01
Endoscopic Procedures
Cystoscopy and related endoscopic services require procedure-specific documentation, coding, and applicable bundling review.
UROLOGY SERVICES
Urology Services Built Around the Complexity of Urologic Care.
Specialty-focused medical billing, coding, and revenue cycle support for urology practices managing kidney stones, BPH, prostate conditions, cystoscopy, urodynamics, urologic oncology, men's health, and complex surgical and office-based services.
LET'S CONNECT
Talk to Our Urology Billing Team
Tell us about your urology practice, procedures, and revenue cycle needs.
WHY UROLOGY BILLING IS DIFFERENT
Urologic Care Connects Office Visits, Procedures, Surgery, and Specialty Payer Rules.
Urology practices often combine evaluation and management, endoscopic procedures, diagnostic testing, stone treatment, prostate care, oncology services, injections, and surgery. Each pathway can require different coding and billing considerations.
02
Prostate & BPH Care
Prostate evaluation, biopsy, BPH treatment, urinary symptoms, and surgical procedures create multiple revenue-cycle pathways.
03
Kidney Stone Treatment
Stone management may involve imaging, ureteroscopy, lithotripsy, stent placement, and recurring follow-up.
04
Urodynamics & Diagnostics
Urodynamic testing and other diagnostic services need accurate documentation, interpretation, coding, and claim linkage.
05
Urologic Oncology
Bladder, prostate, kidney, and other urologic cancer services can involve procedures, pathology, drugs, and complex follow-up.
06
Surgical Billing Complexity
Global surgery, modifiers, bundling, assistant-surgery considerations, and payer-specific rules can affect surgical claim workflows.
END-TO-END REVENUE CYCLE SUPPORT
Urology Medical Billing Services
From patient eligibility and charge capture through coding, claims, denials, payment posting, and A/R follow-up, our workflow supports the full urology revenue cycle.
01
Insurance Verification
Verify eligibility, benefits, coverage, patient responsibility, and applicable urology service requirements.
02Credentialing & Enrollment
Support provider enrollment, payer setup, credentialing, and maintenance of payer information.
03Urology Charge Entry
Capture office visits, diagnostic testing, procedures, injections, drugs, and surgical services.
04Urology Coding
CPT, HCPCS, ICD-10-CM, E/M, modifier review, diagnosis linkage, and documentation alignment.
05Claims Submission
Prepare, review, scrub, submit, and monitor urology office and procedure claims.
06Denial Management
Review denial causes, coding, documentation, authorization, corrections, and applicable appeals.
07Payment Posting
Post ERA/EOB activity, adjustments, patient responsibility, and remaining balances.
08A/R Follow-Up
Monitor aging accounts, payer follow-up, underpayments, and unresolved urology balances.
DIAGNOSTIC UROLOGY
Billing Support for Cystoscopy, Urodynamics, Imaging, and Diagnostic Care.
Diagnostic urology can combine office evaluation with endoscopy, functional testing, imaging, urine-related testing, and other diagnostic services. Each service needs to connect the procedure, diagnosis, documentation, and claim.
Cystoscopy
Billing and coding support for applicable diagnostic and procedure-based cystoscopy services.
Cystoscopy With Biopsy
Procedure documentation, diagnosis linkage, coding review, and claim support for applicable biopsy services.
Urodynamic Testing
Workflow support for urodynamic studies, testing documentation, interpretation, and coding.
Uroflowmetry
Support for applicable urinary flow testing, charge capture, coding, and claim preparation.
Bladder Function Testing
Billing workflows for documented bladder and lower urinary tract diagnostic services.
Renal & Pelvic Imaging
Diagnosis linkage and billing workflow support for applicable renal, bladder, prostate, and pelvic imaging services.
Urinary Tract Evaluation
Support for documented evaluation of hematuria, urinary symptoms, infections, obstruction, and related conditions.
Diagnostic Claim Review
Review of documentation, coding, modifiers, units, medical necessity, and claim edits.
Order / Visit
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Procedure
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Documentation
→
Coding
→
Claim
PROSTATE, BPH & UROLOGIC ONCOLOGY
Urology Billing for Prostate Care, BPH, Cancer Services, and Complex Follow-Up.
Prostate and urologic oncology workflows may involve evaluation, screening, biopsy, pathology, procedures, drug administration, surgery, and ongoing treatment monitoring.
Discuss Your Urology Workflow →
01
BPH & LUTS
Support for benign prostatic hyperplasia, lower urinary tract symptoms, evaluation, treatment, and follow-up.
