Urology Medical Billing Services
Urology is a branch of medicine that deals with the disorders and diseases of the male and female urinary tract and the male reproductive system. Urologists are trained to diagnose and treat conditions that affect these organs, including cancers, infections, stones, incontinence, and erectile dysfunction. They perform urological procedures to treat these conditions, such as surgery, radiation therapy, or medications. Urology is a vital branch of medicine that helps to keep the urinary tract and reproductive organs functioning properly. Without urology, many men and women would suffer from debilitating conditions that would greatly impact their quality of life.
Urology billing and coding services involve billing and coding for all diagnoses & treatments provided to correct the urinary system’s dysfunctions and the male reproductive system. Common urological procedures include vasectomies, prostate exams, and kidney stone removal. Because urological procedures can be complicated and expensive, accurate medical billing is essential to ensure that providers are properly reimbursed. Billing for urology services can be more complex than other specialties due to the nature of its codes & terminologies.
Urology Billing Knowledge:
Urology billing and coding requires specialized expertise and knowledge, and only a urology billing specialist can handle its traces. It tends to overlap with other specialties such as oncology, gastroenterology, andrology, pediatrics, endocrinology, and gynecology, making it distinctive & challenging to understand.
As Urologists focus on delivering excellent medical care, often, they lose track of their revenue cycle. Non-payment or underpayment for urology services rendered can substantially impact the practice as urology procedures are typically costly. An in-house billing team can be helpful but may cause many denials on account of the lack of expertise. Outsourcing to a focused urology billing service provider like Ibex Medical Billing, who is familiar with urology codes and terminologies, can offer better control over collections & denials to healthcare organizations.
Medical Billing companies provide a much-needed service for medical practices. They save the practice money by taking on the task of billing insurance companies and patients for services rendered. Medical Billing companies also make sure that the coding for procedures is correct. This is important because if the coding is not correct, the Medical Practice may not be reimbursed by the insurance company. Medical Billing companies that specialize in Urology coding are experts in this area and can make sure that Insurance companies reimburse the Medical Practices for all of the procedures that they perform
Urology Billing & Coding Best practices
Trained urology coders are challenging to find, expensive to recruit, and their ongoing training can be quite costly. Our team comprises well-trained, CPC certified urology coders. In our Urology specialty coding service, we cover the most complicated portion of the CPT codes and train our coders to handle all procedural, modifier, and diagnostic coding challenges. We ensure HIPAA compliance at all stages of the billing & coding process. Our team performs prior authorization of the eligibility & benefits of the patient to avoid denials.
How We Can Help in Urology Billing Services
Ibex Medical Billing have experienced and fully trained members to provide Urology billing services. Our professional Urology billing service team will do accurate Urology billing and coding to get on time and maximum possible reimbursement.
We provide complete Urology billing services as well as customize billing services which include the following:
Insurance Eligibility Verification Services
In this procedure, we will verify that patients are eligible for Urology services benefits under their insurance policy and also that patient plans have referral or pre-authorization requirements. After checking, we compute the amount of deductible and the patient’s co-payment. Our Urology billing has enhanced cash flow, reimbursements and insurance eligibility verification services.
Demographics & Charge entry Services
The main step in the billing process is charge entry, which determines the amount of payment for the healthcare organization. Charges from the patient Facesheet are entered into the patient’s account. It is essential to have a talented team working on patient demographics entry since they must enter highly correct data into the system.
Our Urology billing services team can provide you with high-quality and error-free patient demographic and Urology charge entry services.
Urology Billing & Analysis
Our Urology medical billing team reviews several sources in a patient’s file, such as the doctor’s transcription, diagnostic test reports, imaging reports, and other sources, to verify the services performed and assign appropriate urology codes.
Incorrect code submission can lead to continuous claim denials, underpayments, and a disrupted workflow. Such difficulties can result in unnecessary claim-related burdens and complex medical billing issues.
AR Follow up Services
Following up on all accounts receivable instances can be a time-consuming and difficult effort. We pursue unpaid Urology claims persistently to keep AR days to a minimum. Our Urology accounts receivable management staff also ensures that refused and underpaid claims are appealed as soon as possible. They guarantee that they will process and reimburse on time.
Urology Services Collection & Denial Analysis
Claim denials can result in significant losses for companies; thus, they must keep track of them. Our Urology collection services team determine the reason for denial, fix the errors, and resubmit the denied claims within a timely filing limit.
If the claim is denied due to the lack of sufficient information, we address the gaps as soon as possible. Our Urology billing professionals and analysts can assist you in keeping track of denials, analyzing the cause of denials for improving the process, and reducing the number of denials.
Payment posting is the first line of defense in recognizing payer issues. Our team identify denials for medical necessity, non-covered services, and prior authorization and assign to appropriate Urology team members to handle.
We look over ERAs and the scanned EOBs (Explanation of Benefits) to ensure that every detail about the payment is entered into the system. Following that, we update data appropriately into patient accounts.
Providers Credentialing Services
Provider credentialing is a vital stage in the revenue cycle and how a physician or provider gets associated with payers. By this technique patients use their insurance cards to pay for Urology services they consume while this will allow the insurance companies to pay the medical provider for the medical services they provide.
Our Urology billing team processes the faster payment by setting up ERA setup, gets more referrals, mitigates revenue leakage, reduces denials, and identifies the provider’s trend.
Urology Billing Software
Billing software is an essential component of the revenue cycle management process. Billing and other administrative procedures are notoriously time-consuming and paper-intensive. A Urology billing software systems enables billers to be as efficient as possible when coding, filing, and tracking claims.Our team has the expertise to work on several tools and technologies for Urology billing as well as all other specialties.
Why Choose Ibex Medical Billing for Urology Billing Services
We offer a comprehensive range of Urology Medical Billing Solutions to meet the exclusive needs of your healthcare organization. Ibex Medical Billing can work with short-term and long-term care facilities ranging from stand-alone hospitals to healthcare systems with multiple facilities and specialty programs.
When you outsource your Urology billing services to Ibex Medical Billing, you gain an approach to various assets. Some of the important reasons to choose us as your medical billing and coding partner include providing HIPAA compliant Urology billing services and using front-line tools and technologies.
Our experts are available 24/7to answer your questions while giving timely billing services. We provide affordable and tailored medical billing and coding services.