Urology billing is among the most complex areas of medical billing due to frequent coding updates, strict payer requirements, and declining Medicare conversion factors. On average, practices face denial rates of 12–15%, but the best billing companies reduce this to under 5% by applying strict compliance checks and accurate coding.
By leveraging certified coders, EHR integrations, and advanced revenue cycle management (RCM) systems, leading providers consistently maintain a 95%+ clean claim rate. This ensures timely reimbursements, stronger cash flow, and more time for physicians to focus on patient care instead of administrative work.
To save you research time, here are the 10 best urology billing companies in the United States for 2025.
1. Nexus io
Nexus io makes urology billing simple for both doctors and clinics. Their team verifies patient insurance, manages prior authorizations, and applies the correct CPT and ICD-10 codes before claims are submitted. Their team knows all the rules for urology codes and insurance, so most problems are fixed before they cause delays. They also work directly with your EHR, which saves time and reduces mistakes. This helps practices get paid faster, lowers billing errors, and keeps money flowing. This approach improves practice efficiency and reduces revenue loss.
The company’s performance metrics speak for themselves: a 98% coding accuracy rate, a 98% first-pass claim ratio, a 98% clean claims rate, and 97% collection ratios across more than 50+ states served. On average, practices working with Nexus io experience 20–30% revenue growth, thanks to faster reimbursements, fewer denials, and improved financial efficiency. This results in steady cash flow, reduced revenue leakage, and more time for physicians to focus on patient care.
2. Plutus Health
Plutus Health started in 2008 and is based in Addison, TX. The company helps urology doctors and clinics with billing so they can get paid on time. Their team checks insurance, takes care of prior approvals, and uses the right urology codes to avoid mistakes. They also follow payer rules closely, which keeps claim denials very low. With smart tools, Plutus Health makes billing faster and easier, giving most practices a clean claim rate of 95% and quick payments. Doctors who use Plutus Health see fewer billing problems, better cash flow, and more time to focus on patients instead of paperwork.
3. CureMD
CureMD has been serving healthcare practices since 1997 and is based in Addison, TX. The company is trusted for its billing services, holding 5-star reviews and more than $210 million in revenue. For urology practices, CureMD makes billing easier by handling claims, coding, payment posting, and follow-ups. Their team knows the right CPT and ICD-10 codes for urology. In order to maintain low error rates and fast payments, specialties like ours have to do more than that. We apply the appropriate modifiers and use AI-driven tools to expedite the process.
Highlights of CureMD Urology Billing:
- 98% clean claim rate with 3x faster payments
- Up to 30% increase in revenue for practices
- Smooth EHR integration and strong compliance support
4. Medcare MSO
Medcare MSO has been helping doctors with billing since 2012. The company is based in Irvine, California, and holds a 4.8-star rating with steady growth. For urology practices, they take care of the full billing process checking insurance, sending claims, fixing denials, and even following up on old accounts. They also use the correct modifiers to make sure no money is lost due to errors. They also make sure billing stays compliant, avoiding problems like under-coding or over-coding. With all the urology paperwork handled by Medcare MSO, urology practices receive payment faster, have less paperwork related problems and time is available for patient care.
5. Sunshine Billing
Sunshine Billing has been supporting urology practices for more than 25 years. The company works with over 100 urologists across the country and provides complete revenue cycle management from start to finish. Sunshine Billing manages claims, prior authorizations, denial follow-ups, and A/R so doctors don’t have to worry about billing. The team is known for offering reliable support and making sure practices get paid on time while keeping patient care as the main focus.
6. 24/7 Medicbal Billing Services
24/7 Medical Billing Services has been supporting healthcare providers since 2005 and is based in Lewes, DE. With revenue of over $100 million, the company is trusted nationwide for reliable billing support. For urology practices, they take care of coding, claim submissions, denial management, and A/R follow-ups, making the process smooth and error-free.
They use advanced ICD-10 coding to reduce rejections and speed up payments. Many clinics see revenue grow by up to 30% after using their services. Along with a 30-day trial, they provide 24/7 support, stay fully HIPAA compliant, and help practices cut costs while getting paid faster.
7. UNIFY Healthcare
Unify Healthcare Services helps urology practices get paid on time and with less hassle. Their certified billers handle the full cycle: prior authorizations, patient eligibility checks, accurate coding based on medical necessity, clean modifiers, precise documentation, and follow-ups with clinical updates. They bill common and complex procedures, including incision/biopsy, excision, catheter placement, laparoscopy, endoscopy (cystoscopy, urethroscopy, cystourethroscopy), repairs, and transplants. Unify applies CPT, HCPCS, and ICD codes per CMS and LCD rules to cut denials and speed reimbursements. The team is HIPAA compliant, runs regular QA checks, works with your software, processes paper or electronic claims, and keeps your data secure so you can focus on patient care.
8. Portiva
Portiva, located in Lewes, DE, has been helping healthcare practices since 2009. They make urology billing easy, fast, and accurate. Their team takes care of everything from patient registration, insurance checks, coding, claim submissions, follow-ups, to payment posting, making sure there are fewer mistakes and delays. By letting Portiva handle billing, doctors can focus more on their patients. Their services are affordable, follow healthcare rules, and make the practice run smoothly.
9. BellMedEx
BellMedEx established in 2016 and based in Lewes, DE, BellMedEx is a trusted partner for urology practices across the U.S. With a 4.8 star Google rating and over 340 reviews, they handle billing and coding for all urology specialties including oncology, renal transplantation, male and female urology, pediatric urology, and more. Their certified coders follow the latest ICD-10 and CPT standards, ensuring fast, accurate, and compliant billing. BellMedEx also manages denials, claim follow-ups, insurance verification, and reporting, helping practices boost revenue and reduce errors. Their services include urologist credentialing and a urology focused EHR system with templates, workflows, patient portals, and telehealth features. By partnering with BellMedEx, clinics can save time, increase reimbursements, and focus on patient care while keeping their billing and administrative work stress-free.
10. DoctorMGT
Doctor Management Service (DoctorMGT) has been serving healthcare providers across more than 60 specialties in the USA, including urology. We make urology billing simple, accurate, and stress-free, so doctors can focus on patient care. Our team handles coding, claim submissions, follow-ups, and denial management, helping practices get paid faster and reduce errors.
With specialized expertise in urology, we provide 20% fewer front-end denials, advanced analytics, and strategic billing to improve revenue cycle management. Our certified coders use the latest rules and regulations to ensure fair and timely reimbursement.
DoctorMGT also offers proprietary software designed to prevent errors and streamline billing. By partnering with us, urology practices can save time, increase cash flow, and run smoothly while providing better care to patients.
Bottom Line
Choosing the right urology billing company can make a big difference for your practice. By partnering with a specialized billing firm, you can save time, reduce claim denials, improve cash flow, and ensure your billing stays compliant with all rules. These companies handle everything from coding and claim submissions to denials, follow ups and reporting, so you can focus more on patient care instead of paperwork.
Here are the top listed 10 medical billing companies to help you save time comparing, researching and allow you to decide quickly which one to choose. All these companies offer specialized Urology medical billing services. Our list of the top 10 billing companies is a handy guide to help you save time and focus on the critical aspects of your practice. Picking any of these urology medical billing companies can help urology practices run smoother, get paid faster, and reduce billing stress.
