Coding Updates for Urology in 2020

Multiple coding changes have been made either half-yearly or yearly basis with small reporting to the medical community from Centers for Medicare & Medicaid Services (CMS) as well as other private carriers. Owing to multiple modifications and their extended reporting, billers, and coders, and physicians are unaware of new guidelines until months later when it […]


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Why you should tread carefully when using modifiers -25 and -59 in Urology Billing?

The Urological Supplies Local Coverage Determination (LCD) provides for the use of modifiers with each submitted HCPCS code to indicate whether the applicable payment criteria are met KX modifier and to provide other information related to coverage and/or liability (GA, GZ and GY modifiers) when the policy criteria are not met. This article reviews the […]


Read More.. Why you should tread carefully when using modifiers -25 and -59 in Urology Billing?

Urology billing suffering due to stagnant coding?

Urology billing is seeing a pool of billing and coding changes both in terms of administrative workflow and coding for different procedures. It might be time for you to understand different aspects of urology coding and how the insurance company will like you to work as a facility. As a Urologist, your in-house restorative charging […]


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Pre-operative and New-Visualization Technique for Urology Practice

Urology Practice Services Urology is a specialty medical stream that has been always at the forefront of research and innovation. The medical and healthcare segment is an ever-evolving field hence; no wonder if there are newer technologies put into practice. These technologies have been rapidly embraced and, in many cases, improved upon in order to […]


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Structure of Urology Medical Billing you should understand

Urology medical billing is the process by which healthcare practitioners bill insurance companies for services provided to patients. In order to complete this formality, medical billing and coding experts assign designated codes to various procedures to restructure the process of billing certain procedures. Medical billing companies assist in healthcare facilities to optimize the revenue management […]


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Reduce the Denial Rate for your Urology Practice

Claims denial is one of the biggest reasons that numerous urology practices are shutting their businesses. Not getting paid for the services provided may lead many physicians into depression. That’s why having dedicated urology medical billing services that efficiently scrubs each claim is a necessity. As a practicing physician reducing claim denials should be an […]


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Why Urologist Need More Unified Action Plan to Change from Fee-for-service to Value Based Care?

In the rapidly changing healthcare landscape, payers are asking providers to shift from volume-based care that is a fee for service to a value-based reimbursement structure with a population health approach. This evolution toward value-based reimbursement benefits the patient, the healthcare provider, and the payer. Value-based reimbursement encourages healthcare providers to deliver the best care […]


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Reduce Cost and Increase Income for Urologist

The health of any business is a result of a proper balancing of income and expenses so as it ensures profitability and stability. Market dynamics like competition, pricing, consumer needs, pref­erences, product and service inno­vations, and industry regulations all lead to significant changes in the success of a practice. Every Urologist would admit that missed […]


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Will Advanced APM Affect Urology Physicians reimbursement?

There was a certain cheer in the air from Urologists and other Medicare providers when the Medicare Access and CHIP Reauthorization Act (MACRA) was passed and signed. This ended the terrain of the sustainable growth rate (SGR) payment formula. However, what persists today in the world of healthcare is confusion and uncertainty. The Quality Payment […]


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