What we handle for urology practices
Billers are assigned by specialty, so the person working your claims already knows your codes and your payers.
Office procedures
Cystoscopy, urodynamics and catheter procedures billed with correct site and supply codes.
Surgical procedures
Lithotripsy, TURP and prostate procedures coded to the operative note with correct global tracking.
In-office ancillaries
Ultrasound and pathology billed with the right technical and professional split.
Oncology-adjacent care
Prostate cancer treatment and injectable therapies billed with correct J-codes and units.
Where urology claims usually go wrong
These are the four issues we see most often when we take over a urology practice.
Urodynamics bundling
Multiple urodynamic components bundle under many payer policies. Billing each separately triggers takebacks.
In-office imaging splits
If you own the equipment you bill global. If you read a hospital study you bill professional only. Mixing them denies as duplicate.
Supply codes left off
Catheters, stents and other supplies are separately payable in some settings and routinely missed.
Global period on staged procedures
Staged urological procedures need modifier 58, not a fresh claim.
How we work
Eligibility, every day
Every next-day scheduled patient is verified for active coverage before the visit.
Charges validated
Codes and documentation are checked after the note is signed, before the claim is submitted.
Denials appealed
Every denial is reviewed, corrected and resubmitted. Nothing is written off by default.
Monthly reporting
Paid claims and AR aging reports so you can see exactly where your money is.
Urology billing questions
Something not covered here? Call (833) 305-5528.
Do you bill in-office pathology?
Yes, with the correct global or professional-only split depending on your setup.
Can you handle ASC facility claims?
Yes. Facility and professional claims are billed separately.
Do you bill injectable therapies?
Yes, including J-code units and documented waste.