02
Prostate Biopsy
Documentation, procedure coding, diagnosis linkage, pathology coordination, and claim review when applicable.
03
Prostate Cancer
Billing workflows for documented prostate cancer evaluation, treatment, procedures, and follow-up care.
04
Bladder Cancer
Support for applicable cystoscopy, biopsy, tumor treatment, surveillance, and oncology-related services.
05
Kidney & Upper Tract Cancer
Coding and billing workflows for applicable renal, ureteral, and upper urinary tract oncology services.
06
Urologic Oncology Drugs
Claim workflows for applicable administered drugs, instillations, injections, and oncology treatment services.
STONE, BPH & ENDOUROLOGY PROCEDURES
Procedure Billing Support for Stones, Obstruction, Stents, and Urologic Surgery.
Endourology can combine imaging, minimally invasive procedures, stone treatment, ureteral stents, prostate procedures, and postoperative follow-up. Coding and billing need to follow the actual procedure and documentation.
STONES
Kidney Stone Billing
Support for documented stone evaluation, treatment, follow-up, and related procedure claims.
URETER
Ureteroscopy
Procedure documentation, diagnosis linkage, coding review, and claim preparation for applicable cases.
LITHOTRIPSY
Lithotripsy Services
Billing workflow support for applicable stone-fragmentation procedures and associated documentation.
STENTS
Ureteral Stent Procedures
Coding and claim review for documented stent placement, exchange, removal, and related services.
BPH
BPH Procedures
Revenue-cycle support for applicable prostate procedures performed to manage benign prostatic hyperplasia.
BLADDER
Bladder Procedures
Support for documented transurethral and other bladder procedures, diagnosis linkage, and claims.
ROBOTIC
Robotic Urology
Billing workflow support for applicable robotic urologic procedures and surgical claim review.
SURGERY
Surgical Follow-Up
Review of applicable global-period, postoperative, modifier, and follow-up billing considerations.
Procedure
→
Operative Report
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Diagnosis
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Coding Review
→
Claim
UROLOGY MEDICAL CODING
Urology Coding That Connects Operative Documentation to the Claim.
Urology coding should reflect the documented procedure, diagnosis, medical necessity, modifiers, units, and applicable payer or coding rules. Endoscopic and surgical services also require attention to bundling and global-period considerations.
CPT Coding
Procedure coding for office visits, cystoscopy, urodynamics, endourology, prostate, bladder, and surgical services.
ICD-10-CM Coding
Diagnosis coding for urinary, renal, prostate, bladder, male reproductive, and related documented conditions.
HCPCS Coding
Review of applicable drugs, injections, supplies, devices, and other HCPCS-related urology services.
E/M Coding
Evaluation and management coding aligned with the applicable documentation and current requirements.
Modifier Review
Modifier selection is reviewed according to the documented service, applicable coding guidance, and payer requirements.
Global Surgery Review
Review of applicable global-period and postoperative billing considerations for surgical services.
NCCI Review
Claims can be reviewed for applicable NCCI edits, bundling relationships, and documentation support.
Medical Necessity
Diagnosis-to-procedure relationships, documentation, and payer medical-necessity requirements can be reviewed before submission.
Documentation
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Diagnosis
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CPT / HCPCS
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Modifier Review
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Global / NCCI Review
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Claim
INSURANCE & PRIOR AUTHORIZATION
Urology Insurance Verification and Authorization Support.
Coverage requirements may vary by payer, diagnosis, procedure, drug, device, site of care, and treatment pathway. We connect verification, authorization, documentation, and claim preparation.
Eligibility Verification
Confirm active coverage, benefits, patient responsibility, and plan information before urology services are delivered.
Procedure Authorization
Support applicable authorization workflows for procedures, imaging, testing, and surgical services.
Prostate Procedure Review
Coordinate payer requirements for applicable biopsy, treatment, and prostate-related procedural services.
Stone Procedure Authorization
Support applicable payer workflows for lithotripsy, ureteroscopy, stent-related procedures, and imaging.
Drug & Instillation Review
Coordinate payer-facing workflows for applicable injected, infused, or intravesical urology medications.
Medical Necessity
Connect the documented diagnosis and clinical rationale with applicable payer requirements before submission.
VERIFY
Eligibility
REVIEW
Benefits
AUTHORIZE
Payer Rules
DOCUMENT
Clinical Support
SUBMIT
Claim Ready
CLAIMS, DENIALS & A/R
Keep Urology Claims Moving From Submission to Final Resolution.
