We bank on a strategic ratio of human expertise and advanced billing software to deliver top-notch urology billing services. Our aim is to curb claims denials while overhauling your urology billing system. This approach enabled us to simplify billing management for hospitals and doctors specializing in treating urinary system dysfunctions, including cystoscopy, prostate biopsy, sling procedure, artificial urinary sphincter (AUS), TURP, and many more urology practices. Here are the steps we take to facilitate urology billing for your practice:
- Leverage billing-related digital technologies, such as EMR, EHR, EDI, and PMS, to facilitate accurate and on-time electronic claims processing.
- Verify patient details including demographics, medical history, and physician referrals and insurance payer information at the time of registration to ensure data accuracy in claims documentation.
- Determine and confirm pre-authorization requirements, secure approval from payers when needed.
- Conduct real-time claims scrubbing to quickly identify and resolve billing errors, reducing claims denials and improving the revenue cycle.
- File claims as per urology's latest coding, such as CPT codes (50000 to 55899), including urology-specific CPT (cystoscopies, lithotripsies, prostate biopsies), ICD-10, HCPCS Level II procedure codes, etc., to avoid errors and potential penalties.
- Adhere to pertinent regulations and payer billing guidelines while handling Fee-for-Service Billing, Capitation Billing, Episode-of-Care Billing, Value-Based Billing, and more.
- Submit claims electronically as per the fee schedules and payment guidelines of government insurance payers such as Medicaid, Medicare and private insurance companies (UnitedHealthcare, Anthem, Aetna), Tricare, Workers' Compensation, Commercial Health Plans, and more.
- Conduct the claims review process by examining EOBs, starting the appeals process as needed.
- Analyze EOBs to determine patients’ financial responsibility (co-payments, deductibles, co-insurance).