Outsourcing Medical Urology Billing
Like many other areas of specialization in medicine, Urology medical billing is a complicated process and errors are common—and costly. With procedures ranging from minor in-office actions to major procedures requiring hospital stays and follow-up treatments, getting all the coding right, and not overlooking anything is a source of frustration for many practices.
Advantage Of Our Urology Medical Billing
In order to stay solvent as a business, it is important to get paid for all services rendered, which requires making sure that the coders and billers understand all the procedures, and the variables for each one. The correct use of modifiers in coding is also critical in these complex situations, but even the smallest of errors can result in a claim rejection or denial, which essentially starts the coding and billing process all over for each claim that isn’t accepted.
Medical Billing Challenges for Urology Practices
Rarely used codes—Medical billers who enter the same codes every day become quite familiar with them, but highly specialized procedures are not performed very often, so the coding may not be well understood, resulting in errors
Denied Claims
Once a procedure has been performed and a claim submitted, payers often deny coverage of that item, but often the claim is legitimate and a coding error has been included that does not correctly indicate what was done. One common reason for this is that the urology medical coding for the tests that demonstrated that the procedure was medically necessary are missing. It doesn’t matter if the rest of the documentation makes it obvious that it was necessary, the requirements of medical coding for urology must be followed, literally, to the letter.
Under-Coding and Over-Coding
Failing to include all the subcategory coding and modifiers needed to correctly bill for services results in under-coding, inefficient urology billing services, and a loss of revenue. It is illegal, so can lead to serious problems, and must be avoided even in an effort to save a patient money. Clearly over coding, or coding for services that were not performed is illegal also, but can occur just by entering a wrong code.
The sure ways solutions is an industry leader and trusted name in medical accounts receivable collections because we know how to get results. Our mastery of complex medical coding and AR management services sets us apart. But it’s our breadth of knowledge that allows us to shine. Our medical billing company successfully serves healthcare facilities of all types and sizes, and we specialize in medical billing for physicians, laboratories, radiology & imaging centers, and hospitals. We know it’s difficult to remain entirely focused on patient care when you’re worried about your bottom line. If you’re spending valuable time and energy trying to diagnose finances, then perhaps it’s time to enlist the aid of a professional medical billing company like The sure ways solutions.