Billing Solutions Tailored for Urology Practices

Urology Billing Services That Cut Rejections and Boost Collections

We manage your urology billing with specialty-specific coding, authorization handling, and hands-on denial resolution to ensure smoother cash flow.

15+

Years in Urology Billing

150+

Healthcare Providers

30+

Billing Platforms

50+

Specialties Supported

Why Urology Practices Choose Us

Urology billing involves a high volume of surgical and diagnostic services that demand precision and specialty knowledge. Our team is experienced in coding for cystoscopies, lithotripsy, prostate biopsies, and urodynamic studies, ensuring accurate modifier use and clean documentation every time.

We handle prior authorizations, manage payer-specific rules, and work directly in your EHR to reduce denials and accelerate reimbursements. With structured workflows and urology-focused billing support, we help providers maintain financial accuracy and improve revenue performance.

99% First-Pass Rate

Claims are submitted clean and accurate, resulting in faster approvals and fewer delays. That way, your team stays focused on operations instead of chasing down rejections.

Up to 30% Revenue Growth

Our clients typically see improved collections within the first 90 days of service, resulting in stronger cash flow and fewer revenue gaps from the very start.

120+ Days AR Recovery

We prioritize high-value claims, apply payer-specific follow-up strategies, and track recovery metrics to ensure nothing slips through the cracks.

100% System Integration

We work within your existing EHR and PM systems, ensuring a smooth and efficient setup. Integration is quick and your workflow stays uninterrupted.

RCM Solutions Tailored for Urology Billing

End-to-end billing support designed for urology procedures, compliance management, payer-specific coding, and consistent revenue growth.

Onboarding

Patient Onboarding & Eligibility Verification

Prevent denials with upfront insurance checks and streamlined registration.

charge

Charge Capture & Medical Coding

Expert medical coders ensure precise billing, no missed charges, full compliance.

AR Management & Patient Communication

Claims Submission & Monitoring

Accurate, timely submissions with continuous tracking and follow‑up.

Denial Management & Appeals

Denial Management & Appeals

Swift recovery of rejected claims and prevention of future denials.

Payment Posting & Reconciliation

Payment Posting & Reconciliation

Ensure all payments are matched, discrepancies resolved, and books balanced.

Claims Submission & Monitoring

AR Management & Patient Communication

Proactive collections with empathetic patient support and transparent billing.

Proactive AR Follow-Ups

Proactive AR Follow-Ups

Turn delays into dollars, chase every outstanding payment with persistence, turning aging accounts into active assets.

Transparent Patient Communication

Transparent Patient Communication

We make billing effortless, with clear, timely statements that build trust, eliminate confusion, and inspire prompt, fast payments.

Reporting & Regulatory Compliance

Reporting & Regulatory Compliance

Advanced analytics and audit-driven compliance reveal trends, reduce risk, and drive smarter decisions.

Onboarding

Patient Onboarding & Eligibility Verification

Prevent denials with upfront insurance checks and streamlined registration.

charge

Charge Capture & Medical Coding

Expert medical coders ensure precise billing, no missed charges, full compliance.

AR Management & Patient Communication

Claims Submission & Monitoring

Accurate, timely submissions with continuous tracking and follow‑up.

Denial Management & Appeals

Denial Management & Appeals

Swift recovery of rejected claims and prevention of future denials.

Payment Posting & Reconciliation

Payment Posting & Reconciliation

Ensure all payments are matched, discrepancies resolved, and books balanced.

Claims Submission & Monitoring

AR Management & Patient Communication

Proactive collections with empathetic patient support and transparent billing.

Proactive AR Follow-Ups

Proactive AR Follow-Ups

Turn delays into dollars, chase every outstanding payment with persistence, turning aging accounts into active assets.

Transparent Patient Communication

Transparent Patient Communication

We make billing effortless, with clear, timely statements that build trust, eliminate confusion, and inspire prompt, fast payments.

Reporting & Regulatory Compliance

Reporting & Regulatory Compliance

Advanced analytics and audit-driven compliance reveal trends, reduce risk, and drive smarter decisions.

Ready to Improve Your Urology Billing Outcomes?

If your practice is dealing with delayed payments, claim rejections, or workflow inefficiencies, it’s time to improve your billing system. We provide urology-focused RCM solutions that streamline coding, reduce denials, and help you get paid faster without changing your internal operations.

Our onboarding process is fully managed and personalized to your existing systems. From the first consultation to full billing go-live, we ensure a smooth and efficient setup.

1

Consultation Call

Talk Today
Call Scheduled
Form Submitted

2

Solution Meeting

PROMBS Intro
Needs Discussed
Start Date

3

Contract Finalization

Terms Agreed
Docs Signed
Inquiries Resolved

4

Operations Kickoff

Billing Transfer
Roles Assigned
Systems Ready

5

Transition Icon

Successful Transition

Strategy Set
Goals Aligned
Launch Confirmed

Why We Are Best at Urology Billing Across the U.S.

