NeuraBill offers tailored urology billing solutions that manage medical billing for all urology subspecialties. Partner with us to maximize reimbursements, optimize revenue, and reduce denials.
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Urology revenue cycle management (RCM), including medical billing, demands expertise and in-depth knowledge of the specialty for optimal financial health. From accurate coding of complex procedures to diligent claim submission and follow-up, every step impacts the practice’s revenue. Without robust solutions and proactive strategies in place, practices face significant denials, delayed payments, and increased administrative burden.
At NeuraBill, we offer a comprehensive suite of urology billing services designed to streamline operations and maximize revenue. Our dedicated workforce comprises certified professional coders (CPCs) and urology billing experts who understand the nuances of urology services. Working as an extension of your team, we ensure compliance and efficiency with every claim submission.
Urology practices across the U.S. are struggling to navigate a complex billing landscape. From constant regulatory changes to unique coding challenges, they struggle to stay updated and ensure compliance and accuracy. These hurdles result in administrative burden, revenue leakage, and a diverted focus from patient care. Choosing the right urology medical billing partner can help overcome all these challenges.
NeuraBill is a leading medical billing partner offering tailored urology billing and coding services to practices of all sizes. We have designed our billing solutions to address the unmet needs of your specialty. By outsourcing urology billing workflows to NeuraBill, practices can enhance compliance, streamline operations, optimize cash flow, and effectively balance clinical and financial responsibilities.
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It is often challenging to distinguish between screening and diagnostic prostate-specific antigen (PSA) tests. Hence, coding errors occur due to unclear medical indications (family history vs. elevated PSA) and mismatched diagnostic and procedural codes.
In urology medical billing, some procedures are part of a global surgical package, and you cannot bill them separately. Unnecessary unbundling of services in hopes of higher reimbursement results in claim denials, audits, financial penalties, and lawsuits.
Failure to obtain pre-authorization for high-risk urology procedures results in payment denials. Urology billing policies vary across payers. If one payer does not require you to get approval for a specific service, it does not mean other payers follow suit.
Another common challenge in medical billing for urology is reporting incontinence procedures, such as injectables and sling insertions. These procedures require attention to detail as code descriptors vary based on the specific material used and service type.
Urology billing and coding for stone management procedures, such as lithotripsy, is challenging. Since they follow different approaches and subsequent procedures, it is essential to navigate distinct sessions, CPT codes, and global periods for timely payment.
Urology treatments are constantly innovating. However, rendering these new services without proper insurance verification may lead to nonpayment. Even seasoned urology billers face denials when a patient’s specific plan does not cover these new procedures.
The urology procedural codes maintained by the American Medical Association (AMA) are categorized based on specific organs, such as the kidneys, male genital, bladder, ureter, and urethra. These CPT codes span from 50010 to 55899. They cover various urology treatments, including excision, biopsy, transplantation, laparoscopy, vasectomies, repairs, and endoscopy, such as cystourethroscopy, urethroscopy, and cystoscopy.
50010-50593
Surgical Procedures on the Kidney
50600-50980
Surgical Procedures on the Ureter
51020-52700
Surgical Procedures on the Bladder
53000-53899
Surgical Procedures on the Urethra
54500-54699
Surgical Procedures on the Testis
54700- 54901
Surgical Procedures on the Epididymis
55000- 55060
Surgical Procedures on the Tunica Vaginalis
55200-55400
Surgical Procedures on the Vas Deferens
55600- 55680
Surgical Procedures on the Seminal Vesicles
55700-55899
Surgical Procedures on the Prostate
Nearly 14,000 urologists are ‘actively’ practicing in the USA. That is, they spend at least 25 hours per week on clinical activities. For these busy specialists, navigating urology billing and coding complexities is a significant drain. As a result, urology practices struggle with delayed claim submission, denied claims, and strained revenue cycles.
At NeuraBill, acknowledging these unique challenges, we support numerous urology practices with our premium urology billing solutions. Our specialty services are available nationwide to ensure accurate coding, efficient denial management, and consistent cash flow, leading to healthier revenue cycles for our partnered practices. Now, urologists can focus on what they do best – providing exceptional patient care.
At NeuraBill, our experts have designed urology medical billing services to streamline all aspects of your practice’s billing workflow. Thus, we handle everything from charge entry to payment posting, A/R follow-up, and denial management.
We understand that the U.S. healthcare billing landscape is complex and ever-evolving. Non-compliance with rules and regulations can result in heavy penalties and reputational damage. Therefore, our team of certified coders and urology billing experts strives to stay current on all the federal and state laws. Moreover, our urology billing services are 100% HIPAA-compliant. We also adhere to the payer-specific guidelines while submitting each medical claim.
You should outsource urology billing if your practice struggles with an unsteady cash flow, frequent denials, or increased administrative burden. Urology billing is complex. It demands industry knowledge and precision. An outsourcing billing partner brings its expertise to the table without increasing your overhead costs. As a result, you experience improved collections, reduced staff burnout, and enhanced claim first-pass rate.
Typically, our clients experience significant improvements in their urology RCM within 3-6 months of outsourcing. However, you can start noticing minor wins within the first two months of acquiring NeuraBill’s urology medical billing services. These may include faster claim submissions, a lower denial rate, and a higher collection rate.