Urology revenue cycles can involve recurring office services, endoscopic procedures, surgeries, drug-related claims, payer edits, global-period issues, and aging balances. Every stage needs structured follow-up.
Claim Submission
Prepare and submit office, diagnostic, procedural, surgical, and applicable drug claims.
Claim Rejections
Identify billing-data issues, eligibility problems, claim edits, and submission errors.
Denial Management
Review denials involving coding, documentation, authorization, bundling, coverage, and payer processing.
Payment Posting
Post ERA/EOB transactions, contractual adjustments, patient responsibility, and remaining balances.
Underpayment Review
Review payer payments and identify accounts requiring additional research or follow-up.
Aging A/R
Prioritize outstanding urology balances by age, payer, account status, and required next action.
Claims
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Rejections
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Denials
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Payments
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Adjustments
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A/R
OUR UROLOGY RCM WORKFLOW
A Connected Billing Workflow for the Full Urology Revenue Cycle.
From eligibility and authorization through charge capture, coding, claims, payment posting, denial management, and A/R, every stage remains connected to the documented service.
01
Verify
Eligibility, benefits, coverage, and payer requirements.
02
Authorize
Applicable authorization for procedures, imaging, drugs, and services.
03
Capture
Visits, procedures, testing, surgery, drugs, and applicable supplies.
04
Code
CPT, HCPCS, ICD-10-CM, E/M, modifiers, and diagnosis linkage.
05
Review
Documentation, medical necessity, NCCI, global-period, and claim edits.
06
Submit
Clean claim submission and rejection management.
07
Resolve
Denials, payments, adjustments, underpayments, and A/R.
PRACTICE TYPES
Urology Billing Across Different Practice Models
Billing workflows can be structured around the procedures, subspecialties, payer mix, and operational model of each practice.
Private Urology Practices
Multi-Provider Urology Groups
General Urology Practices
Endourology Practices
Urologic Oncology Practices
Men's Health Practices
Pediatric Urology Practices
Hospital-Based Urology
FREQUENTLY ASKED QUESTIONS
Urology Services FAQ
What urology services do you support? +
Our urology billing workflow can support office visits, cystoscopy, urodynamics, kidney stone services, BPH, prostate procedures, urologic oncology, men's health, claims, denials, payment posting, and A/R.
Do you provide urology medical billing services? +
Yes. Urology medical billing can include charge entry, claim preparation, submission, payment posting, denial management, and A/R follow-up.
Do you handle cystoscopy billing? +
Yes. Applicable cystoscopy workflows can include documentation review, coding, claim preparation, denial management, and follow-up.
Can you support prostate biopsy billing? +
Yes. Prostate biopsy workflows can include procedure documentation, diagnosis linkage, coding review, claim preparation, and applicable payer follow-up.
Do you provide kidney stone billing services? +
Yes. Stone-related billing can include applicable evaluation, ureteroscopy, lithotripsy, stent services, imaging, coding, claims, and follow-up.
Do you handle BPH billing and coding? +
Yes. BPH workflows can include evaluation, lower urinary tract symptoms, office procedures, surgical services, coding, claims, and denial follow-up.
Do you provide urodynamics billing services? +
Yes. Urodynamic workflows can include testing documentation, interpretation-related billing, coding, claim review, and applicable payer requirements.
Can you support urologic oncology billing? +
Yes. Applicable workflows can include prostate, bladder, kidney, and other urologic oncology-related services, procedures, drugs, claims, and follow-up.
Do you provide urology medical coding? +
Yes. Coding workflows may include CPT, HCPCS, ICD-10-CM, E/M, modifier review, diagnosis linkage, documentation, global surgery, and applicable NCCI considerations.
Can you help with urology prior authorization? +
Yes. Authorization support can cover applicable procedures, imaging, medications, devices, and specialty urology services.
Do you manage urology claim denials? +
Yes. Denial management can include reviewing coding, documentation, authorization, coverage, bundling, payer processing, corrections, and applicable appeals.
Can you handle urology A/R services? +
Yes. A/R workflows can include aging review, payer follow-up, underpayment review, unresolved balances, and account resolution.
How does urology revenue cycle management work? +
A connected urology RCM workflow generally moves from eligibility and authorization through charge capture, coding, claim review, submission, denial management, payment posting, and A/R follow-up.
UROLOGY REVENUE CYCLE SUPPORT
Talk to Our Team →
Build a More Connected Urology Billing Workflow.
Bring urology billing, coding, procedure claims, denials, payment posting, and A/R into one structured process.