Urology
Medical Billing Services

Maximize Efficiency and Reimbursement With Specialized Billing Solutions

Urology Medical Billing, Coding, Practice Management & RCM Solutions that boost profitabilty & improve patients experience.

Urology practices frequently provide surgical procedures to the patients to correct congenital defects and structural disorders, as well as dealing with conditions like kidney stones and blockages. Any time surgery is involved, coding can become complex because of the range of services that may be needed, surgical approach, and instruments and devices used in the procedure.

Our team of billers and coders employ their best knowledge acquired through two decades of working with Urologists, therefore a knowledgeable partner in urology medical billing and revenue cycle management can help your practice ensure correct coding, compliance, efficient denial management, and a healthy revenue stream. In addition, our certified ICD-10 billing & coding experts provide data-driven solutions that streamline Urology billing processes.

COURSE OF ACTIONS

Prior-authorization

Procedures are costly, therefore provider
must obtain prior-authorization from the insurance before rendering the services. 

Eligibility

To verify a patient’s eligibility & benefits
for a particular service
at least 48 hrs prior in order to reduce the denials.

Coding for benefits

The correct number of units should be coded for CPT codes 51700, 52300, 52310, 55876, and 77263. Otherwise, claim will be denied. Besides Modifier-59 must use when provider bill two Urology services together. 

EHR Documentation

It is unnecessary for Providers to include
51701-51703 in addition
to any other procedure that requires catheter insertion.

Medicare

Medicare does not cover
A codes like A4357,
A4334, A5114, A4340, A4331, and others. These are considered non-covered services.
However, some
secondary insurance providers may pay for these services.

Adding authority to our claim of being a leading medical billing consortium is the fact that our Urology billing specialists are known for efficient reimbursement of their clients’ medical bills with leading private insurance carriers such as United Health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and Government sponsored Medicare and Medicaid as well.

Want improve the financial stability of your Urology Practice?

Our team specializes in urology billing, providing expert solutions tailored to the unique challenges of the specialty to maximize your reimbursement.

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