Urology Billing Services

The American Association for Accreditation of Ambulatory Surgery Facilities' Guide for Third Party Reimbursement of Facility Fees indicates that the urology specialty often faces challenges in receiving reimbursements. However, urologists working with experienced billing services tend to receive higher reimbursements on average. This is because billing services are well-equipped to meet the unique needs of urology practices.

At 5 Star Billing Services, our certified coders and billers understand the correct procedures and processes required to receive maximum reimbursement. We communicate with providers and office staff to ensure that billing errors and common coding mistakes are avoided, enabling us to submit claims correctly the first time for faster reimbursement.

What We Do

5 Star Billing Services provides comprehensive billing, collections, and practice management services for urology providers. We start with an initial evaluation of your practice and accounts receivable, making it easy for you to get started and ensuring you get paid. Our expert billing professionals provide:

• Full account receivables management
• 12-hour claims processing
• System-based eligibility checks
• Quarterly coding updates
• System-based claims scrubbing
• Handling of all billing calls
• Regular quality assurance checks
• Weekly progress meetings and report reviews
• Customizable monthly reports

Why Work With Us?

Our certified coders have years of experience working with urology practices and are equipped with the knowledge to handle coding and billing-related processes to ensure that you receive payments and reimbursements on time. Our extensive knowledge in the urology field has allowed our billers and coders to meet the demands of a wide variety of urology providers, clinics, diagnostic centers, hospitals, and multi-specialty groups. We work side by side with your practice to help identify problem areas and establish the best medical billing and coding procedures possible.

Our urology billing service is based in the United States and is fully compliant with HIPAA standards and regulations. This means that your patients’ protected health information will never be compromised.

To learn more about how 5 Star Billing Services can benefit your practice, call 480-999-0180 to speak with one of our representatives.

Benefits

At 5 Star Billing Services, we have the capacity to handle multi-physician, multi-location practices, while still providing the personalized attention your account deserves. We offer:

• Improved collections and income
• Accelerated payments and reduced stress
• 24/7 accessibility to your patient data and financial information
• Transparency throughout the revenue cycle
• Full financial and practice management reporting

Areas of Expertise

Our billing and coding staff are well-trained and stay current with the latest changes in urology codes and payer requirements, ensuring accurate and timely claim submissions. We are also adept at the claims denial process and can appeal denied claims efficiently for speedy reimbursement. Our team has extensive knowledge of:

Complex urology billing codes and rules
Urology-related terminology
Office notes and operative notes
Coding for surgical procedures
Code variations related to multiple procedure rules

Common Coding Scenarios

Coding for catheterizations requires specific knowledge due to varying clinical scenarios. Our coders verify the exact procedure performed before assigning codes to prevent claim denials. For instance, for urethral dilation, our coders assign CPT codes for initial and subsequent dilations, ensuring full reimbursement for the urologist's services.

Receivables Management

• Coding
• Billing
• Payer relations
• Patient relations
• Collections
• Client reporting
• Fee analysis
• Managed-care contracts

Your Urology Billing Company

A urology billing company should increase your reimbursements and be more efficient and effective at billing than your own office. Whether you own a private practice or work in a hospital or multi-provider facility, a urology billing service can make your practice more profitable.

Industry experts consider a claims adjustment rate of between 20% and 35% as good and acceptable. At 5 Star, our account executives have an average of eight years in urology billing, which is why our adjustment rate is consistently lower - as low as 12% with Medicare. We achieve AR rates for our practices that are higher than the industry average, meaning you and your practice will get a higher average return per processed claim.

5 Star Billing Services is more than a claims processing center. We offer multiple benefits and billing services. Our state-of-the-art billing system generates accurately-coded claims daily and submits them electronically. Once your superbills are processed, payment can be received in as little as ten days instead of three months.

A Urology Billing Company Should Help Reduce Your Expenses

Our clients reduce their office expenses by using our services and software – all you need is a PC and access to the Internet. Our practice management software is all-inclusive and is part of our standard service. There are no costly software updates or support fees. There are no hidden costs or additional charges.

5 Star Billing Services is unique in the field of urology billing. We offer a complete business solution to your medical billing and practice management needs, and we do it all for one fee. All the medical billing services and benefits you receive are included, even your overnight mail for shipping your demographics.

Our fee is below the national average. Our goal is to provide the highest return on your claims at a competitive price, without sacrificing service or patient support.

Our Medical Billing Software

At 5 Star Billing Services, we use advanced, web-based medical billing software that can easily connect to your organization’s own data. We can also work with your own billing or practice management software, as our billing specialists have worked with most major billing systems, including Medisoft, Practice Admin, Lytec, Eclipse, AdvantX, and others.