Urology Billing Services
Are the complexities of urology billing making it difficult to submit clean claims? Are these challenges leading to claims denials and a subsequent low collection rate? Then, you need a specialized billing partner! We deliver HIPAA-compliant urology billing services to resolve common billing errors, submit claims on time, and maximize claims reimbursements.
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How We Streamline Urology Billing For Your Practice
We bank on a strategic ratio of human expertise and advanced billing software to deliver top-notch urology billing services. Our aim is to curb claims denials while overhauling your urology billing system. This approach enabled us to simplify billing management for hospitals and doctors specializing in treating urinary system dysfunctions, including cystoscopy, prostate biopsy, sling procedure, artificial urinary sphincter (AUS), TURP, and many more urology practices. Here are the steps we take to facilitate urology billing for your practice:
- Leverage billing-related digital technologies, such as EMR, EHR, EDI, and PMS, to facilitate accurate and on-time electronic claims processing.
- Verify patient details including demographics, medical history, and physician referrals and insurance payer information at the time of registration to ensure data accuracy in claims documentation.
- Determine and confirm pre-authorization requirements, secure approval from payers when needed.
- Conduct real-time claims scrubbing to quickly identify and resolve billing errors, reducing claims denials and improving the revenue cycle.
- File claims as per urology's latest coding, such as CPT codes (50000 to 55899), including urology-specific CPT (cystoscopies, lithotripsies, prostate biopsies), ICD-10, HCPCS Level II procedure codes, etc., to avoid errors and potential penalties.
- Adhere to pertinent regulations and payer billing guidelines while handling Fee-for-Service Billing, Capitation Billing, Episode-of-Care Billing, Value-Based Billing, and more.
- Submit claims electronically as per the fee schedules and payment guidelines of government insurance payers such as Medicaid, Medicare and private insurance companies (UnitedHealthcare, Anthem, Aetna), Tricare, Workers' Compensation, Commercial Health Plans, and more.
- Conduct the claims review process by examining EOBs, starting the appeals process as needed.
- Analyze EOBs to determine patients’ financial responsibility (co-payments, deductibles, co-insurance).
Our Comprehensive Urology Billing Services
- Insurance verification and eligibility checks
- Charge capture and coding
- Claims submissions and processing
- Payment posting and reconciliation
- Denial management and appeals
- Accounts receivable management
- Patient statements and collections
- Reporting and analytics on billing and collections metrics
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Finance and Accounting Tools We Specialize In
Local Client Testimonials
During your consultation, some of the issues we can discuss are:
- Your current urology billing practices, challenges, and how we help you improve them.
- How we leverage urology billing software to reduce coding errors, expedite insurance claims verifications, track claims status, and receive electronic payments
- How we customize our urology billing solutions to suit your unique needs and RCM goals
- We track key performance metrics, such as claim settlement times, denial rates, and collection ratios.
Why Choose Invensis as your Urology Billing Company?
We are an established urology billing service provider, delivering solutions to urology practices for over 25 years. Our clientele includes general urology centers, specialty urology centers (e.g., Oncology, Andrology), pediatric urology centers, and more. All these services are delivered through our experienced team of billing managers, certified urology coders (CUC), certified professional billers (CPC), claims processors, account managers, and compliance officers. We maintain a consistent track record of a clean claims rate of about 98%, a reduction of A/R days up to 45 days, meeting the denial benchmark of less than 8%, and an estimated 95% net collection rate (NCR).
Benefits of Outsourcing Urology Billing
- Increased Revenue:Â Urology billing can be time-consuming because of the complexities of the codes involved. A lack of up-to-date knowledge can cause the billing to go for a toad, leading to denial. As ensuring this in-house is challenging, billing for urology is commonly outsourced.
