MAVA Care offers a comprehensive range of urology medical billing services that encompass coding, credentialing, claim submission, and denial management. Urology often intersects with various other specialties like oncology, gastroenterology andrology, pediatrics, endocrinology, and gynecology which makes it unique yet complex to navigate.
Our strength lies in handling urology medical billing where our team has extensive knowledge of all about billing and coding specific to such practice. We tailored best practices for urology that led to reduced denials and improved revenue collections. Reach out to us today to access the services for your urology practice.
Navigating the coding maze of urological operations and organs might be challenging. Urology CPT codes can be challenging due to the complexity and specificity. Inaccurate coding schemes can result in claim denials, incorrect payments, and costly errors. It would help if you had a trained medical coding staff by your side.
At MAVA Care, we are expert to classify and document urological operations by national guidelines appropriately. We guarantee maximum reimbursements while keeping you in line with ever-changing industry requirements. We offer urology coding services that include:
MAVA Care offers extensive understanding and experience with the unique billing requirements of urology practices. We understand the special coding requirements and compliance standards that apply to urological services, ensuring that billing processes are correct and rapid.
We optimize the revenue cycle for urology healthcare facilities by lowering claim denials, assuring prompt reimbursements, and improving total cash flow. Our experience contributes to reducing errors and increasing revenue.
We offer end-to-end billing services, including patient eligibility verification, coding, claims submission, follow-up on denied claims, and patient billing. Our comprehensive approach ensures that all aspects of billing are managed effectively.
We stay updated with the latest regulations and coding changes in urology, ensuring that the billing is always compliant with industry standards. It minimizes the risk of audits and consequences.
Recognizing that each urology practice is unique, MAVA Care offers tailored billing solutions that meet the specific needs of your practice. We can customize services that align with the practice’s workflow and requirements.
We provide dedicated account managers and support teams who are always available to assist with any billing-related queries or issues. Our personalized service ensures that you receive prompt and efficient support.
Urology EHR is our solution for urologists looking to improve the practice. Therefore, it is designed for urology, having features like:
When it comes to billing in urology, the core principles remain consistent. However, urologists need to be particularly mindful of specific details at every step of the process.
In urology, it is crucial to maintain records for accurate coding and claim approval. The documentation should include a detailed overview of the patients' urological issue, pertinent findings from the physical examination of the system, a complete account of any procedures performed (such as the instruments used and the duration), along a conclusive diagnosis backed by ICD-10 codes.
Urologists employ particular CPT codes to denote different procedures like 52332 for cystoscopy accompanied by urethral dilation, 55045 for transurethral resection of the prostate (TURP), and 54050 for renal biopsy. Grasping the significance of modifiers is crucial; for instance, modifier 22 (service) might be relevant in cases involving a cystoscopy with extensive bladder biopsies.
Similar to the way billing is managed in other areas of healthcare, urology claims are filed electronically with insurance providers. In terms of coding, accuracy is crucial for services that are grouped, like cystoscopy and ureteroscopy, to prevent receiving reduced reimbursements. Additionally, including supporting documentation such as reports and pathology findings is essential to validate the billed services.
When it comes to claims, insurance companies take a close look at them to figure out how much we'll cover based on the patient's insurance and policy details. We evaluate whether the services provided were necessary and suitable making sure the claim matches the agreed-upon rates. If there are any inconsistencies, we might make adjustments or even reject the claim.
Understanding the reasons behind denied urology claims is crucial for effective resolution. Often, claims are denied due to missing or incomplete documentation, such as an unclear diagnosis or inadequate justification for the use of modifiers. Additionally, coding errors, like selecting incorrect codes or using outdated ones, are common causes for denial.
Partnering with a skilled urology billing service that understands the intricacies of urology codes and terms can enhance healthcare facilities’ ability to manage collections and address denials more effectively. The nuances of coding in urology demand expertise and insights that a dedicated urology billing expert best handles. Therefore, leveraging urology medical billing services can prove to be vital.
Our urologists providing great care that we lose sight of our revenue cycle. Because so many urological procedures are extremely costly, underpayment or no payment whatsoever for urology services can have serious impacts on the business. While it might be beneficial to retain an in-house billing staff, a lack of knowledge might result in a rather high percentage of denials.
Urology Practice Management is a free patient management system designed for independent urology billing. It unifies all parts of your practice, from scheduling to invoicing, into a single, unified system. Using our online scheduling system, automatic reminders, urology-specific templates, and clinical material, you can streamline your urology workflow.
You can easily track your visits, referrals, and recalls and document your urological procedures like cystoscopy, prostate biopsy, and vasectomy. You can use our extended materials, forms, and tools to help optimize your urological coding and reimbursement. You can utilize a unique bundling matrix, complete diagnosis codes, and the latest pricing schedule to correctly and quickly submit your claims for payment.
Enhance the efficiency of your urology practice through our all-encompassing reporting and analytics tools. With our support, you can monitor and assess your operational effectiveness, financial standing, and quality of care, enabling you to identify opportunities for improvement and growth.
