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Urology Medical Billing Services That Recover the 15–25% You're Losing Every Month

If your cystoscopies, biopsies, or stone procedures aren’t reimbursing correctly, you’re losing money every single day.

  • 95–98% First-Pass Claim Acceptance
  • CUC-Certified Urology Coders
  • Average 18–23% Revenue Growth in 90 Days
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  • Practice Revenue Health Audit

Is Your Urology Practice
Bleeding Revenue? (Most Are.)

If you fall behind your revenue goals, it’s time to get our professional consultation about the Revenue Cycle Management process. If any of these are happening, you’re losing $180K–$450K+ annually:

Visible Revenue Bleed

Immediate Impact

Priority: Critical
Audit Code: URO-901

Cystoscopy Claims Denied

Modifier 59 was used incorrectly on bundled procedures

Priority: High
Audit Code: URO-902

Stress Test Claims Rejected

TC/26 modifier confusion on diagnostic testing

Priority: High
Audit Code: URO-903

Echo Reports Denied

Missing medical necessity documentation

Priority: Critical
Audit Code: URO-904

Pacemaker/ICD Claims Delayed

Prior authorization failures are holding up procedures

Priority: High
Audit Code: URO-905

Nuclear Cardiology Claims Bundled

When they should've been billed separately

Priority: Medium
Audit Code: URO-906

Global Period Violations

Triggering automatic denials on post-op visits

Invisible Losses

According to MGMA urology benchmarking data, practices lose 18%–25% of revenue due to:

22% underpayment

Diagnostic vs Interventional Cath

CPT selection errors

$15K-$35K/month

TC/26 Component Splits

Missing modifiers

High-dollar loss

E/M Undercoding During Checks

Device interrogation visits

18% denial rate

Repeat Imaging Med Necessity

Failed documentation

Critical miss

Stent Coding Errors

Drug-eluting vs bare metal

Systematic loss

Modifier 78/79 Missing

Return-to-OR scenarios

Compliance risk

Global Period Violations

Post-op visit billing

Untapped revenue

Multiple Vessel Add-Ons

Interventional procedures

"You didn't train for 10+ years to fight with insurance companies. But right now, coding errors cost more than a mid-level provider's salary."
Cumulative Revenue Variance
$450,000+
Per Annum Potential
Request Your Free Revenue Assessment
  • Industry Problem

Why General Medical Billing Companies Fail Urology Practices

Urology billing requires specialty expertise that general billers don’t have.

Cath lab bundling chaos

Can't determine which procedures bill together vs separately

TC/26 modifier blindspot

Misapply modifiers on diagnostic testing constantly

Global period confusion

Don't understand surgical procedure follow-up rules

Diagnostic vs interventional miss

Can't distinguish cath procedure types (93454-93461 vs 92920-92944)

Complex procedure underbilling

Don't understand add-on code requirements

Medical necessity gaps

Can't track repeat imaging study justification

Device coding errors

Undercode pacemakers, ICDs, and interrogations

Medicare LCD blindspot

Don't track coverage determinations by region

Result: 15%–22% denial rates, 45-60 day payment cycles, and constant staff time wasted on resubmissions.

If you’re a urologist or practice manager dealing with any of these frustrations, you’re not alone:

See How Much Revenue You’re Missing

Run My Revenue Check

Why General Billing Companies Fail Urology Clinics

Because urology demands more than “general” billing.

1. CUC-Certified Urology Coders & Specialty Teams

Every biller handling your claims is trained in:

  • Cystoscopy coding variations
  • Urodynamics
  • Robotic-assisted coding
  • Cystoscopy coding variations
  • Urodynamics
  • Robotic-assisted coding

Result: 95–98% clean claim acceptance rate.

