For community oncology practices
Free 3-month pilotNow enrolling
Every next step from a cancer visit has an owner.
We turn every visit into a plan you approve. Your team knows who owns each step. Your patient knows what's next.
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 · Sarah M, RN (nurse navigator)
- 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 Sierra Vista 2026 Winner
- UACI 2025 Award Winner
- Signed LOI from AZ Cancer Clinic
- 95+ conversations with owners, staff, and patients
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. Nothing moves until you approve.
Step 3
Assign
Each task, like a prior auth or lab order, gets an owner and a due date.
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
Every task from the visit arrives with an owner and a 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 doesn't depend on tracking someone down.
Billing
ICD-10 code suggestions come from what was said in the visit, so the chart matches 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 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 sees the same gap from the other side of the exam room as a practicing community oncologist. Together, we started OncoNexus so the plan from every visit has someone carrying it forward.
Dr. Sriman Swarup, MD, MBA
Practicing community oncologist
Khatrina Swarup, RN, MSN, MBA
Built community care programs
Questions clinics ask
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 to show us how a visit turns into work at your clinic today. We set things up with your team, start with 1 to 5 providers and check in with you throughout the 3 months.
Do we have to change our EHR?
No. OncoNexus works alongside your current EHR.
Is patient information protected?
Yes. OncoNexus is HIPAA compliant.
Do patients agree to be recorded?
Yes. A visit is recorded only with the patient's permission.
What does it cost?
The pilot is free for 3 months for 1 to 5 providers, whatever your clinic's size. Founding clinics get a discounted price after the pilot ends, and we will talk through pricing with you before then.
See the difference in your clinic.
Free 3-month pilot. 1 to 5 providers, whatever your clinic's size. We provide hands-on support.
- Free
- Hands-on support
- 3 months
- To start
- 1 to 5
- Providers
- Your EHR
- Stays in place
Founding clinics get a discounted price after the pilot.