Our Urology billing company ensures accurate coding, manages prior authorizations, and reduces denials through AI-powered pre-submission claim scrubbing and end-to-end Urology billing services.
Collection Ratio
Trusted by
AR Reduction
Revenue Increase
Serving Specialties
Urology medical billing services experts at MedCare MSO provide accurate CPT, ICD-10, and modifier coding tailored specifically for urology procedures. This ensures both compliance and optimized reimbursement for your practice. We specialize in coding for procedures such as cystoscopy, TURP, prostate biopsies, stone management, and minimally invasive surgeries. Our team applies the correct modifiers (e.g., -26, -50, -52, -59, -RT/-LT) to accurately reflect procedure complexity, laterality, and other key factors. We also validate bundled services, global periods, and NCCI edits, ensuring proper billing. Our Urology billing services are always aligned with the latest CPT revisions, payer policies, and urology-specific coding guidelines, giving you peace of mind and maximizing your reimbursement potential.
Our Urology prior authorization & insurance verification services handle all payer requirements upfront to prevent delays, denials, and billing issues. We specialize in obtaining prior authorizations for procedures, imaging, injectables, and specialty medications, ensuring timely approvals. Our team also provides real-time insurance eligibility and benefit verification, confirming coverage before treatment begins. We ensure compliance with payer-specific medical necessity and documentation requirements and offer ongoing authorization tracking, extensions, and compliance monitoring to ensure all authorizations remain valid throughout the treatment process.
Our automated claim scrubbing and submission process uses an autonomous Urology billing system that identifies errors early, ensuring clean claims and faster payer acceptance. Our expertise includes detecting CPT–ICD mismatches, missing or invalid modifiers, and performing automated NCCI edit checks and payer rule validation. We also review operative reports and clinical documentation to ensure billing accuracy, followed by clean electronic claim submissions to commercial, Medicare, and Medicaid payers for swift reimbursement.
Our Urology billing services proactively resolve denied and underpaid claims to recover lost revenue and minimize recurring issues. We specialize in denial categorization and Urology-specific root-cause analysis to identify the reasons for denials. Our team handles the preparation and submission of appeals with supporting clinical documentation, ensuring a higher success rate. We also perform timely follow-ups with payers and escalate when necessary. Additionally, we conduct ongoing denial trend analysis and implement corrective actions to prevent future claim issues.
MedCare MSO’s Urology revenue cycle management experts actively manage your A/R to improve cash flow and reduce outstanding balances. We ensure accurate payment posting and contractual adjustment reconciliation, addressing any discrepancies promptly. Our team follows up on unpaid, underpaid, and partially paid claims, ensuring timely resolution. We also handle aging A/R management with payer-specific escalation workflows to prevent delays. Additionally, we provide detailed financial reporting and revenue performance tracking to give you complete visibility into your practice’s financial health.
We are definitely impressed by the Team’s performance. I worked with a lot of different folks from all over the world on different business transactions, and Mark is truly a top notch talent!
Director of Corporate Development, SC & SF
MedCare MSO’s exceptional communication and expertise elevated our RCM experience and my bank accounts!
Owner, R.D.
MedCare MSO did a great job with our billing and helping clean up old AR. Regular updates and good communication were very appreciated.
Co-Owner, PCP
Chief Operating Officer, MAKO MEDICAL LABORATORIES
Chief Executive Officer, CARE NOW CLINIC
Chief Operations Officer, ION DIAGNOSTICS
Co-Founder, AW Care
Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.
Practice Owner, F&A Clinic
We have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage.
President/CEO, RLT
I am impressed with MedCare MSO’s promptness to respond to any inquiries, with the time they dedicate to reviewing each one of the cases.
Practice Owner/FBH
Yes. Our Urology billing service provider team includes AAPC-certified coders with the Certified Urologic Coder (CUC) credential who complete annual training on Urology CPT updates and modifier rules.
Most practices pay 4-8% of collections. When you outsource Urology billing services, it typically costs 20-30% less than in-house billing when you include salaries, benefits, software, and training expenses.
No. We integrate with over 50 EHR systems, including Urology-specific platforms. Setup takes 5-7 days, and your clinical workflow stays exactly the same.
Yes. Our Urology billing company handles billing for all locations, including offices, hospitals, and ASCs. Our Urology billing experts and coders manage place-of-service codes and facility versus professional component splits correctly.
Please provide the following information, so our team can connect with you within 12 hours.
Or call us as 800-640-6409
SC & SF
Hi Ali, I hope this message finds you well. I wanted to give you some feedback on the team.
We are definitely impressed by the Team’s performance. Definitely what we were looking for from switching partners.
In particular Mark Zaiden has been very helpful. In my 5+ years of experience as a M&A Professional, I worked with a lot of different folks from all over the world on different business transactions, and Mark is truly a top notch talent!
Austin has done a great job of leading the communications process and keeping the train going in the right direction. Tammy and some other folks have been key players as well. We really are happy with everyone on the team.
I wanted to pass this feedback along to you as we are really pleased with working with MedCare MSO so far.
Have a great weekend!
Max Owens
Director of Corporate Development
SC & SF
R.D.
MedCare MSO’s exceptional communication and expertise elevated our RCM experience and my bank accounts!
Most helpful is the open/responsive communication of their team with my office and each other, along with the specialty levels of expertise amongst my team for each aspect of RCM.
Kelly Ballou
Owner
R.D.
F&A Clinic
Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.
I would like to take time to recognize two members of MedCare MSO specifically. Moses for his exceptional support and dedication. He is always responsive, and knowledgeable, and goes above and beyond to ensure smooth operations. His professionalism and commitment make a huge difference in our day-to-day workflow. George also for his quick feedback and recognition of what is needed most. He is extremely efficient and always available for clarification and to share his knowledge and expertise.
I highly recommend MedCare MSO to any healthcare provider looking for a reliable and efficient billing partner.
RLT
Hello,
I am writing this email to express our appreciation of the MedCare MSO’s team and all they have done for our business at RLT. In the past year, we have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage. We went from having over $100k in uncollected/billed claims to now reaching near $100k in collection some months.
We are also happy to express our thankfulness that MedCare MSO is now helping us acquire new contracts with different insurance companies. This will in effect benefit everyone involved, allowing us to expand our services and provide more resources for our staff/business partners.
Please note special appreciation for the following:
David Lucas
Mario Ortega
Ambrose William
FBH
I have been a customer of MedCare MSO for one year. They have provided billing and credentialing services for my private behavioral health practice, and I am impressed with their promptness to respond to any inquiries, with the time they dedicate to reviewing each one of the cases, and with their willingness to educate me and my staff about the ever-changing rules of medical billing and the best use of coding. This is a company I Trust with my billing needs.
Dr. Neufeld
Practice Owner
FBH
