Urology Laboratory Billing
Urology is a specialty facing some of the most challenges against the declining Medicare reimbursement rates. In fact, Urology tests specifically dropped by an average of 19% following the 3-year period.
Whether you’re billing Medicare for a non-screening PSA or advanced prostate cancer immunotherapy, or expending too much labor and costs with in-house billing, partnering with a laboratory revenue cycle management company can help maximize every reimbursement so your Urology lab remains profitable.
Our Full-Service Revenue Cycle Management
Does More For Your Urology Laboratory Billing
Unique Requirements for Successful Urology Laboratory Billing
Urology laboratory billing notably relies on correct and accurate use of CPT, ICD-10, and modifier codes. Without proper experience in urology coding, labs spend more costs and time correcting denials than receiving reimbursement. Some of these coding complexities include:
- Labs must use modifier 59 when billing for two urology services in one claim
- Labs should not report 51701-51703 in addition to any other procedure that includes catheter insertion as a component
- LCD guidelines require the use of proper ICD-10 codes for surgeries such as neoplasm, endocrine, nutritional diseases and more
Outsourcing your urology lab billing to a laboratory-focused revenue cycle management partner will alleviate your urology lab from expenses on labor and training by equipping you with a team of billers proficient in laboratory coding requirements so you receive more reimbursements and less denials.
How We Maximize Every Reimbursement for Urology Labs
Prior-authorization and eligibility checks
Complete claim and denial management
Claim scrubbing software automated to detect CPT code and modifier changes before claims are sent to payers
U.S. based billing professionals that reduce claim correction time, increase patient payment turnaround, and eliminate the need for in-house staff
Customizable dashboards and real-time reporting on urology lab’s claim management data, data by payer, data by providers, patient information data, and data by testing menu
Leveraging collective payer relations to provide urology labs with the highest reimbursement per test
Grow your lab with
full-service revenue cycle management
Phytest’s full-service revenue cycle management solutions do more than maintain a urology lab’s billing processes, but equip them with a team of patient-facing, technology, and account manager professionals that allow the lab to leverage additional revenue and gainful data about their lab’s performance to their advantage – and take control of their growth.
Laboratory RCM crafted to promote growth
A team of patient-facing professionals that answer all questions and increase satisfaction – making payments faster.
Automated technology that inputs patient, coding, and missing data that reduces labor and increases accuracy.
Complete management from prior-authorization, eligibility checks, and correcting denials.
Access to real-time data on customizable dashboards that provide transparent financial data that you can export any way you need.
Software & Integration
Claim-scrubbing software catered to laboratories and tools that seamlessly integrate with any LIS system.
Dedicated account managers, expert in-house developers, and a team of clinical laboratory billing specialists are available whenever you need.
Request A Urology Laboratory Billing Consultation
Phytest serves laboratories that have made the switch from subpar medical billing services or insufficient in-house billing. Our expertise in laboratory billing allows us to prepare individualized solutions for each client with the knowledge of the latest RCM software advances, and federal and state guidelines.
Contact our team of experts today to see how Phytest can partner with you to help your lab expand capability for growth and increase collections.