Urology Medical Billing Services

The small ones attached to a bigger procedure. Instillation drugs, specimen handling, and supplies used during an office procedure are documented clinically and then left off the claim. The procedure itself is rarely forgotten. We reconcile the drug and stock log against submitted charges at the end of each clinic day, which closes the gap permanently.

Check the last covered date before ordering. Screening is payable at set intervals, and a test repeated early without a documented clinical reason denies. Testing prompted by symptoms or an abnormal result is billed differently and is not subject to the same interval. We flag orders falling inside a limit so the clinician can document the reason or reschedule.

Only when your practice owns the equipment and provides the staff. If the study runs on a facility's equipment, you bill the interpretation alone and the facility bills the technical portion. Billing globally in that case collides with their claim. We set the rule per location during onboarding so it is applied automatically each time.

It depends on the specific procedure code, because some already include the guidance. Adding a separate line when it is bundled triggers a correct coding edit and can look like unbundling. Where guidance is genuinely separate, it should be billed. We resolve this at coding rather than reacting to a denial, which keeps the claim clean and defensible.

By knowing the global period before the patient returns. Routine post-operative visits are already included in the surgical fee, and billing them separately gets recouped. Care unrelated to the surgery stays billable with the right modifier. We log each procedure date with its global length so your front desk sees a flag at check-in rather than guessing.

Absolutely, and it should never be folded into the visit charge. Cystoscopy is a distinct procedure with its own value, and whether it was diagnostic or therapeutic changes the code. Some practices bill only an office visit for an appointment that included a scope. Reviewing a week of clinic notes against claims usually reveals several of these.

Evidence that conservative treatment was tried first. Many plans require documented failure of behavioural or medical management before approving a procedure or device. Requests without that history get denied even when the procedure is clearly appropriate. We assemble the treatment history at the authorisation stage, which improves approval rates and shortens the wait.

As separate items alongside the procedure, with the specific device recorded. Prosthesis and sling materials carry their own value, and omitting them means absorbing a real cost. The operative note needs the device identified rather than described generically. We reconcile implanted items against the procedure record so nothing significant goes unclaimed.

Yes, and they need separate handling. Hospital work carries different places of service, different enrollment records, and often arrives late enough to threaten filing deadlines. Office procedures need daily reconciliation. We run both from one team with location-specific rules, and report office, procedure, and surgical revenue separately so you can see each clearly.

Daily reconciliation of the procedure room. In urology the largest losses are charges never submitted rather than claims denied, and they happen on the busiest days. Comparing one week of clinic notes against submitted claims almost always finds unbilled procedures, drugs, and specimens. The fix is process, not clinical change, so it pays back immediately.