● Urology Billing Specialists

Urology Billing Services for Procedure and Office Visit Claims

Claim Click Solutions handles in office procedure coding and surgical billing for urology practices, reducing denials tied to bundling and medical necessity.

Trusted by urgent care centers and multi-site groups.

97.6%

Clean claim rate

● The Problem

Urology billing breaks in places generic billers never check

Bundled scope procedures, laterality modifiers and global periods make urology one of the hardest specialties to bill correctly

Modifier errors on scope procedures

Incorrect −RT/−LT, −50 or −59 usage on cystoscopy and stone procedures triggers automatic payer denials.

Prior authorization delays

Imaging, injectables and specialty procedures stall for weeks when authorization requests aren’t tracked payer-by-payer.

Aging AR nobody follows up on

Underpaid and unpaid urology claims sit past 90 days because in-house staff lack time for payer-specific appeals.

● The Solution

A billing team that speaks urology, not just billing

We built our workflow around urology’s actual procedure mix — not a generic specialty template — so nothing slips through on the way to your bank account.

✓

Urology-only coding review

AAPC-certified coders validate every CPT, ICD-10 and modifier against urology-specific payer policy before submission.

✓

Authorization tracked to completion

Every prior auth is logged, followed up, and confirmed before the date of service — not after a denial arrives.

✓

AR that doesn’t sit still

Dedicated follow-up cadences on 30/60/90-day buckets, with appeals filed inside payer deadlines.

● Full-Service RCM

Full-cycle urology billing services

From the first eligibility check to the final posted payment, we manage the entire urology revenue cycle.

Urology Medical Coding

CPT, ICD-10-CM and HCPCS coding for cystoscopy, TURP, biopsies and stone procedures, with modifier and NCCI edit checks.

Prior Authorization

Eligibility verification and payer-specific authorization for imaging, procedures and specialty medications before treatment.

Claim Scrubbing & Submission

Automated pre-submission checks catch CPT–ICD mismatches and missing modifiers before claims ever reach the payer.

Denial Management & Appeals

Root-cause denial analysis, documentation-backed appeals, and payer escalation to recover revenue you’ve already earned.

AR Recovery & Payment Posting

Accurate payment posting, contractual adjustment reconciliation, and proactive follow-up on aging balances.

Credentialing & Enrollment

Provider credentialing and payer enrollment support so new urologists and locations can bill without delay.

● Built for Urology Practices Specifically

We speak fluent CPT, ICD-10, HCPCS, and urology-specific coding

So every procedure, diagnostic service, and follow-up visit is billed accurately. No learning curve, no generic billing.

ENDOSCOPIC PROCEDURES

Cystoscopy, Ureteroscopy & Stent Service

Accurate coding for cystoscopy, ureteroscopy, stent insertion/removal, and related procedures, with correct modifiers.

SURGICAL UROLOGY

TURP, Biopsies & Stone Procedures

Expert billing for TURP, prostate biopsies, lithotripsy, vasectomy, and other urologic surgeries, ensuring proper global period management.

DIAGNOSTICS & OFFICE SERVICES

Urodynamics, Ultrasound & E/M Visits

From urodynamic studies and bladder ultrasounds to office consultations and follow-up visits.

SPECIALTY CARE & CHRONIC MANAGEMENT

Prostate, Bladder & Incontinence Care

Billing support for BPH treatment, urinary incontinence, prostate cancer management, catheter services, and recurring patient care.

● Revenue Cycle Process

From patient visit to posted payment

01

Eligibility & Auth

Coverage and prior authorization confirmed before the visit.

02

Coding & Charge Entry

CPT, ICD-10 and modifiers applied by urology-trained coders.

03

Claim Scrubbing

Automated pre-submission checks catch errors.

04

Submission & Tracking

Clean claims submitted electronically.

● The Bottom Line

What specialized urology billing does for your practice

No generic billing teams or one-size-fits-all workflows—just urology billing specialists who understand complex procedures

+ 0 %

Average Revenue Increase

Recovered through accurate coding, modifier optimization, and aggressive denial management within the first six months.

- 0 %

Fewer Claim Denials

Achieved through specialty-specific claim scrubbing, documentation reviews, and payer-compliant coding before submission.

0 Days

Faster Reimbursements

Average turnaround from claim submission to payment by streamlining urology billing workflows and timely follow-up.

● Case Study

How a 6-provider urology group cut AR days by 38% in five months

A multi-provider urology group struggled with modifier-driven denials on scope and biopsy claims, plus AR aging past 120 days. After transitioning billing to Claim Click Solutions, clean claim rates rose, denials fell, and aged AR was recovered without disrupting their existing EHR.

Days in AR

- 0 %

Net Collections

+ %

Clean Claim Rate

0 %

● Common Questions

Questions urology practices ask us most

Do your coders have specific training in urology CPT codes and modifiers?

Yes. Our team includes AAPC-certified coders trained specifically in urology procedures, including cystoscopy, TURP, biopsy and stone-management coding, with ongoing training on CPT and modifier updates.

How much does outsourcing urology billing cost compared to in-house billing?

Pricing is typically a percentage of collections and often costs less than maintaining in-house billing staff once salaries, software and training are factored in. We’ll provide a transparent quote after reviewing your current claim volume.

Do we need to change our current EHR system to work with you?

No. We integrate with 50+ EHR and practice management systems. Onboarding typically takes 5–7 days and your clinical workflow stays the same.

Can you bill for both office visits and surgical procedures at our ASC?

Yes. We handle billing across office, hospital and ASC settings, including correct place-of-service coding and facility versus professional component splits.

How do you handle denied or underpaid urology claims?

Every denial is categorized by root cause, appealed with supporting clinical documentation, and tracked through resolution — with trend analysis to prevent repeat denials.