Urology billing services
PulseMedix offers specialized and affordable urology billing services to streamline the revenue cycle management of urology practices.
In the field of urology, multiple approaches for a procedure can result in different medical billing codes. Urologists employ a variety of techniques for the same procedure thus adding complexity to the billing and coding process. It is very important to stay up-to-date with current billing and coding practices. That is why underqualified billers and coders for urology medical billing can make you lose revenue and recruiting CUC-certified urology billing experts can increase operational costs.
Our team at PulseMedix understands the unique demands of urology billing, from the complexities of coding for various urological surgeries to the ever-changing landscape of payer differences.
Unparalleled CPT & ICD Code Expertise:
PulseMedix’s certified urology billers and coders have over a decade of specialized experience and are well-equipped to navigate the intricate nuances of urology billing. We ensure that your practice runs smoothly by managing CPT and ICD9/10 codes for urology surgeries, as well as addressing issues like modifier use and denial management.
- Expert handling of urology CPT codes (50010–58294) categorized by organs and comprehensive knowledge of ICD-10 codes related to urology surgeries.
- Medical billing for urology for specialized coding for various urology procedures, including incision/biopsy, excision, transplantation, catheter introduction, laparoscopy, endoscopy, repairs, and more.
Your Revenue Depends On Expert Urology Billing And Coding
Prior Authorization:
Ensuring prior authorization from insurance companies before rendering services to avoid denials.
Medical Necessity:
Justifying the medical necessity of treatments to facilitate accurate and fair reimbursement.
Eligibility & Benefits Verification:
Verifying patient eligibility and benefits at least 48 hours before appointments to minimize denials.
Accurate Coding:
Accurate usage of CPT and ICD-10 codes with the correct units to align with payer guidelines.
Modifier 59 Usage:
Implementing modifier 59 when billing for two urology services together.
LCD Guidelines Adherence:
We follow LCD guidelines before billing for urology services to ensure compliance.
Why Choose PulseMedix for Pain Management Medical Billing?
- Collection of accurate patient registration insurance information
- Prior authorization to ensure timely claims submission.
- Emphasis on medical necessity justification for urology treatments.
- Thorough eligibility and benefits verification to reduce denials.
- Electronic Claim Submission for faster processing
- Compliance with CLIA number requirements for lab tests.
- Strategic coding for maximum benefits, avoiding common pitfalls like non-covered services.
- Use of appropriate modifier to reduce denials
- Regular follow-up on outstanding claims.
- Accurate and timely payment posting
- HIPAA, HCPCS, and LCD-compliant coding
- Prompt preparation and transmission of the patient statement
- KPI monitoring
- Effective communication between billing staff, healthcare providers, and administrative personnel.