Billing Expertise for a Specialty With a Wide Procedural Range

Urological procedures range from cystoscopies and urodynamic studies to prostatectomies, nephrectomies, and laser lithotripsy, and each carries its own CPT code, documentation requirement, and reimbursement level. In-office procedures like bladder instillations, prostate biopsies, and vasectomies also represent significant revenue that needs to be captured with the right codes and modifiers. At Medisure, we review every procedure note and surgical report in detail, apply the correct codes based on exactly what was performed, and make sure that no procedure, large or small, goes uncaptured or underbilled.

Prostate cancer surveillance is a high-volume billing area in urology, with PSA testing, prostate biopsies, and follow-up management visits generating consistent revenue across a large patient population. Billing these services correctly, ensuring that diagnostic and preventive PSA testing are coded differently, that biopsy coding reflects the number of cores taken, and that follow-up visits are billed at the appropriate E&M level, requires detailed knowledge of urology-specific coding rules. Medisure handles every aspect of cancer surveillance billing with precision, protecting your revenue on one of the highest-volume service areas in your practice.

Urology practices that perform a high volume of surgeries need to manage global periods carefully to ensure that post-operative visits and services are billed correctly. Services provided within the global period are included in the surgical fee and cannot be billed separately, while services outside the global period or unrelated to the surgery are separately billable. Medisure tracks global periods for every surgical case and applies the correct modifiers when services are billed during or outside of these windows, protecting your practice from both underbilling and compliance risk.

Urology practices see a high volume of patients and submit a correspondingly high volume of claims, which means that denial management and AR follow-up need to be consistent and thorough to keep revenue flowing. At Medisure, every claim goes through a pre-submission audit before it reaches the payer, catching coding errors, missing authorizations, and documentation gaps before they become denials. When denials do occur, our team responds quickly and pursues every appeal to resolution. On the AR side, we monitor every outstanding balance and follow up consistently to ensure that your high claim volume translates into equally consistent collections.

Urology practices operate across a wide range of services, patient types, and care settings, and the billing support that serves them needs to match that range. At Medisure, we provide a complete revenue cycle solution that covers every service your urology practice offers, from routine office visits and in-office procedures to complex surgical cases and cancer surveillance. You receive detailed monthly performance reports, a dedicated billing team with deep urology expertise, and a partner that is actively working to improve your collections every single month.