Urology billing is complex because of the usage of multiple CPT combinations and global periods to payer-specific edits that vary by procedure to procedure. With Doctor Management Services, you get accurate coding, clean claims, and denial prevention for every urology claim. Whether you’re billing for cystoscopy, lithotripsy, or surgical procedures, we make sure your claims get approved the first time.
Urology billing requires accuracy, consistency, and a deep understanding of procedure rules, which vary from state to state. Our team handles the details of pre-authorization, surgical coding, modifier usage, and denial management while you focus on patient care.
DoctorMGT delivers specialized urology medical billing services designed to optimize coding accuracy with seamless financial operations. As a trusted urology billing company, we help practices reduce denials, speed up reimbursements, and maintain a stable revenue cycle through our end-to-end urology billing services.
We validate every urology claim before submission, checking CPT, ICD-10, and modifier accuracy for procedures like cystoscopy, vasectomy, and TURP. Each submission is scrubbed against CMS, NCCI, and payer-specific edits to eliminate rejections.
We handle prior authorizations for cystoscopy, lithotripsy, vasectomy, TURP, and other high-volume urology procedures. Our authorization specialists manage portal submissions, attach required documentation, and follow up until approvals are confirmed.
Our urology billing specialists monitor global surgical periods to avoid overlapping claims and reduce bundling errors. Denials for post-op visits, multiple procedures, or modifier misuse are resolved quickly with complete payer documentation.
As a urology billing company USA, we enhance your revenue cycle by improving coding precision, charge capture, and claim turnaround. Our reports highlight payer trends, denial causes, and monthly revenue performance, giving you total control over your practice’s financial health.
Our Stats
Urology billing and coding often involves multiple CPTs in one encounter, such as cystoscopy with biopsy or stone removal. At Doctor Management Services, we apply correct modifier usage (like 51, 59, and 76) and sequence the codes accurately to ensure all payable services are recognized by the payer.
Yes, we handle both office-based and hospital-based billing, including inpatient and ASC claims. Our billing specialists coordinate with surgical schedulers and hospital coders to capture all charges from pre-op to post-op, ensuring no missed revenue.
Denials for these procedures often result from missing documentation or incorrect diagnosis mapping. Our urology medical billing team in California validates each CPT (51726–51729, 50590, etc.) with the correct ICD-10 pairing, and pre-checks medical necessity under CMS and payer guidelines before the claim goes out.
Absolutely, we manage the full prior authorization workflow for USA physicians from collecting clinical details and submitting through payer portals to following up until approval. Your staff can focus on scheduling while we handle the payer-side legwork.
We track each surgical procedure’s global period and link post-op visits correctly to prevent rejections for bundled services. Our billing system automatically flags any date-of-service conflicts to ensure claims are compliant and payable.
Yes, our outsourced urology billing services in California include this. If your clinic owns diagnostic equipment (like ultrasound or cystoscopy units), we manage both professional (physician) and technical (equipment/facility) billing components so you receive complete reimbursement for each service.
We update our billing software with new payer rules, CPT revisions, and LCD changes every quarter. Each urology claim is reviewed against CMS and NCCI edits before submission, which reduces audit risk and improves first-pass success rates.
Yes, we integrate with most EHR platforms used in urology, including Athenahealth, Kareo, eClinicalWorks, and others. Our team imports charges directly, scrubs them for accuracy, and syncs reporting back into your system.
Yes, we handle patient statements, payment posting, and follow-ups professionally, maintaining clear communication with your patients. This reduces administrative stress for your front desk and keeps patient satisfaction high.
Yes, we coordinate anesthesia billing for urology procedures when performed in-house or at an ASC. Our billing flow ensures proper time units, modifiers, and crosswalks between CPT and ASA codes are accurately reflected.
