Maximize Your Revenue: Recover 95%+ of Outstanding Claims
Urology Billing Services
Urology Billing Services – Maximize Reimbursements for Procedures, Injections & Surgeries with Specialty-Specific Expertise
Urology-Specific Coders – CPT mastery (52005, 52204, 52601, etc.) & modifier expertise (RT, LT, 50)
Denial Defense – 94% clean claim rate for urology practices
Global Period Management – Accurate billing for pre/post-op care
Injection & Chemo Billing – Proper J-code (J9217, J9035) and drug documentation
Transparent Pricing – 3-7% of collections or $499+/month flat rate
HIPAA-Compliant
Pay as you go
No fixed contract
Urology Billing Services
Medical billing services
- Smooth Transition Between EHR/EMR Systems
- Efficient Electronic Funds Transfer (EFT), EDI, and ERA Setups
- Claims Submission Within 24 Hours
- Prompt follow-up with payers.
- Free provider credentialing, CAQH maintenance & revalidation
- Comprehensive Revenue Cycle Management (RCM) Services
- Appeals & Adjustments.
- Coding and Chart Review
- Referral Coordination with Other Doctor Offices
- Reimbursement Strategies for Optimized Billing
Why 68% of Private Practices lose 15-30% of their revenue to these preventable issues
Biggest Urology Billing Services Challenges
Complex Procedure Coding
Misuse of urology-specific CPTs (e.g., 52005 for cystoscopy, 52601 for TURP) and modifiers (RT/LT for bilateral procedures) causes 30-45% denials for urology groups.
Our Expertise:
AAPC-certified urology coders achieve 95% accuracy in procedural billing
Global Period Errors
Incorrect billing during post-op periods (e.g., 90-day global for 55866 prostatectomy) leads to $18k+ annual revenue loss per provider.
Our Authority:
Proprietary tracking system ensures 100% compliant global period billing
Drug Documentation Gaps
Missing NDC numbers or J-code mismatches (e.g., J9217 for leuprolide) result in 40% rejections for chemotherapy/injections.
Our Experience:
Specialized audits recover $12k+/provider/year in drug reimbursements
Stent & Device Billing
Underbilling for urologic devices (e.g., 52332 for stent placement) misses 22% of eligible charges.
Our Solution:
Device-specific charge capture adds $9k/month to practice revenue
Prior Authorization Delays
Slow approvals for procedures (e.g., 52234 for bladder tumor removal) cause 14-21 day treatment delays.
Our Process:
Dedicated auth team secures approvals in 72hrs avg
Telemedicine Compliance
Incorrect GT/GQ modifiers or virtual visit documentation triggers 35% denials for telehealth services.
Our Trustworthiness:
CMS-compliant workflows ensure 98% telemedicine claim approval
Schedule a Consultation with Our Medical Billing Experts
We understand your need to keep things small, intimate, and personalized. Our medical billing specialists for independent small practices thoroughly study your needs and offer custom-made solutions.
Urology Billing Services
We Offer
Urology Billing Services
Process
Benefits of Outsourcing
Urology Billing Services
Higher Reimbursements
Specialty-specific coding for urology procedures (52005, 52234, 52601) captures 18-22% more billable units versus in-house billing teams.
Proven Result:
$74k average annual revenue increase per urologist
Fewer Denials
Pre-submission audits catch urology-specific errors (missing RT/LT modifiers, global period violations) for a 94% clean claim rate.
Industry Comparison:
vs. 78% avg. for in-house teams
Faster Payments
Streamlined claims submission (48-hour turnaround) and aggressive AR follow-up reduce average payment time to 14 days.
Data Point:
85% of claims paid within 2 weeks
Reduced Compliance Risk
AAPC-certified coders ensure proper documentation for high-risk urology services (e.g., 51741 for complex urodynamics).
Trust Factor:
Zero audit penalties for clients in 5+ years
Drug/Device Revenue Capture
Proper billing for J-codes (e.g., J9217) and urologic devices (52332 stents) recovers $15k+/provider/year in missed revenue.
Case Study:
$68k additional revenue for 4-urologist practice
Staff Productivity Boost
Eliminate billing staff turnover/training costs and free up 25+ hours/week for clinical operations.
Client Report:
40% reduction in administrative workload
Urology Medical Billing Services
FAQs
How do you handle urology-specific CPT codes like 52005 or 52601?
Our AAPC-certified urology coders specialize in cystoscopy (52005), TURP (52601), and other urology procedures. We maintain a 95% accuracy rate through dual-coding audits.
Urology Coding Expertise Since 2012
What's your denial rate for urology claims?
We achieve a 94% clean claim rate for urology (vs. 78% industry average) through pre-submission audits for common issues like:
- Missing RT/LT modifiers for bilateral procedures
- Global period violations for surgeries
- Incorrect J-code pairing for injections
Do you manage billing for urologic devices (stents, catheters)?
Yes. We ensure proper billing for:
- 52332 (ureteral stent placement)
- 51702 (catheter insertion)
- Device-specific HCPCS codes (e.g., A4338 for catheters)
Our audits recover $9k+/month in missed device revenue.
Specialty Device Billing Since 2015
How do you handle drug billing (e.g., BCG, leuprolide)?
We specialize in urology drug billing with:
- Correct J-codes (J9217 for leuprolide, J9035 for BCG)
- NDC number validation
- Wastage documentation
This reduces denials by 65% for drug claims.
40% Higher Drug Reimbursements
Can you improve my MIPS scores for urology?
Yes. We optimize:
- #48 (Urinary Informance)
- #102 (Prostate Cancer Screening)
- Quality measures specific to urology
Our clients average 92+ MIPS scores (vs. 65% national avg).
MIPS-Certified Consultants
What's your process for global period billing?