Invensis has assisted several practices with specialized urology billing services. From upfront billing to urology coding and quality review to mapping codes, we understand the process involved end-to-end. Our services have helped maximize revenue with timely claims submission. We have a great track record of fewer denials and reduced urology billing errors.‍ - Reduced Administrative Burden: Billing in urology practices can be time-consuming and complex, requiring significant administrative resources to handle the process. An in-house team may find it difficult to handle this, so most urology practices prefer outsourcing.
Urology billing services from Invensis can help reduce this burden by managing the entire billing process, from claim submission to follow-up on unpaid claims. Our services streamline administrative processes, minimize errors, and ultimately increase efficiency, allowing you to focus on patient care.‍ - Improved Compliance: One of the challenges of urology billing is ensuring compliance with constantly changing regulations and guidelines. However, by outsourcing urology billing, healthcare providers can benefit from improved compliance through expert knowledge and experience in the field.
Invensis offers specialized medical urology billing services that help healthcare providers stay compliant with changing regulations and coding requirements, reducing the risk of billing errors and penalties for non-compliance.‍ - Enhanced Patient Satisfaction: Managing patient expectations and addressing billing concerns will be helpful in improving patient satisfaction. An in-house team cannot handle all these tasks at once. To tackle this, most urology practices prefer outsourcing to a third-party provider.
By outsourcing urology billing to Invensis, healthcare providers can focus on providing high-quality patient care. Our urology billing services also help increase patient satisfaction, as patients are more likely to receive prompt and accurate billing information. We aid patients with a better understanding of their bills, experience fewer billing errors, and receive timely resolution of billing disputes, leading to a positive patient experience.‍ - Access to Advanced Technology: Billing and coding in urology can be complex, and proper billing management could ease your process and focus on patient care. An outsourced team can aid you by offering a clear plan to streamline processes and reduce billing errors, leading to timely reimbursement.
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Invensis offers customized urology billing services that typically use advanced billing technology and software to help improve accuracy, speed up the billing process, and provide real-time insights into the practice's financial health. We help automate processes to reduce errors, increase efficiency, and enable more accurate billing and coding, improving revenue and patient satisfaction.
Trends in Urology Billing
- ‍Integration of Electronic Health Records (EHRs): An efficient management of patient data is essential in Urology billing practices. Integrating EHRs with billing systems can help improve data management. This integration can help reduce errors and improve the accuracy of claims submissions. Invensis provides urology billing that helps integrate with EHRs to improve efficiency and performance.
- ‍Increased Scrutiny of Claims: With rising healthcare costs, insurance companies and payers increasingly scrutinize claims to avoid denials and ensure compliance with regulatory requirements. Our outsourced urology billing services implement comprehensive billing and coding practices to minimize errors and reduce the risk of audits, leading to increased revenue and improved compliance.
- ‍Telemedicine Billing: The COVID-19 pandemic has accelerated the adoption of telemedicine in urology, and billing for these services has become more important. Healthcare providers are exploring new ways to bill for virtual consultations and other telemedicine services to boost efficiency. At Invensis, we understand and adhere to the complex billing guidelines of various payers for telemedicine services, which leads to increased revenue.
- ‍Outsourcing of Billing Services: Due to the time-consuming and complex nature of urology billing services, many urology practices outsource their billing services to third-party vendors. They provide specialized expertise and technology to manage the billing process more efficiently. Invensis offers urology billing outsourcing services to help urology healthcare providers reduce administrative burdens, improve revenue cycle management, and ensure compliance with regulatory requirements. This leads to increased profitability and focus on patient care.
What Our Customers Say
We have been working with Invensis for the past two years, and they have helped us overcome many revenue cycle management challenges. The team often walks the extra mile to ensure that our needs are met.
Invensis has been our revenue cycle management healthcare outsourcing partner for the past 5 years. They have always delivered on their commitments, whether it is meeting our Service Level Agreement (SLA) or improving our billing process.
Invensis has been a great partner providing quality medical coding and billing services. The team is extremely responsive to every query we pose, and the turn-around time for deliverables is always as committed.
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