Urology Medical Billing & Credentialing Services

Specialized RCM Support for Urology Practices

Whether you're performing prostate biopsies, managing urinary tract infections, or offering surgical intervention, urology billing requires precision. At Oakview Medical Billing Solutions, we offer industry-leading billing and credentialing services designed to optimize reimbursements, reduce denials, and streamline operations for urology specialists (MDs, DOs, group practices, ASCs, and hospital-based departments).

Why Urology Billing Demands Expert Oversight

Urology billing stands out because:

• Complex procedures like cystoscopy, lithotripsy, and robotic prostatectomies require exact CPT usage and clear documentation to support medical necessity.

• Modifier misuse is common—incorrect use of separate procedural modifiers (e.g., –59, –25) leads to denials or underpayments.

• Bundled coding errors occur when labs, imaging, or multiple services are submitted improperly, triggering payer denial.

• Prior authorization gaps for high-cost procedures (e.g., lithotripsy, advanced imaging) result in write-offs.

• Rapid CPT changes demand practice-wide education and billing adaptation to avoid outdated codes.

• Patient balance billing and collections are complicated in elective procedures or out-of-network settings

How Oakview Supports Your Urology Practice

We’re more than billers—we’re your strategic RCM partner:

• Certified Urology Coding Specialists rigorously audit charge capture, documentation, and CPT/modifier use to maintain clean claims and avoid audits

• Credentialing Expertise in Medicare, Medicaid, commercial plans, worker’s comp, and ASC credentialing ensures faster in-network access.

• Denial Management & Appeals leverage root-cause analytics and provider documentation to recover unpaid claims.

• Prior Authorization Management for advanced imaging, surgeries, and office procedures—avoiding service denial.

• Advanced tech integration with EHRs and billing software for real-time eligibility checks, claim scrubbing, and automation

• Monthly Financial Dashboards offering insight into AR aging, claim velocity, denial trends, payer breakdowns, and key performance indicators.

• Ongoing Staff Training ensures coding accuracy and compliance with payer-regulatory updates.

Common CPT & Modifiers Urologists Use

Why Oakview Stands Apart

• 98% clean claims submission rate within first 3 months.

• 20–40% reduction in AR days via aggressive follow-up workflows.

• Deep experience with compliance, MAC, and ASC credentialing.

• Transparent pricing and a dedicated billing & credentialing liaison.

Next Steps: Let’s Get Started

If you're facing high denials, slow collections, or administrative burnout, Oakview Medical Billing Solutions is here to help. We tailor our services to your practice size, payer mix, and surgical volume.

📞 Book your free practice RCM audit today