For community oncology practices
Every next step after a cancer visit deserves an owner.
With the patient’s consent, we record the visit and turn it into a plan you approve. Each task gets a suggested owner and due date, and your patient gets next steps in plain language.
No charge. The pilot covers 1 to 5 providers, whatever your clinic's size. Works alongside your current EHR. HIPAA compliant.
Started by a practicing hematologist-oncologist and a nurse who ran care management.
- For care teamPrior authorization for KeytrudaDue today 3:00 PM · Maria T (billing)
- For care teamSchedule follow-up in 2 weeksDue before end of day · Dylan (scheduler)
- For patientYour next stepsIn plain language: what to do, when, and who to call.
Moonshot 2026
1st place, Cochise County
Crowd Favorite, Arizona State Finals
UACI · 2025
Sponsored Launch winner
You may have heard this in your own clinic.
We asked oncologists, practice owners, nurses and front-desk staff what happens after a cancer visit. These answers came up again and again.
“I write it in the note. But who is keeping track that those things are actually done?”
Hematologist-oncologistOn orders placed during the visit “Seeing patients sometimes seems like an afterthought.”
Nurse practitionerOn the chart prep and order chasing around every visit “So many things fall through the cracks because everything is held by humans.”
Clinic staff memberAt a rural oncology clinic with rotating doctors
The plan was in the note. Nobody was assigned to it.
When a patient hears "cancer" for the first time, it's hard to hear anything else. Your team hears everything, and then the next patient walks in.
Most dropped steps have no villain. They happen when the plan, and who owns each step, isn't clear to patients and staff.
Monday
A doctor prescribes an oral cancer drug. It's a packed week.
That week
The prior authorization slips. Everyone assumes someone else has it.
Three weeks later
The patient calls, still waiting for treatment. Staff scramble to catch up.
What it costs your clinic
Revenue slips.
Delays and code errors slow payment.
Notes run late.
Charting follows providers home.
Staff chase.
No owner means calls and rework.
Patients forget.
Up to 80% of what they hear.1 Then, they call you.
1. Kessels RP. Patients' memory for medical information. J R Soc Med. 2003;96(5):219-222.
How we work with your clinic
Three steps after every visit. Your EHR stays in place, and your provider stays in charge.
Step 1
Record
See patients as usual. With the patient's consent, the visit is recorded.
Step 2
Approve
We draft the note, ICD-10 codes, and action plan, with a suggested owner and due date for each task. Nothing moves until you approve.
Step 3
Assign
Each task, like a prior auth or lab order, gets an owner and a due date. Your team carries it out, and everyone can see what's open.
What changes for each person in your clinic
One visit, one approved plan. Everyone works from the same page.
Owners and administrators
See where follow-through slips today. Together, we track chase time, callbacks and rework through the pilot, so you can judge the results yourself.
Providers
You already make the plan in the visit. We draft the note, ICD-10 codes and next steps from it. You review and approve, and your team takes it from there.
Nurses and MAs
Each task from the visit arrives with a suggested owner and due date, so you aren't piecing it together from notes and messages.
Front desk and scheduling
Follow-ups and referrals arrive as tasks, with the details from the visit, so booking depends less on tracking someone down.
Billing
ICD-10 code suggestions come from what was said in the visit, so coding starts from the conversation. The provider reviews them first.
Patients
A plan in plain language: what to do, when, and who to call. They can share it with the family helping them at home.
Why we started OncoNexus
Before OncoNexus, Khatrina (opens in a new tab) ran care management. One of her patients, newly diagnosed with lung cancer, told his doctors he wanted palliative care. The request made it into the visit note. No one was assigned to act on it, and he spent weeks going back and forth to the emergency room for relief that should have been arranged from the start.
Dr. Swarup (opens in a new tab) sees the same gap from the other side of the exam room as a practicing community oncologist. Together, we started OncoNexus because the plan from every visit deserves someone carrying it forward.
Dr. Sriman Swarup, MD, MBA (opens in a new tab)
Practicing community oncologist
Khatrina Swarup, RN, MSN, MBA (opens in a new tab)
Built community care programs
Questions clinics ask
Who is OncoNexus for?
Community oncology practices in the United States. The pilot covers 1 to 5 providers, whatever your clinic's size.
What is oncology care coordination?
It is the work of making sure each next step from a visit happens: the prior authorizations, orders, referrals, scheduling and patient calls that follow. It depends on each step having an owner and a due date. OncoNexus works with your clinic on that follow-through, and your team carries out the tasks.
Will this add work for our providers?
Providers already make the plan during the visit. We draft the note, ICD-10 codes and next steps from that conversation. The provider reviews and approves them, and the team carries the plan from there.
What does the pilot ask of our team?
Time up front to map how a visit turns into work at your clinic today, so we set things up around your workflow. Your providers review and approve each plan. And regular check-ins with us throughout the 3 months to look at what changed. We start with 1 to 5 providers.
How does OncoNexus pick an owner for each task?
It suggests one based on the type of task. Clinical decisions go to the provider. Check-in calls and patient teaching go to a nurse or medical assistant. Scheduling goes to a scheduler. Insurance and prior authorization go to billing staff. A task that does not clearly fit goes to a nurse or medical assistant to sort out. Your provider reviews the suggestions before anything moves.
What if a task goes to the wrong person?
Your provider reviews the plan, including who owns each task and when it is due, before anything moves. You can change either one. During the pilot, we review any misses with your team and adjust.
Does OncoNexus submit prior authorizations or contact payers?
No. A prior authorization is one of the tasks on the plan, with a suggested owner and due date for your provider to approve. Your team does the work, and the plan shows who owns it and what is still open.
Do we have to change our EHR?
No. OncoNexus works alongside your current EHR.
Is patient information protected?
Yes. OncoNexus is HIPAA compliant, and we sign a Business Associate Agreement with every clinic.
Do patients agree to be recorded?
Yes. A visit is recorded only with the patient's permission.
What does it cost?
There is no charge for the 3-month pilot, which covers 1 to 5 providers, whatever your clinic's size. We ask for your team's time to set it up and to check in regularly. Clinics in the pilot get a discounted price after it ends, and we will talk through pricing with you before then.
See what changes in your clinic.
A 3-month pilot for 1 to 5 providers, whatever your clinic's size. We set it up with your team and measure the results together.
You give
- Your team's time to map how a visit turns into work today
- Your providers reviewing and approving each plan
- Regular check-ins with us throughout the 3 months
You get
- 3 months at no charge, with hands-on support
- Chase time, callbacks and rework tracked together, so you can judge the results yourself
- A discounted price after the pilot
Your EHR stays in place.