Epic claim scrubber for oncology
Syntra is an AI claim and chart scrubber for oncology practices on Epic. It reads oncology documentation in Epic against the claim before submission, so missed revenue and denial risk are caught while the encounter can still be corrected.
Example capture
96413 · Chemotherapy administration, IV infusion, initial hour
Infusion record documents the initial hour of IV chemotherapy in addition to the office visit. Supports 96413 separately from E/M when documentation supports a significant, separately identifiable service.
How does Syntra work with oncology documentation in Epic?
Epic Resolute Professional Billing already edits the claim that was entered. Syntra reads the oncology note in Epic before that claim is final, so a service written in the chart but missing from the charge, or a modifier the note does not support, is caught while the encounter can still be fixed.
Epic's claim edits and work queues catch claim-level errors once charges are built. Syntra reviews the encounter documentation before charges reach those queues, so billers see chart-supported corrections instead of rejections.
Biologic and chemotherapy drugs often require prior authorization, NDC reporting, and wastage documentation.
Which oncology denials does Syntra prevent on Epic?
- Infusion hierarchy coded incorrectly, so initial and sequential services are misreported
- Drug units and NDCs that do not match the administration record
- E/M with same-day infusion billed without a separately identifiable service
Which modifiers does Syntra validate?
- -25 on E/M with same-day infusion
- -JW / -JZ for drug wastage
- -59 for distinct administrations
Common questions
- What is the best claim scrubber for oncology on Epic?
- A clearinghouse scrubber checks the claim after it is built. Epic's own edits do the same inside the charting system. For oncology billing, the gaps that survive those edits are in the note: a documented service that was never coded, or a modifier the note does not support. Syntra is an AI claim and chart scrubber that compares oncology documentation in Epic to codes, modifiers, and payer rules before submission, and it runs alongside the clearinghouse you already use.
- Does Epic scrub oncology claims on its own?
- Epic Resolute Professional Billing applies claim-level edits. Those rules check the claim that was built, so services documented in a oncology note but never coded, and modifiers the note does not support, usually pass through. Syntra adds that chart-level review.
- How long does it take to start on Epic?
- Practices start with a complimentary retroactive audit of recent oncology charts in Epic, then move to controlled pre-bill review and autonomous submission on eligible encounters over about 90 days.
Related: Syntra on Epic, Oncology claim scrubber, and clearinghouse comparisons.
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