Our Specialties

Urology Billing Services

Specialized billing solutions for urological practices to optimize revenue, reduce denials, and streamline billing for complex urological procedures.

Urology Billing Services

Our Services

Urology Billing Expertise

  • Specialized coding for urological diagnostic procedures (cystoscopies, urodynamics)
  • Expert billing for surgical urological procedures
  • Accurate coding of urological implant devices
  • Compliant documentation assistance for urological services
  • Specialized appeals for complex urology procedure denials
  • Urology-specific charge capture optimization
  • Payer-specific urological documentation requirements
  • Urology compliance program support

Coding Expertise

Common Urology CPT Codes

Code Description
51701 Insertion of non-indwelling bladder catheter
52000 Cystourethroscopy (separate procedure)
52601 Transurethral electrosurgical resection of prostate
55700 Biopsy, prostate; needle or punch, single or multiple
50590 Lithotripsy, extracorporeal shock wave
55866 Laparoscopy, surgical prostatectomy, retropubic radical

Our Process

Urology Billing Process

Our comprehensive approach ensures maximum revenue and minimal administrative burden for your urology practice.

Patient Registration

Patient Registration & Insurance Verification

We verify urology-specific insurance benefits and coverage for urological procedures, tests, and devices before services are rendered, including:

  • Verification of coverage for diagnostic urological tests (cystoscopies, urodynamics)
  • Pre-authorization for urological procedures and interventions
  • Coverage confirmation for implantable urological devices
  • Patient responsibility estimation for high-cost urological procedures
  • Coordination of benefits for post-operative urological care
Urology Coding

Specialized Urology Coding

Our urology coding specialists ensure accurate code assignment for all urological services:

  • Precise coding for diagnostic urology services (cystoscopies, urodynamics, imaging)
  • Expert coding for surgical urological procedures (prostatectomies, nephrectomies)
  • Accurate device coding (stents, slings, prosthetics)
  • Proper modifiers for multiple urological procedures
  • Compliant documentation support for complex urological procedures
Claim Submission

Clean Claim Submission

We achieve a 98% clean claim rate for urology services through our thorough process:

  • Urology-specific claim scrubbing to identify coding errors
  • Verification of medical necessity documentation for urological procedures
  • Inclusion of required diagnostic test results
  • Proper sequencing of urological diagnosis and procedure codes
  • Electronic submission to all major payers within 24-48 hours
Denial Management

Urology Denial Management

Our specialized approach to urological claim denials includes:

  • Expertise in appealing medical necessity denials for urological procedures
  • Management of bundling/unbundling issues common in urology
  • Documentation support for complex urological intervention appeals
  • Appeals for denied device implantation procedures
  • Monitoring and addressing urology-specific payer policy changes
Performance Analytics

Urology Practice Analytics

Our urology-specific reporting and analytics help optimize your practice:

  • Procedure-specific profitability analysis
  • Revenue analysis by service line (diagnostic, surgical, oncology)
  • Payer-specific performance metrics for urological services
  • Denial trend analysis by procedure type
  • Recommendations for revenue optimization by service area

frequently asked questions

Urology Billing FAQs

Get answers to common questions about our urology medical billing services, coding challenges, and revenue optimization strategies.

Common urology claim denials include medical necessity issues for diagnostic tests, incorrect bundling of services, missing documentation for urological devices, improper use of modifiers, and lack of prior authorization for certain procedures. Our specialized denial management team addresses these issues proactively to minimize denials.

Our approach to complex urological surgery billing involves comprehensive documentation review, verification of procedure details, proper coding of the primary and secondary procedures, and ensuring all required elements for reimbursement are captured. We also manage concurrent procedures and maintain accurate surgical tracking.

Our dedicated urology coding specialists participate in ongoing education, specialty-specific training, and urology coding certifications. We monitor updates from the American Urological Association, attend urology coding webinars, and maintain relationships with urology specialty organizations to stay ahead of changes.

For urodynamic studies, we implement a specialized review process that includes verification of the specific tests performed, proper sequencing of codes, and ensuring proper documentation of medical necessity. Our team understands the complex rules around urodynamic study coding, including proper use of modifiers and correct component coding.

Ready to optimize your urology revenue cycle?

Contact us today for a free consultation and learn how our specialized urology billing services can benefit your practice.

How can we help you?

I can help with urology billing questions, insurance information, or scheduling assistance.