recorded, and sessions are counted for weekly management.
4
Bill the course

Planning, treatment and weekly management go out on checked claims in the right sequence.

How XEHR helps

From the radiation oncology visit to the payment

Each step on the recordPlanning steps and every session are documented in order, ready for billing.
Approvals from the planRequests are prepared from the diagnosis, stage and planned technique.
Sessions countedDelivered sessions are counted so weekly management is billed correctly.
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 radiation oncology

AI medical billing for radiation oncology practices

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

Before the claim leaves

The claim-check agent looks for

Weekly treatment management is billed per set of five sessions, so delivered sessions must be counted accurately.
Most payers require prior authorization for the treatment technique and the number of sessions.
The encounter for radiation therapy is coded first when the visit is for treatment, followed by the cancer.
Planning services have their own complexity levels, which the planning documentation must support.

Around the visit

Agents run on their own

Coverage checked before each radiation 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 radiation oncology EHR

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

Ask us on a demo

Are delivered sessions counted for weekly management?
Can approvals be prepared for technique and number of sessions?
Are planning steps documented in order?
Can freestanding centers bill global services?
Is the radiation encounter coded first when the visit is for treatment?

QUESTIONS

Radiation Oncology practices ask us

Does XEHR support radiation oncology practices?

Yes. Consultation, planning, treatment sessions and weekly management are documented and billed from one record.

Can XEHR prepare approvals for radiation courses?

Yes. Requests are prepared from the diagnosis, stage and planned technique in the chart.

Does XEHR count treatment sessions?

Yes. Delivered sessions are counted so weekly management is billed correctly.

Can freestanding radiation centers use XEHR?

Yes. Freestanding centers bill both parts of the service from one record.

Does XEHR support follow-up after radiation?

Yes. Follow-up visits are documented and billed.

Can XEHR share records with medical oncology?

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

How much does XEHR cost for a radiation 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 radiation 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 radiation oncology

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

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