Why Urology Billing Services Require Expert Management
Urology billing involves different types of services, such as office-based procedures, complex surgeries, cancer treatments, and male health care. Some of the distinct issues are global surgical periods for operations such as TURP (CPT 52601) and vasectomies (CPT 55250), accurate coding for cystoscopies with interventions (CPT 52000, 52005, 52204), and charging for expensive biologic treatments for prostate cancer (HCPCS J9217, J9271). In addition, there are considerable financial complexities in correctly identifying diagnostic versus surveillance procedures, using modifiers for staged surgeries, and handling urodynamic testing documentation. Billing Care Solutions is a company that offers specialized urology billing services, which guarantees that office visits (CPT 99203–99215), procedures, and robotic surgeries are coded correctly and compliant with payer rules and procedure-specific guidelines, thus, reimbursement is maximized, and denials are reduced.
Our Expertise in Urology Billing
- ✔Customized Solutions: We tailor our services to meet the specific needs of your urology practice.
- ✔Patient-Centric Communication: We ensure clear and open communication with patients regarding their billing inquiries and responsibilities.
- ✔Expert Billing Professionals: Our team possesses in-depth knowledge of urology billing and coding intricacies.
- ✔Timely Claims Submission: We prioritize prompt submission of claims to minimize payment delays.
- ✔Continuous Support and Resources: We provide ongoing training and resources to keep your staff informed about best practices.
Enhance Financial Performance in Your Urology Practice
< 25
Days in AR
40%
Revenue Increase
< 5%
Denial & Rejection
99%
Clean Claims Rate
100%
Client Retention
What You Need to Know About Urology Billing Services
Our urology billing services are dedicated to fully supporting the medical supply of urological care that includes routine office visits, in-office procedures, major surgeries, oncology treatments, and hormone therapy. We are the ones who deliver the correct coding and documentation of the performance of cystoscopy, prostate biopsy, nephrectomy, TURBT, and stone removal, and at the same time managing global surgical periods and putting the right modifiers for multiple procedures. The team is on the front line with claim submission, payment posting, and denial management that is proactive in order to maximize reimbursements and reduce the errors. As a result of managing the administrative and financial sides, urology practices are given the time to see more patients and at the same time keep their revenue cycle going steady and efficient.
Explore More SpecialtiesSurgical Urology Procedure Billing
Expert coding for TURBT, prostatectomy, nephrectomy, and stone removal procedures in urology practices.
In Office Procedure Billing
Accurate coding for cystoscopy, urodynamics, vasectomy, and prostate biopsy services in-office.
Global Surgical Package Management
Meticulous management of global periods for both major and minor urological surgical procedures.
Oncology Billing for Bladder and Prostate Cancer
Proper billing for cancer treatments including BCG instillations, radiation therapy, and related services.
LHRH and Injection Therapy Billing
Ensure correct coding and reimbursement for hormone therapy injections, implants, and related treatments.
Modifier Usage for Multiple Procedures
Expert application of modifiers to bypass payer bundling edits during multiple surgical procedures.
Why Choose Our Urology Billing Solutions
We simplify the billing process of urology practices, from exact coding to the submission of claims on time, thus, decreasing the administrative workload and your team being able to concentrate on patient care.
Trusted Urology Billing Support Across US
Urology practices manage a variety of procedures, from routine exams to specialized surgical interventions. Our billing team is committed to accurate coding, timely submission of claims, and efficient management of the revenue cycle, thus, decreasing denial of claims and administrative stress. By taking care of these billing details, we give your staff the freedom to concentrate on patient care while your practice generates steady and reliable income.
Why Do Healthcare Professionals Choose BCS Medical Billing Services?
24/7 Rapid Response Time
Practice Health Plan
Error Free Billing
Practice Health Audit
Constant Revenue Boost
Claims Submission Success Rate
Fast Revenue Restoration
Free Consultantion Call
Urology Billing FAQ's
In a standard diagnostic cystoscopy without any intervention, 52000 should be used. Make sure to document your findings thoroughly to provide medical necessity if asked.
Needle biopsy is coded as 55700. Fill the patient details, indications, and mention the number of cores taken. The correct documentation is the key to proper reimbursement.
When a tumor is removed during a cystoscopy, the code to be used is 52204. Writing down the operation details and the pathology specimens will help support the correct billing.
Shock wave lithotripsy should be coded as 50590. The location and size of the stone, together with the patient details, should be there in the documentation to be safe from claim denials.
Comprehensive testing is to be coded as 51726. Document every measurement and finding to support the clinical necessity and to be reimbursed.
First of all, one must make sure that the coding is accurate, insurance eligibility is verified, and the procedures are documented thoroughly. Also, claim acceptance rates can be increased by doing regular audits and submitting claims on time.
Definitely, telehealth specific CPT codes should be used. In order to get the correct reimbursement, patient consent, symptoms, and evaluation notes must be documented.
That depends on the payer. In order to make sure the claim is properly submitted, it is necessary to document patient consent, procedure details, and the indications.
Insertion should be coded with 51701. Patient indication and procedure details should be included. By accurate coding, one can avoid underpayment or denials.
It is better to have an automated system for claims processing, be aware of payer trends, and regularly perform coding audits. Besides, clear documentation and correct coding help to maximize collections and decrease denials.
What Our Clients Say
Trusted by healthcare professionals and organizations nationwide for accurate billing and reliable results.
Jennifer Aaron
Cardiologist, HeartCare Clinic“Billing Care Solutions offers exceptional billing services with responsive and professional customer support. Their user-friendly system has streamlined our processes and reduced our workload. Any issues were resolved promptly and efficiently. Highly recommended for reliable billing solutions.”
David Lieske
Chief Strategy Officer“Billing Care Solutions LLC and Adnan Qamar have been assisting our organization with our billing services, and they have performed in a world class manner. Their collaboration with our Revenue Cycle Management Team and Clinical Management has been seamless and professional. Top notch!”
Linh Tran
Chief Finance Officer, My CHN“I have been working with Adnan and his team for more than 2 years. They are very knowledgeable in medical billing and very responsive to our needs. Adnan has good contacts with payers reps and familiar with payers’ requirements which help the works done quicker and easier ! I recommend his services to revenue cycle managers ! ”
Ashley Sahakian
Owner, Express Wellness LLC“I have experienced nothing but the best service and quick results when it come to their services. They are very friendly, and professional. They have really helped me grow my business! Thank you all so much! God bless!”
Zahid Mehmood
Manager BD, CRM“Organised and timely completion of the task. Adnan team handled the project with utmost professionalism and made the whole process seamless from gathering the requirements till completing the enrolment process along with keeping us informed through out the process.”
Melissa Renteria
CEO, Family Health Center“Excellent service and quick turn around, knowledgeable and friendly. I have worked with Adnan for years and I have enjoyed it, he is punctual on his projects and very efficient. I highly recommend using his services you won't be disappointed!”
Emily Kariuki
Owner, Home Health Agency“Great service. Professional, friendly, people who get the job done. The best”
Donna Taylor
Manager“very professional and great customer service. Would highly recommend”
Judy Kariuki
Operations Coordination Manager“So far, all expectations have been met. Billing Care Solutions work has resulted in fewer billing rejections and increased clients from the marketing efforts. The team has impressed the client with their rapid response and timely service delivery. Billing Care solutions communicates via email, messaging apps, and virtual meetings.”