We Handle the Billing. You Handle the Healing
Urology medical billing and coding demands subspecialty-level expertise due to overlapping diagnostic, surgical, and global services governed by strict CMS, NCCI, Medicare, Medicaid, and commercial payer billing rules. Urology billing carries some of the highest denial risks because procedures span diagnostic, surgical, and global services with strict coding dependencies.
We resolve these issues through urology-specific coding workflows, payer-rule engines, real-time claim audits, documentation support, and aggressive follow-up.
Our end-to-end urology billing services cover the full revenue cycle
from insurance verification and prior authorization to clean claim
submission, denial management, A/R recovery, credentialing, and
compliance auditing
Urinalysis, urine culture, PSA testing
Scrotal & renal ultrasound billing
Uroflowmetry & basic evaluation tests
Cystoscopy with biopsy
Cystoscopy with fulguration
Cystoscopy with ureteral stent placement
Complex uroflowmetry
Pressure-flow studies
EMG & cystometrogram
TRUS prostate biopsy
Prostate volume assessment
Prostate ablation procedures
ESWL (extracorporeal shock wave lithotripsy)
Ureteroscopy with laser lithotripsy
Stone extraction procedures
Vasectomy & global period tracking
Bladder instillations
Catheter insertion/removal
Injection therapies
For every urology encounter, we perform
Documentation verification against clinical findings
ICD/CPT accuracy checks for diagnostic + surgical services
NCCI bundling + conflict detection
Frequency & medical necessity validation
Modifier review (RT/LT, 59, 51, 25, 76, 77, etc.)
Prior authorization verification (especially for BPH, ED & stone-related treatments)
Payer-specific compliance alignment
Submission through the clean-claim workflow
Fix: Automated global-period tracking + coder review.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
CO-50
CO-16
CO-151
CO-97
CO-109
PR-1
Not medically necessary
Missing info
Frequency limit
Bundled service
Not covered
Deductible
Not medically necessary
Missing info
Frequency limit
Bundled service
Not covered
Deductible
ICD crosswalk + attach clinical notes
Add OP report + pathology details
Eligibility check + reschedule
Apply correct modifiers
Verify payer policy + PA
Collect upfront
Talk with urology billing specialists experienced in surgical globals,
diagnostics, and payer-specific modifier rules.
Coding, claim submission, A/R recovery, surgical billing, global period management, supplies, imaging, diagnostics & procedure-level audits.
Because urology involves surgical + diagnostic care, strict global periods, NCCI edits, and payer-specific coverage for BPH, ED & stone disease.
Yes, with dedicated workflows and coder validation.
Yes, most practices see 30–50% improvement within 60 days.
Yes, from solo urologists to multi-location surgical practices.
Yes, Epic, Athena, eCW, NextGen, Kareo/Tebra & all major platforms.
