Medical billers and medical billing services are the financial backbones of any medical practice. Medical practices that do not have the proper medical billing expertise on their side might quickly lose more than 20% of potential revenue there.
Timely billing and prompt reimbursements are two criteria that determine the success and stability of any Urology practice. Urology medical billing is well-known for its complications with modifiers and other intricacies.
What is Urology Medical Billing?
Urology Medical billing is the mechanism through which clinicians bill insurance companies for services delivered to patients. Medical billing and coding specialists provide predefined codes for various procedures.
Many urology practices see the necessity for a professional medical billing service that can handle all of their billing mess. Similarly, to help them increase revenue. As a result, they believe that outsourcing is the best way to manage their urology medical bills and codes effectively.
According to urology practice reimbursement data, they leave around 10%–20% of their reimbursements uncollected. It is because of procedural failures and a lack of technical understanding of medical coding resources and Urology software. Furthermore, according to the American Accreditation of Ambulatory Surgery Facilities’ guidance, the urology specialty is still the least financially appealing.
Best three reasons to Outsource Urology Medical Billing
Enhanced revenue through improved Collection:
If you outsource your urology medical billing, your professional service provider will prioritize increasing income through ongoing collections. You’ll also notice a decline in your stress levels when your payments speed up. An experienced medical billing business provides you with the benefit of well-trained and highly-skilled coding and billing experts. These professionals will constantly update you on changes in urology coding and other payer regulations.
It will ensure that your claims are processed in a timely and error-free manner, ensuring no delay in payments. Another significant issue that urology practices may face is the how and why of claim denials. Also, it will help in making the strategies to avoid denials by effectively appealing to insurers for prompt payment. Your billing partner’s coders and billers will be capable of dealing with rejections and have a lot of experience.
Avoiding denials through improved quality checks
To avoid claims getting bogged down with frivolous denials, trained specialists will constantly keep a third eye on the exact procedure that has been performed. Catheterization codes, for example, might be confusing because they are frequently dependent on the clinical scenario for specific instances.
In the same way, if it is a case of urethral dilation. The Urology CPT codes for the first and subsequent dilations must be assigned appropriately. Otherwise, the reimbursement gets refused. Consequently, outsourcing your urology medical billing to a professional service provider eliminates the risk of rejections and underpayments.
Diminish operational Costs through a customized Urology software
Leaving your Urology coding to a professional and well-managed medical billing and coding company supports you keep your practice expenses under control with efficient services and highly-customizable billing software. It will improve your operations and raise your reimbursements constantly. Besides this, it will allow you to concentrate only on your practice and provide superior patient care.
A knowledgeable partner in urology medical billing and revenue cycle management can help your practice ensure compliance. Additionally, it will help in efficient denial management, correct Urology medical coding, and a healthy revenue stream. Implementing an EHR system or enhancing an existing system with customized templates tailored to urology needs might also assist urology practices.
Urology CPT coding for surgeries
CPT codes of Urology have been categorized based on the organs like Bladder, kidney, Urethra, and Male and Female genital organs.
Code Range: 50010-58294
ICD-10 CODE (Urology Coding Guidelines)
ICD-10 codes have primarily utilized in compliance with the LCD guidelines to minimize insurance denials. Following ICD- 10 codes used by the coders while coding for urology surgeries is as below.
- C00 – D49 – Neoplasm
- E00 – E89 – Endocrine, nutritional and metabolic diseases
- N00-N99 – Diseases of the genitourinary system
- Q50-Q56 – Congenital malformations of genital organs
- R30-R39 – Symptoms and signs involving the genitourinary system
What is the Modifier 59 CPT code?
“Distinct procedural service” CPT code used under the circumstances. When Physicians are billing for two urology services simultaneously, they must utilize modifier 59.
Why Precision Practice Management?
Precision has medical coders who are AAPC-certified in Urology (CUC™) and have years of experience coding for both surgical and ancillary procedures.
NEO MD is well-versed in the nuances of urology billing. Whether you’re billing Medicare for a non-screening PSA (prostate-specific antigen test) or advanced prostate cancer immunotherapy. Alternatively, if you are working on structuring your out-of-network charges, NEOMD is there. Our professionals are experts in maximizing reimbursement, reducing costs, and streamlining practice operations. NEOMDINC will work to identify problem areas and ensure the correct use of modifiers. Furthermore, we will educate your practice on best-in-class billing practices and procedures.
For services, you can contact us at ([email protected]) or (929) 502-3636).
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