Urology Billing Services

The American Association for Accreditation of Ambulatory Surgery Facilities' Guide for Third Party Reimbursement of Facility Fees indicates that the urology specialty often faces challenges in receiving reimbursements. However, urologists working with experienced billing services tend to receive higher reimbursements on average. This is because billing services are well-equipped to meet the unique needs of urology practices.

At 5 Star Billing Services, our certified coders and billers understand the correct procedures and processes required to receive maximum reimbursement. We communicate with providers and office staff to ensure that billing errors and common coding mistakes are avoided, enabling us to submit claims correctly the first time for faster reimbursement.

What We Do

5 Star Billing Services offers a full suite of billing, collections, and practice management solutions tailored for urology providers. We begin with a thorough assessment of your practice and accounts receivable, simplifying the onboarding process and ensuring timely payments. Our team of skilled billing professionals delivers:

• Full account receivables management
• 12-hour claims processing
• System-based eligibility checks
• Quarterly coding updates
• System-based claims scrubbing
• Handling of all billing calls
• Regular quality assurance checks
• Weekly progress meetings and report reviews
• Customizable monthly reports

Why Work With Us?

Our certified coders have years of experience working with urology practices and are equipped with the knowledge to handle coding and billing-related processes to ensure that you receive payments and reimbursements on time. Our extensive knowledge in the urology field has allowed our billers and coders to meet the demands of a wide variety of urology providers, clinics, diagnostic centers, hospitals, and multi-specialty groups. We work side by side with your practice to help identify problem areas and establish the best medical billing and coding procedures possible.

Our urology billing service is based in the United States and is fully compliant with HIPAA standards and regulations. This means that your patients’ protected health information will never be compromised.

To learn more about how 5 Star Billing Services can benefit your practice, call 480-999-0180 to speak with one of our representatives.

Benefits

At 5 Star Billing Services, we have the capacity to handle multi-physician, multi-location practices, while still providing the personalized attention your account deserves. We offer:

• Improved collections and income
• Accelerated payments and reduced stress
• 24/7 accessibility to your patient data and financial information
• Transparency throughout the revenue cycle
• Full financial and practice management reporting

Areas of Expertise

Our billing and coding staff are well-trained and stay current with the latest changes in urology codes and payer requirements, ensuring accurate and timely claim submissions. We are also adept at the claims denial process and can appeal denied claims efficiently for speedy reimbursement. Our team has extensive knowledge of:

Complex urology billing codes and rules
Urology-related terminology
Office notes and operative notes
Coding for surgical procedures
Code variations related to multiple procedure rules

Common Coding Scenarios

Coding for catheterizations requires specific knowledge due to varying clinical scenarios. Our coders verify the exact procedure performed before assigning codes to prevent claim denials. For instance, for urethral dilation, our coders assign CPT codes for initial and subsequent dilations, ensuring full reimbursement for the urologist's services.

Receivables Management

• Coding
• Billing
• Payer relations
• Patient relations
• Collections
• Client reporting
• Fee analysis
• Managed-care contracts

How Our Urology Medical Billing Company Can Help Increase Reimbursements

A dedicated urology medical billing company, like 5 Star Billing Services, plays a pivotal role in increasing reimbursements for private practices, hospital-based urologists, and multi-provider facilities. By specializing in urology billing, we deeply understand the nuances of coding requirements and payer guidelines specific to this field. Our team of experts ensures accurate coding and prompt claim submissions by keeping up with the latest regulatory changes, reducing the likelihood of claim denials and delays.

Moreover, we meticulously review all claims for compliance and accuracy, ensuring that your practice receives the maximum reimbursement possible. Our proficiency in handling appeals for denied claims ensures that your revenue stream remains strong, even when insurers initially reject submissions. By handling the entire billing process efficiently and effectively, we enable your practice to focus on delivering excellent patient care while we work diligently to enhance your financial outcomes.

For hospital-based and multi-provider facilities, our services streamline billing across departments, maintaining consistency and reducing errors. We provide comprehensive reporting, giving you insights into your financial performance and identifying opportunities to further improve reimbursement rates.

How a Urology Billing Company Should Help Reduce Your Expenses

Partnering with a specialized urology billing company like 5 Star Billing Services not only improves your revenue but also helps reduce your operating expenses. By outsourcing your billing and collections processes to our team, you save on the costs associated with hiring, training, and retaining in-house billing staff. Instead of investing in expensive billing software and constant updates, our state-of-the-art, web-based billing system comes as part of our comprehensive service, offering seamless integration with your existing practice management software.

We also eliminate hidden costs, such as software maintenance fees and support charges, by providing an all-inclusive package tailored to your needs. Our efficient billing processes minimize claim rework and denials, leading to faster payments and reducing the burden of accounts receivable management. Furthermore, our transparent pricing model ensures that there are no surprises, allowing you to budget confidently.

By allowing 5 Star Billing Services to handle your billing, collections, and practice management needs, your practice can concentrate on providing excellent patient care while we focus on reducing expenses and maximizing your returns. With our expertise and commitment to client success, we provide a cost-effective solution that delivers exceptional value to your practice.

Our Expertise in Medical Billing Software

At 5 Star Billing Services, we utilize state-of-the-art, web-based medical billing software that seamlessly integrates with your organization's data. Our billing specialists are also adept at working with your existing billing or practice management software, including most major systems such as Medisoft, Practice Admin, Lytec, Eclipse, AdvantX, and more.