2. Prior Authorization Done Right

We manage authorization for:

  • Urodynamic studies
  • TRUS with biopsy
  • Lithotripsy & PCNL
  • Botox injections
  • Robotic prostatectomies
  • High-cost imaging

Result: Average Prior Auth Turnaround: 3.2 days (vs 7–10 day industry average)

3. Urology-Specific Denial Prevention

We proactively check for:

  • Medical necessity for repeat cystoscopies
  • CLIA validity for in-office labs
  • Post-operative global period conflicts
  • LCD compliance for PSA testing
  • Modifier documentation for E/M + procedure

Result: Denial rates drop from 15–20% → to under 5% in 60 days

4. Maximum Reimbursement Coding (No Undercoding Allowed)

We ensure you bill accurately for:

  • High-level E/M documentation
  • Multiple same-day procedures
  • Stone management variations
  • Complex urological surgeries
  • Robotic-assisted procedures
  • Diagnostic vs therapeutic cystoscopy

Result: 18–23% increase in revenue without seeing more patients

5. Full Revenue Transparency

You get:

  • Real-time claim dashboards
  • Monthly strategy calls
  • Biweekly financial reports
  • Surgeons + provider productivity analysis

Result: Every dollar — visible. Every claim — traceable.

Urology Procedures We Bill With Surgical Precision

Our team has processed over 2.3 million urology claims, including:

Diagnostic & Therapeutic

  • Cystoscopy (diagnostic, biopsy, fulguration)
  • Urodynamic studies (simple + complex)
  • TRUS-guided prostate biopsy
  • Catheterization, stent changes
  • Circumcision (adult + pediatric)

Office-Based Procedures

  • E/M visits
  • In-office labs (CLIA compliant)
  • Vasectomy & reversal
  • Lesion removal

Robotic & Advanced Surgery

  • Robotic-assisted prostatectomy
  • Robotic nephrectomy
  • Robotic bladder reconstruction
  • PCNL
  • Ureteroscopy + lithotripsy
  • TURP / TURBT

Reconstructive & Functional

  • Sling procedures
  • Penile prosthesis
  • Artificial sphincters
  • Cystocele/rectocele repairs

If you perform it, we bill it correctly the first time.

Real Results

Case Study — 3-Physician Urology Practice

Austin, Texas

  • Before NEO MD
Denial Rate
18%
Reimbursement Cycle
52 Days
Missing Annually
$180,000
Staff Time on Billing
20 hrs/week
  • After NEO MD
Denial Rate
4.2%
Days to Payment
23 days
Revenue Increase
$31,000/mo
Staff Time Saved
Refocused

“We thought things were ‘fine.’ Turns out we were losing $30K monthly. NEO MD fixed it within the first month.”

— Dr. M.R., Austin, TX

Want results like this?

Schedule a 15-Min Discovery Call

Industry Comparison

Why Urology Practices Switch to NEO MD

Metric Industry Avg NEO MD Urology
First-Pass Acceptance 75–80% 95–98%
Denial Rate 15–20% 3–5%
Days to Pay 38–45 21–26
Revenue Growth Baseline +18–23%
CLIA Error Rate 12% 0%

How We Maximize Every Dollar You're Owed

Step 1
Week 1
Free Revenue Diagnostic
Denial root-cause analysis Undercoding report Missing revenue breakdown Full financial recovery projection
Step 2
Week 2–3
Seamless Transition
Zero downtime.
Zero disruption.
Zero lost claims.
Step 3
Month 1–3
Revenue Acceleration
95% accurate submission
Prior auth bottlenecks removed
A/R reduced by 40%
Denials crushed
Step 4
Ongoing
Continuous Optimization
Monthly audits
Ongoing coding updates
Quarterly deep-dive sessions

Your revenue doesn’t just recover — it scales.

Compliance Protection Built for Urology

We manage the high-risk areas:

  • LCD requirements
  • Modifier accuracy
  • Bundling rules
  • Medical necessity validation
  • CLIA compliance
  • Documentation audits
  • Global period conflicts

We keep your practice compliant — and audit-proof.

Frequently Asked Questions

14–21 days, zero disruption.

No, we integrate with yours.

5–7% of collections — but clients net 18–23% more revenue.

Yes — 90-day performance guarantee.

Stop Losing $10,000–$30,000 Every Month to Billing Errors

Every day you wait is revenue you’ll never get back.

Get Your Free Urology Revenue Analysis
Talk to a Urology Billing Expert Today

Free consultation • No commitment • See your revenue potential in 15 minutes