With Everest's Urology Billing & Coding Services, you can maximize profitability and minimize errors.

While Urologists focus on providing excellent medical care, they can alternatively lose track of their revenue cycle. If they do not receive full payment for the services rendered, it may have a negative impact on their medical practice — procedures involved in Urology are typically costly.

Urology billing & coding is a complex process that requires an in-depth knowledge and expertise. Urology often overlaps with other specialties such as oncology, gastroenterology, andrology, pediatrics, endocrinology, and gynecology making it unique and complicated to understand therefore, only a Urology billing & coding specialist has the required skillset and expertise to handle it appropriately.

Our coders apply correct Urology CPT & ICD codes based on the organs  like Blader, Urethra, Kidneys, Male/Femal Genital organs. The Urology codes are ranges between 50010 – 58294. Our expert coders are specialized to code multiple Urology surgeries including biopsy, transplantation, catheter, laparoscopy, endoscopy, and excision. Our CPC Certified Urology Coders can process 15 to 20 surgery reports per day. We cover the most complicated codes and train our coders to handle all procedural, modifier, and diagnostic coding challenges expertly.

We put best Urology coding practices in place to avoid denials and increase revenue for our clients. Such course of actions are:

• 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 – According to specific payers, the correct number of units should be coded for CPT codes 51700, 52300, 52310, 55876, and 77263. Otherwise, the claim will be denied. Besides Modifier-59 must use when provider bill for two Urology services together. 
• 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.
• EHR Documentation – It is unnecessary for Providers to include 51701-51703 in addition to any other procedure that requires catheter insertion.

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