Nexus io offers cost-effective urology billing services to maximize revenue cycle by efficiently handling claim submission, non-payment, under-payment, and denial management. Our certified urology coders and billers deliver quick, accurate, and compliant medical billing services to optimize your revenue cycle.
Urology billing services manage the entire revenue cycle, securing accurate reimbursements for specialized urology procedures.
They verify patient coverage and secure prior authorizations for high-value surgical treatment plans and procedures. As these urology surgeries require precise CPT, ICD-10, and HCPCS codes along with the necessary modifiers.
Whether you’re a solo practice or part of a larger urology group, efficient and compliant billing is essential for financial stability. That’s why many urology practices partner with a professional urology billing company like Nexus io.
Our urology billing specialists handle every step of your revenue cycle to ensure that your urology practice receives timely and proper reimbursement.
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According to the American Urological Association (AUA), millions of urological surgeries, such as vasectomy reversals, cystoscopies, prostate biopsies, ureteroscopies, and circumcisions, are performed every year.
The sheer volume and variety of these procedures make billing complex, because each one carries its own coding rules, modifier requirements, and documentation hurdles, including:
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The complexity of urology billing comes from handling varied procedures and strict coding standards.
Nexus io solves these challenges with specialized urology medical billing services that streamline claims, prevent denials, and boost reimbursement speed.
So you can focus on delivering exceptional patient care.
Urology practices often face billing issues that affect reimbursements and compliance.
Common problems include miscoding bladder incision procedures with bladder removal CPT codes, delayed claim submissions by inexperienced staff, and missing prior authorizations for high‑risk procedures.
Moreover, performing new procedures without verifying coverage and inefficient denial management further increases errors and revenue loss.
We closely track every payer’s deadlines to ensure claims are submitted within the required timeframe. Our team verifies patient coverage and secures prior authorizations for all the necessary services.
We thoroughly review insurance policies to confirm covered procedures before treatment, preventing unexpected denials. But if any denials still occur, we identify errors, correct them, and resubmit claims with proper documentation to secure payment quickly.
Our in-house AAPC-certified team knows urology inside and out. We help you accurately map urology procedures, like cystoscopies and prostate treatments, to the right CPT, ICD‑10, and HCPCS codes. We also apply the correct urology modifiers (50, 26, 59, LT, RT) to maintain payer compliance and help you stay compliant.
At Nexus io, we manage the entire urology revenue cycle for practices in all 50 states. Every claim is filed within the payer’s window, Medicare LCD frequency limits for cystoscopy and lithotripsy are checked, and medical-necessity files are prepared to withstand scrutiny.
Daily 835 reconciliations highlight CARC/RARC variances for same-day fixes, keeping A/R under 25 days. HIPAA-auditable workflows protect PHI, while our compliance desk tracks changing surprise-billing laws, prompt-pay statutes, and MIPS measures.
When RAC, TPE, or commercial audits appear, we craft full responses and pursue any underpayments, maintaining steady, compliant reimbursement.
We provide accurate documentation and transparent reporting for your urology practice. Our expert urology billing specialists ensure each document is accurate and up-to-date with all the necessary information. What we offer for specialized urology billing support:
At Nexus io, we streamline medical billing for urology by integrating directly with your existing EHR systems. This eliminates duplicate data entry, ensures accurate transfer of patient information, and reduces administrative workload for your team.
By eliminating duplicate data entry, we provide precise patient information and reduce admin tasks by up to 30%.
Our system supports urology‑specific details like surgical notes, lab results, and coding data to keep documentation accurate and claims error‑free.
With 25–35% faster claim preparation, fewer errors, and secure data flow, your practice can improve reimbursement speed and maintain full compliance with payer requirements.
Nexus io is your trusted partner for urology billing services. We have specialized expertise in urology procedures, which result in a maximized reimbursement cycle and profitability. Fill out the brief form, and one of our medical billing experts will contact you within 12 hours.
What are customizable urology billing services?
At Nexus io, customizable urology billing services mean tailored solutions designed around your practice’s unique workflow, specialty procedures, and payer mix. Whether you handle general urology, oncology, pediatric cases, or advanced surgeries, we tailor our urology medical billing processes to meet your specific needs. Our modular services include prior authorizations, coding audits, charge entry, and AR recovery, all structured to improve cash flow and reduce administrative burden.
How do you handle complex urology-specific codes?
At Nexus io, we handle complex urology codes with accuracy and compliance. Our certified coders manage medical billing for urologists, using the right CPT, ICD‑10, and HCPCS codes. We also apply the correct modifiers to submit clean claims and help you get maximum reimbursement.
What makes Nexus io the best urology billing company?
Nexus io is a trusted urology billing company with specialty expertise and automated workflows. We manage bundling rules, E/M coding, denial tracking, and payer follow-ups to improve revenue and compliance.
Do you provide EHR system integration for urology practices?
Yes, Nexus io offers seamless integration with the EHR used in urology. This allows for automated data sharing, real-time claim tracking, and minimal manual entry. Our goal is to simplify urology billing services and create a more transparent and connected billing experience.
How do you ensure compliance with payer-specific urology billing guidelines?
We stay compliant by aligning with CMS and payer-specific rules for urology billing. Our team performs routine coding audits, monitors documentation, and adapts quickly to policy updates from Medicare and private insurers. This ensures accurate claims and fewer denials.
Say goodbye to complicated urology billing and coding challenges with Nexus io. Partner with us today to resolve all your urology billing issues and secure reimbursements for every procedure you perform.
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