Urology

Urology Billing Services and Practice Management

The success and financial strength of your Urology practice is a direct result of quality, timely billing and account reimbursement. With the recent changes in the Urology billing rules and reimbursement for certain surgical procedures, including bundled payment rules and global surgery package by CMS Medicare and Medicaid, it has become critical for Urology practices to hire a Urology billing company that has the experience necessary to navigate the complexities of Urology Billing.

While these new regulations may seem extremely overwhelming for many Urology practices, with a careful planning and practice analysis, it is entirely possible to manage a very successful Urology practice under the new bundled payments model and global surgery package.

GHMS provides Urology Billing and Coding experts who ensure maximum allowable reimbursement for your practice. Having the knowledge and proficiency to handle complex Urology billing and coding requirements set forth by Medicare, Medicaid and third party insurance companies, they know when and how to bill for Urology surgical procedures performed, including bilateral and multiple surgeries, co-surgeons and team surgeries.

Urology Practice Analysis

Global Health Management Services provides a complimentary benchmark analysis that demonstrates the performance of your Urology practice revenue in accordance with national and regional measures. Our courtesy evaluation provides a comprehensive assessment of each element of your Urology revenue cycle which includes the accuracy of your coding, billing and reimbursement practices.

A Global Health Executive Partner oversees the implementation of each client’s distinctive increase revenue plan, helping to maximize potential reimbursement.  Our extensive healthcare experience in analytical problem solving strategies in defined areas of your Urology practice includes managed care payer contracts, hospital and healthcare facility partnership contracts, specialized Urology billing, coding, claims appeals and AR management. Request a Urology Benchmark Revenue Analysis.

GHMS also provides Urology Practice Consulting services specializing in Urology revenue analysisbilling, coding, AR management, credentialing, claims appeals, and payer contract negotiations.

 GHMS also provides Urology Practice Consulting services specializing in Urology revenue analysis, billing, coding, AR management, credentialing, claims appeals, payer contracts and managed care contract negotiations.

Urology Practice Management

Global Health offers a wide variety of Urology Medical Billing and Practice Management services. To better customize the menu of benefits for your practice, our Urology Practice Management Consultants conduct a complimentary comparison to demonstrate how your business compares with similar providers, practices and facilities. The practice analysis results provide the specifics for coordinating the most efficient and comprehensive strategy for increasing your revenue.

Clients are welcome to choose one or any combination of our Urology Practice Management services.  Our informed recommendation, and the preference of the majority of our Urology clients, supports the bundling of our Urology practice management services to streamline the revenue cycle while reducing expenses.

Urology Practice Management services:

  • AR Management
  • Claims Appeal Services
  • Urology Practice Analytics
  • Urology Billing
  • Urology Coding by Certified Medical Coders
  • Medical Collections Services
  • Provider Credentialing
  • Payer Contract Negotiations

Global Health Management Services’ Urology Billing and Coding specialists provide the knowledge and expertise your practice needs in order to ensure maximum reimbursement.

Urology Contract Negotiation

Payer contract negotiations, evaluation and renegotiations is very critical to every Urology practice, yet many practices only set up their managed contracts one time and allow them to automatically renew without any negotiations. Most Urology practitioners lose additional revenue of 10-30 percent because they do not have the time or the required expertise to renegotiate contracts with insurance payers.

Global Health Management Services are experts in managed care contract negotiations. We perform a contract analysis of your Urology managed care negotiation process, evaluating each contract and devising a contract negotiation and renewal strategy for your Urology practice by using leverage points to maximize normal contract terms, resulting in significant revenue increases for our Urology clients.

Urology Billing and Coding

GHMS, a national Urology billing and coding company provides professional certified medical coders and billers who specialize in Urology distinct set of codes and modifiers. Working together, our certified medical coders and Urology specialized billers will identify past billing problems and denied claims, evaluate underpayments, submit claims appeals with correct documentation and bill appropriately with the correct ICD, CPT and Modifier codes to insure maximum reimbursement.

Urology Billing Services

GHMS’s Urology Medical Billing specialists can manage all aspects of your Urology practice’s billing and revenue cycle and will work in conjunction with your Urology practice to ensure you receive the appropriate reimbursement for services performed. We focus on maximizing every bill to each payer by also ensuring compliancy and sending each bill out in a prompt and timely manner resulting in the fastest revenue response from the payer directly to your Urology practice.

Our Urology Billing Specialists will

  • analyze, recognize and advise you of the advantages of reimbursement fee trending
  • keep current with insurance specifications and regulations and ensure the fees are kept at the maximum allowable reimbursement
  • focus on accurate procedure and diagnosis codes so claims are not suspended or rejected
  • carefully analyze insurance payments and Explanation of Benefits to ensure accurate payment and take appropriate action if necessary
  • process Secondary Insurance claims immediately upon receipt of the primary carrier Explanation Of Benefits

Our team of Urology billing specialists work closely with your practice and provide the necessary and continuing education on the best documentation and billing practices for procedures performed, including keeping your Urology practice up to date with the latest CMS Medicare, Medicaid billing and documentation requirements, certifications and regulations.

At Global Health Management Services we make sure that you receive the maximum amount covered by the insurance companies while minimizing out of pocket expenses for your patients.

Urology Certified Coding
Global Health Management Services understands the challenges faced by Urology practices accustomed to CPT, ICD-9 and ICD-10 coding. Our certified Urology coders remotely and seamlessly integrate with your staff, quickly familiarizing themselves with your practice. Identifying trends, past billing problems and denied claims, we custom design a menu of actions for your business that will result in accelerated revenue cycles and improved compliance. Our accredited coding specialists;

  • Evaluate and Manage Urology Billing and Coding Functionalities
  • Provide Professional Coding Services for Urology practices
  • Capture and Improve Urology Revenue
  • Provide and Establish an Increased Efficiency
  • Reduce Compliance Risk

In order to maximize your revenue, it’s important to have Urology billers and coders who specialize in Urology practices and who understand the requirements needed to successfully bill Medicare, Medicaid and insurance companies for payment in order to receive the maximum allowable reimbursements. At GHMS, we are Urology Billing and Coding experts with proven results for our Urology clients.

Urology AR Management

Global Health Managements Services’ innovative Urology A/R Management coupled with our collection services have been providing Urology practices improved collections over the past two decades. We are able to improve collections within a short period of time.

Our success comes from accurate, timely and professional Urology billing followed by serious A/R follow up and collection activity by dedicated professionals who use technology to process and accomplish the task of collecting more, faster.

  • Each claim is meticulously tracked and followed up by our trained and experienced medical billing staff until the payment is received.
  • We have dedicated Urology A/R managers to follow up with payers and patients.
  • Internal processes are clearly laid out to expedite collections and ensure follow through for each claim.

Global Health Management Services performs complete revenue cycle outsourcing for Urology practices. Our practice management consultants are highly trained and specialized to maximize Urology revenues.

With a combined experience of over five decades of serving the healthcare industry, Global Health Management Services has been helping Urologists, Urology group practices, and hospital owned Urology groups with their Urology medical billingmedical codingUrology practice management, claims appeals, A/R management, Healthcare Practice Analyticsmedical provider credentialing and managed care contract negotiations and has a proven track record of increasing the revenue of our partner medical providers.

For more information on how Global Health Management Services can increase your Urology Practice revenue, contact our Urology Billing and Practice Management consultants.