In this article, we shared coding guidelines for urology supplies updated for the year 2022. To share these guidelines, we referred CMS document on Local Coverage Determination (LCD) for urological supplies and Medicare Advantage Policy Guidelines for urological supplies from United Healthcare. Consider below mentioned guidelines as general guidelines for urology supplies. For payer-specific reimbursement […]
Are You Aware of These Coding Guidelines for Urology Supplies?
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
Why You Need Urology Practice “Report Card”?
Are my resources performing optimally and will they perform to reduce my overhead cost? These are a few questions asked by a urologist as they gear up for the next year. Most of the urologist is looking towards the high overhead cost of running an individual practice or few urologists asked us to do auditing […]
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 […]
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 […]