The charge path in radiation oncology
A charge travels from treatment delivery in the oncology system, to charge generation, across the interface, to the billing system. Each handoff is a place it can fail.
| Stage | What to verify | How to check |
|---|---|---|
| Treatment delivered | A charge was generated for each treatment | Compare treatments to charges in the OIS |
| Charge generated | Charge transmitted across the interface | Check the interface or charge feed |
| Charge transmitted | Charge received in billing | Reconcile the feed to billing |
| Duplicates | No duplicate charges created | Run a duplicate check |
| Timing | Charges drop on the expected cadence | Review charge lag and aging |
Common failure points
- A workflow step that fails to trigger a charge.
- Interface mapping gaps between the OIS and billing.
- Manual charges that get missed.
- A system update that quietly changes charge logic.
Build an ongoing control
- Reconcile prior-day treatments to charges daily.
- Review charge lag and aging weekly.
- Scan for duplicates and missing charges weekly.
- Trend variances and root causes monthly.
- Assign a clear owner for charge integrity.
When to bring in coding and compliance
This checklist confirms that charges are captured and transmitted. Whether a charge is coded and billed correctly is a separate question for your coding and compliance partners. Loop them in early.
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