Our proprietary system tracks:
- 0/10/90-day periods for procedures like 55866 (prostatectomy)
- Appropriate modifiers (58 for staged procedures)
- Post-op care documentation
Do you support telemedicine for urology?
Yes. We ensure proper:
- GT/GQ modifiers
- POS code 02
- Documentation for virtual visits
Our telehealth claims have a 98% approval rate.
CMS-Compliant Workflows
How do you handle prior authorizations?
Our urology-focused team secures auths in 72hrs avg for:
- Complex procedures (52234 bladder tumor removal)
- Specialty drugs (e.g., mitomycin)
- Advanced imaging (CT urogram)
Is my patient data secure?
Absolutely. We provide:
- HIPAA-compliant encrypted systems
- BAAs with all clients
- SOC 2 Type II certification
- US-based servers only
How quickly can you start billing for my practice?
Typical onboarding takes 10-14 days:
- EMR integration (Epic, Cerner, etc.)
- Provider credentialing
- Custom workflow setup
Urology Billing Services
Insurances Covered
Medicare
Medicaid
VA Health
TRICARE
ACA Marketplace
UnitedHealthcare
Aetna
Cigna
Humana
Anthem
BCBS National
BCBS Alabama
Florida Blue
BCBS Michigan
Empire BCBS
Horizon BCBS
BCBS NC
Highmark BCBS
BCBS Texas
Premera BCBS
Kaiser Permanente
Molina
Centene
Oscar Health
Health Net
CDPHP
Capital Blue
Independence BC
CareFirst
Regence BCBS
UHC Medicare
Humana Medicare
Aetna Medicare
Cigna Medicare
BCBS Medicare
Trusted Medical Billing Services
Verified Results
Rx Credentialing LLC did an excellent job helping my practice join the MCOs. Their team made the process seamless and stress-free, answering all my questions promptly. I highly recommend them—their service is efficient, professional, and reasonably priced! 😁
I am a licensed psychotherapist and could not be more pleased with the efficient, professional services from RX credentialing services. No AI or bots here. Instead, RX offers real human beings who understand the needs of solo providers or group practice owners who are spread thin and have to wear many hats. Rx has hired talented individuals, like my account manager, Tyler, who will go the extra mile for you to ensure credentialing goes smoothly. We hit a hiccup on the road to becoming credentialed, but Tyler quickly intervened, advocating for my business so that the issue was resolved and I was approved for various insurance panels--some which have very high bars or administrative requirements. RX handled it all, informing me through each step of the process with clear and concise credentialing updates that put my fears to rest. Their services are kind of like therapy for therapists, because when you worry less about admin burdens, you can better focus on the client, while growing your business capacity. I would highly recommend them to any solo or group practice needing such services.
RxCredentialing has been a wonderful partner in helping with my credentialing for my new primary care practice as well as are assisting me with a few other services. They are very knowledgeable and most importantly they are not pushy in working with my needed timeline. Moreover, they are very responsive, and I am looking forward to expanding our relationship to include their other services such as medical billing. I was fortunate to find them while searching the web and so refreshing to deal with an organization that is really focused on helping me establish a medical practice the smart way and not just spend money foolishly on things I do not need until the time is right.
Adam and his team are excellent at what they do. They walk you through every step of the process. Highly recomend Adam and his team. always responding in quickly.
Attention to detail
Very attentive and efficient
Always available to explain things or answer questions or concerns
Very attentive and efficient
Always available to explain things or answer questions or concerns
Tyler has been an excellent person to work with. He kept us (our clinic) informed of our status throughout the credentialling process. They did the "heavy lifting" tracking down and following up so we didn't need to. Because this company handled our credentialling process, it allowed our company to focus on our number one priority--patient care. Thanks for taking care of us!!
they handled the issue quickly and professionally. I truly felt supported and confident in their assistance.
I can’t say enough great things about RX Credentialing! From the beginning, they’ve been incredibly efficient, responsive, and always a pleasure to work with. Anytime I had a question or needed assistance, they got back to me quickly with clear, helpful answers. They made the entire credentialing process smooth and stress-free! It truly feels like they care about their clients and go the extra mile to make sure everything is handled correctly and on time. I would highly recommend RX Credentialing to anyone looking for a credentialing partner who delivers every time!
David is wonderful very responsive and on top his work. Great experience.
Making the decision to use Rx Credentialing for my billing service was a game changer for my practice. Solo practice as an NP and lipid specialist has been challenging for sure. Rx Credentialing has provided the professional knowledgeable support I needed. I am so grateful to be partnering with them for my billing and credentialing needs.
The staff is great and very helpful. I have been with them for 2 years with no complaints. I am very satisfied with their service.
I have been working with this company for over a year and I have no complaints…They are really the best at what they do.
Trusting a third party with your sensitive information can be difficult. I encountered this challenge while seeking credentialing services for my business with various insurance providers. Although I received numerous proposals from credentialing firms, I was uncertain about the security of my personal data. A trusted colleague recommended Rx Credentialing LLC, based on her positive experience. I decided to engage their services, and I’m pleased to report that they handled my information securely. Moreover, their expertise and competitive pricing make them an excellent choice for anyone needing credentialing support.
Adam is very professional and kind, always responsive when I need assistance. I have billing service through this company which has been going good so far. I was lucky enough to get a wonderful virtual assistant from Adam, I don’t know what I would do without her.
Rx Credentialing did a phenomenal job assisting with credentialing for my Ophthalmology practice start-up. Tyler is responsive and kept me up to date throughout the entire process. I would recommend Rx Credentialing to anyone hands down the best. Dr. Montenegro.
We would love to hear from you.
Contact Us
Have a question or want to learn more about our services? Fill out the form below and our team will get back to you within 24 hours.
We serve all 50 states.