We provide end-to-end billing and RCM solutions built specifically for urology practices across the U.S. Our team understands the unique coding requirements for procedures like cystoscopies, vasectomies, prostate biopsies, and urodynamic testing. We manage global periods, surgical modifiers, and prior authorizations to help reduce denials and increase revenue collection.

By working directly within your EHR or PM system, we handle daily claim submissions, aggressive AR follow-up, and full denial resolution without disrupting your daily workflow. Our urology-specific approach ensures compliance, accuracy, and financial performance. That’s why urology practices nationwide trust us to manage their revenue cycle with confidence.

What Our Clients Achieve with Our Urology Billing Services

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Get Free Urology Billing Consultation Speak with a urology billing expert today and take the first step toward a more reliable and profitable billing process.

Medical Billing Software We Leverage for Revenue Cycle Management

Here are some Industry top listed EHR being operated by us.

Our Esteemed Clients' Testimonials

FAQs for Urology Billing Services

What is urology billing, and how does it differ from general medical billing?

Urology billing involves coding and submitting claims for procedures related to the urinary tract and male reproductive system, such as cystoscopies, vasectomies, prostate biopsies, and urodynamics. Unlike general billing, urology claims often require specific modifiers, multiple CPT codes, and frequent use of diagnostic testing codes. Our billing team understands urology’s procedural complexity and helps reduce denials by ensuring accuracy in both coding and compliance.

Why should urology practices use specialty billing services?

Urology practices benefit from specialty billing services because of their procedural variety and payer-specific billing rules. We provide accurate coding, pre-auth handling, modifier application, and post-op tracking—all without disrupting your daily workflow. This leads to faster payments, fewer rejections, and stronger cash flow.

How do you handle CPT coding for urology procedures?

Our certified coders are trained in urology-specific CPT codes and guidelines. We accurately apply codes for procedures like 51701 (insertion of catheter), 52000 (cystoscopy), and 55700 (prostate biopsy), and verify diagnosis-to-procedure alignment to ensure compliance and reimbursement.

Can you help reduce claim denials for urology billing?

Yes. We proactively identify and correct the causes of common urology claim denials—such as missing modifiers, global period conflicts, or incomplete documentation. Our denial resolution workflows focus on first-pass accuracy and rapid follow-up for appeals.

Do you manage pre-authorizations for urology procedures?

Absolutely. We verify eligibility, obtain authorizations for procedures like vasectomies and urodynamics, and document approvals for submission. This prevents claim denials due to missing payer requirements.

How do you handle global periods in urology billing?

We track each procedure’s global period and apply the correct modifiers (e.g., 24, 25, 78) to ensure compliance for postoperative billing. This avoids double billing and payer penalties, while helping capture all eligible revenue.

Can you integrate with our current EHR or PM system?

Yes. We integrate directly with your EHR or PM system—Epic, eClinicalWorks, Athenahealth, NextGen, or any platform you use—so you don’t have to switch systems. We work behind the scenes while keeping your operations uninterrupted.

How do you follow up on unpaid urology claims?

Our A/R team follows structured workflows to identify and chase down unpaid claims. We focus on high-value and aging claims first, submit appeals promptly, and provide full visibility into the status of each account to keep your cash flow steady.

Is your billing team familiar with Medicare and commercial payer rules for urology?

Yes. We stay current with CMS and private payer rules specific to urology. Whether you’re billing Medicare Advantage or private insurers, our team ensures all services are compliant with payer-specific guidelines and medical necessity policies.

What kind of reports do you provide for urology billing performance?

You’ll receive weekly or monthly reports showing KPIs such as claim acceptance rates, collections, denial trends, AR by aging bucket, and coding errors. These reports help you stay in control of your revenue cycle.

How fast can we expect to see improvements in collections?

Most urology clients see noticeable improvements within 30 to 90 days. Our billing process starts with a full onboarding review, followed by rapid optimization of clean claims, documentation, and AR follow-up.

Do you handle diagnostic testing and in-office procedure billing?

Yes. We handle urodynamics, bladder scans, prostate screenings, and more. We ensure documentation supports the medical necessity of each test and that claims include correct CPT and ICD-10 codes.

What are the most common billing errors in urology practices?

Common errors include incorrect modifier use, missing prior authorizations, global period billing issues, and invalid diagnosis pairing. We help eliminate these issues and educate your team to avoid repeated mistakes.

How do I get started with your urology billing services?

Getting started is easy. Schedule a free consultation. Our team will audit your current billing process, identify improvement areas, and provide a tailored onboarding plan to transition smoothly—without disrupting your clinic operations.

Head Office | Houston

857 Tristar, Suite A1,
Webster, TX 77598, US.

Nevada Office

2300 W Sahara Avenue, Suite 800,
Las Vegas, NV 89102, US.

Colorado Office

1600 Broadway, Suite 1600,
Denver, CO 80202, US.

Las Vegas Office

732 S 6TH ST, STE R,
LAS VEGAS NV 89101, US.

Virginia Office

5600 General Washington Dr Ste B207,
Alexandria, VA, 22312, US.

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