Podiatry Practice Billing
Urology is a specialized field of medicine that focuses on the diagnosis and treatment of disorders of the urinary tract and male reproductive organs. Due to its broad scope, urology practices handle a wide range of procedures, including surgical interventions, diagnostic imaging, and long-term patient management. However, billing for urology services is a multi-faceted process which presents unique challenges due to the complexity of procedures, frequent policy changes, pre-authorizations, coding errors, compliance problems and insurance requirements.
By outsourcing urology billing to us, you can benefit through accurate claims submission, maximized reimbursements, and reduced denials. We can bring expertise, streamlined processes and a dedicated team to maximize reimbursements and minimize denials. This can help your practice achieve financial stability, improve workflow efficiency and enhance patient care.
Unbeatable Service, Quality & Price
ACCURACY
0
%
TURNAROUND TIME
<
0
Hours
COLLECTION
0
%
PRICE
Starting from $
1100
/Month
CHALLENGES
Challenges in Uruology Practice Billing
Complex Coding Requirements: Urology involves a combination of diagnostic imaging, surgical procedures, and office-based treatments. Assigning the wrong CPT code or missing a required modifier can result in claim denials.
Frequent Pre-authorization Requirements: Many urological procedures, such as lithotripsy, cystoscopy, and certain imaging tests, require prior authorization. Insurance companies often change their policies, making it difficult for in-house billing teams to stay compliant.
Bundling Issues: Insurance carriers often bundle urological procedures, meaning they consider multiple services as part of a single payment instead of reimbursing them separately. Understanding the National Correct Coding Initiative (NCCI) edits is crucial to avoid reimbursement losses.
OUR PROCESS
Our Uruology Practice Billing Process Workflow
At RCM Workshop, the urology practice billing process involves several key steps to ensure accurate and timely reimbursement for services provided. We start the process with patient registration, where we collect and verify patient information and insurance details. This is followed by medical coding, where we assign appropriate CPT and ICD-10 codes to the services provided. We enter these codes into the billing system during charge entry to generate charges. Then we submit the claims to the insurance companies, ensuring all necessary information is included to avoid denials. We record payments received from insurance companies and patients during payment posting and address any rejected claims through denial management.
After insurance payments, we send bills to patients for any remaining balances and manage patient inquiries, including setting up payment plans if necessary. We also report and analyze billing reports regularly to help identify trends, monitor financial performance, and make improvements to the billing process. By implementing a reliable urology-specific EHR system, we can streamline your workflow, reduce errors, and improve overall efficiency. This comprehensive approach ensures that urology practices maintain financial health while providing quality care to patients.
Scheduling & Registration
Carry out well-coordinated appointment scheduling, update insurance details, and handle inbound and outbound calls from/to patients.
Eligibility & Benefits Verification
Confirm primary and secondary insurance and benefits coverage of patients and verify their coverage, co-pays, co-insurance, and deductibles.
Prior Authorization
Initiate request for prior authorization with the payer, follow up to check its status till closure and finally update the system with Auth approval reference number.
Medical Coding
Check the accuracy of codes and modifiers according to specialty and assign corresponding and appropriate charges to the codes.
Charge Posting
Enter the charges for the services provided into the billing system including the cost of the medication and the administration fee.
Claims Edits & Submission
Audit the claims thoroughly to check for accuracy and edit if necessary and submit claims – both EDI and paper format.
Payment Posting
Carry out both auto as well as manual posting for payments received and conduct reconciliation against claims.
Denial Management
Analyze and categorize denial claim according to denial codes, $ amount and payers, and resubmit claims after correction.
AR Management
Follow-up with payers to gather status for unpaid claims, and their resolution.
Patient Collection
Sending patient statements and follow-up with patients for final and outstanding payment.
You can confidently rely on us to manage your entire billing process, or you have the flexibility to select specific DME billing services that suit your needs, ensuring a seamless operation without any interruptions.
BENEFITS
Outcomes guaranteed
We leverage top industry practices and a data-driven approach to optimize revenue cycle processes while maintaining the highest quality standards. We don’t just manage your revenue, we enhance it. Our urology billing services are tailored to fit your workflow, ensuring significantly improved financial outcomes.
WHY US?
Why partner with us
Partnering with us can greatly benefit your urology practice by improving operational efficiency and financial health. With specialized knowledge of urology-specific codes, we can reduce billing errors and speed up claim approvals to ensure faster reimbursements and fewer denials. This partnership can allow you to focus more on patient care rather than administrative tasks, enhancing productivity and patient satisfaction. Additionally, we remain updated with the latest regulations, reducing the risk of costly errors and penalties, and providing detailed analytics to help practices make informed financial decisions.