Urology Billing Services

Are the complexities of urology billing making it difficult to submit clean claims? Are these challenges leading to claims denials and a subsequent low collection rate? Then, you need a specialized billing partner! We deliver HIPAA-compliant urology billing services to resolve common billing errors, submit claims on time, and maximize claims reimbursements.

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How We Streamline Urology Billing For Your Practice

We bank on a strategic ratio of human expertise and advanced billing software to deliver top-notch urology billing services. Our aim is to curb claims denials while overhauling your urology billing system. This approach enabled us to simplify billing management for hospitals and doctors specializing in treating urinary system dysfunctions, including cystoscopy, prostate biopsy, sling procedure, artificial urinary sphincter (AUS), TURP, and many more urology practices. Here are the steps we take to facilitate urology billing for your practice:

  • Leverage billing-related digital technologies, such as EMR, EHR, EDI, and PMS, to facilitate accurate and on-time electronic claims processing.
  • Verify patient details including demographics, medical history, and physician referrals and insurance payer information at the time of registration to ensure data accuracy in claims documentation.
  • Determine and confirm pre-authorization requirements, secure approval from payers when needed.
  • Conduct real-time claims scrubbing to quickly identify and resolve billing errors, reducing claims denials and improving the revenue cycle.
  • File claims as per urology's latest coding, such as CPT codes (50000 to 55899), including urology-specific CPT (cystoscopies, lithotripsies, prostate biopsies), ICD-10, HCPCS Level II procedure codes, etc., to avoid errors and potential penalties.
  • Adhere to pertinent regulations and payer billing guidelines while handling Fee-for-Service Billing, Capitation Billing, Episode-of-Care Billing, Value-Based Billing, and more.
  • Submit claims electronically as per the fee schedules and payment guidelines of government insurance payers such as Medicaid, Medicare and private insurance companies (UnitedHealthcare, Anthem, Aetna), Tricare, Workers' Compensation, Commercial Health Plans, and more.
  • Conduct the claims review process by examining EOBs, starting the appeals process as needed.
  • Analyze EOBs to determine patients’ financial responsibility (co-payments, deductibles, co-insurance).

    Our Comprehensive Urology Billing Services

    Denial Management ServicesAccounts Receivable ServicesInsurance verification and eligibility checksCharge capture and codingClaims submissions and processingPayment posting and reconciliationDenial management and appealsAccounts receivable managementPatient statements and collectionsReporting and analytics on billing and collections metrics

    The Invensis Advantage for Revenue Cycle Management Services

    As an HIPAA-compliant outsourced revenue cycle management company, we have over 24 years of experience delivering healthcare revenue cycle management services to US-based health care practices. We have helped our clients adopt best practices, including prioritizing patient care, investing in advanced technology, collecting patient payments upfront, ensuring accurate charge capture, and timely claims filing. Over the years, we have seamlessly integrated people, processes, and technology to adapt to evolving legislation and industry needs. As a result, our RCM management services have helped our clients to eliminate waste, enhance efficiency, and receive comprehensive, value-based support. Our expertise has led to significant success for our clients, including a 20% reduction in claim denials and a 30% increase in collection rates. Outsource revenue cycle management services to us and reap the maximum benefits of back office support services.

    Days in AR
    -45
    Clean Claim Rate (CCR)
    %
    Denial Benchmark
    %
    Net Collection Rate (NCR)
    %
    Contact Information

    You can reach us at:

    D 45 Shyam Vihar Phase 1 Najafgarh New Delhi- 110043
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