Specialized Urology Medical Billing Services
Your Practice Needs The Best Urology Billing Support
From cystoscopy to stone disease management, urology billing has some of the highest denial rates in all of surgical medicine. We fix that. WeCare Claim Management Company provides end-to-end revenue cycle management to urologists and urology practices across the US.
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What We Do
Complete Revenue Cycle Management for Urology Practices in the US
We handle every step of your urology practice revenue cycle. When a patient books an appointment, we step in and stay with you until the payers pay you for the care you provided to that patient.
Urology-Specific Medical Coding
No matter how difficult urology coding is, AAPC-certified coders at WeCare Medical Billing Solution are trained in urology CPT, ICD-10-CM, HCPCS Level II, and procedure-specific modifiers. We review operative reports and SOAP notes before assigning a single code.
Prior Authorization Management
We help urology care centers in getting insurance approval before treatment for surgeries, imaging tests, injections, and specialty medication.
Insurance Eligibility Verification
Before you provide care, we confirm the patient’s active coverage, co-pay amounts, deductibles, and benefit limits at least 48 hours before any scheduled appointment or procedure.
Claim Scrubbing & Submission
We process every claim through a multi-layer scrubbing process, e.g., NCCI edit checks, payer-specific rule validation, CPT-to-ICD-10 compatibility, and modifier usage before it reaches a payer.
Denial Management
When payers deny your claims, we find the root cause, then correct it, and attach supporting documents for submitting a complete appeal.
Accounts Receivable Follow-Up
We actively work on your aging A/R. We track unpaid claims, post payments, and identify underpayments against contracted rates. After that, we contact payers.
Provider Credentialing & Enrollment
We manage the credentialing and payer enrollment process, whether you’re adding a new provider to your urology practice or expanding to a new insurance network.
Procedures We Bill
We Bill for All Procedures Happen in Your Urology Care Center
Our expert billing team at WeCare work across the full spectrum of urological care from routine office visits to complex robotic-assisted surgeries.
Billing for Endoscopic Procedures
- Cystoscopy (diagnostic & surgical)
- Ureteroscopy
- TURP (transurethral resection)
- TURBT (bladder tumor)
- Laser lithotripsy
- Stent placement & removal
- Bladder neck incision
Billing for Prostate & Male Health
- Prostate biopsy (transrectal, transperineal)
- Prostatectomy (open & robotic)
- GreenLight PVP laser
- Vasectomy & reversal
- Penile implant procedures
- Testosterone management
- Male infertility workups
Billing for Stone Management
- Extracorporeal shock wave lithotripsy (ESWL)
- Percutaneous nephrolithotomy (PCNL)
- Ureteroscopy with laser fragmentation
- Stone removal, open & laparoscopic
- 24-hour urine studies
- Metabolic stone evaluation
Billing for Incontinence & Pelvic
- Urodynamic testing
- Mid-urethral sling procedures
- Sacral neuromodulation (InterStim)
- Botox bladder injections
- Pelvic floor evaluation
- Bulking agent injections
Billing for Oncology & Surgical
- Radical nephrectomy (open & laparoscopic)
- Prostatectomy (open & robotic)
- Radical cystectomy
- Adrenalectomy
- Intravesical BCG/chemotherapy
- Renal tumor ablation
Billing for Diagnostics & Visits
- Renal ultrasound
- Cystourethrography
- PSA & lab interpretation
- Urinalysis with microscopy
- In-office pathology handling
- E/M coding (new & established)
Telehealth Urology Care
WeCare Offers Telehealth Urology Billing Services
Most of the urologists lose hope for reimbursement after they provided urology care virtually. Post-pandemic payers’ policies have undergone changes and have affected the revenue cycle of many practices.
We provide telehealth billing support for virtual urology visits, online consultations, and remote follow-up care.
Place of Service Accuracy
Telehealth urology claims require the correct place of service code (02 for telehealth, 10 for the patient’s home). A wrong POS code is one of the most common denial reasons in virtual care billing. We submit every telehealth claim with the correct POS code.
Modifier 95 vs. GT vs. FQ
Different payers require different modifiers for audio-video remote services. Most of the commercial payers require Modifier 95, but Medicare and some Medicaid plans use different rules. We know which modifier applies to which payer.
Audio-Only Billing (Modifier 93)
We identify eligible audio-only visits and bill them correctly using the appropriate modifiers, as many insurance payers now reimburse audio-only E/M visits for patients without reliable video access.
Payer-by-Payer Policy Monitoring
Insurance companies change their policy for telehealth urology billing. Our telehealth billing expert team tracks Medicare, Medicaid, and commercial payer telehealth policy changes to keep your claims compliant and protect your reimbursements.
Onboarding Process
What to Expect When You Join WeCare Billing Solution
A lot of billing companies make switching sound painful. We’ve worked hard to make it simple. Most of the practices get fully operational with us in under two weeks.
Free Billing Audit
We review your current claims status, denial patterns, and A/R days to show you exactly what your urology care clinic is losing.
EHR Integration
We connect securely to your existing EHR or practice management system. We work with Epic, Athenahealth, ModMed, eClinicalWorks, NextGen, and 50+ others.
Transition from Billing Providers
If you’re switching from another billing company, we manage the transfer carefully, including picking up any outstanding A/R and claims mid-cycle without gaps in billing.
Ongoing Partnership
You will receive regular reporting, monthly performance reviews, and a dedicated account contact who knows your urology practice.
We Work with all Payers
Different Payers Have Different Rules for Urology
Billing Services
- Medicare
- LCD and NCD compliance for urinary care
- Global surgery period tracking
- Advance Beneficiary Notice (ABN) management
- Telehealth billing under Medicare guidelines
- Medicare Advantage plan differences
- Medicaid
- State-specific Medicaid rules (we serve all 50 states)
- Managed Medicaid vs. fee-for-service billing
- Prior auth requirements by the state
- Timely filing limit management
- Dual-eligible patient coordination
- Commercial Insurance
- Aetna, Cigna, UnitedHealthcare, BCBS
- Humana, Anthem, Molina, and others
- Payer contract analysis for underpayments
- Coverage policy tracking per plan
- Out-of-network billing and negotiation support
Why WeCare Urology Billing Providers
What Makes Us Different from a General Billing Company
we bring to every urology practice we manage.
Certified Urology Coders
We have employed Certified Urologic Coders (CUC) with extensive experience in urology billing and coding. We stay updated on annual CPT changes, payer rules, and specialty-specific billing rules.
No Revenue Loss
We submit urology claims and wait until you get paid. We don’t just submit claims and move on. Our team actively reviews charge capture to identify missed or unbilled procedures, checks every payment against your contracted rates, and follows up on underpayments.
Urology RCM Solutions
We provide a urology RCM solution according to your practice. Whether your practice needs support with billing only or complete revenue cycle management, we offer flexible solutions that fit into your practice size, workflow, and operations.
48-Hour Claim Turnaround
We instantly prepare claims and submit them within 48 hours of receiving the encounter data from your urinary care center. The faster we submit claims, the faster you will get your payment.
EHR Integration Support
We work with all major EHR and practice management systems, ensuring smooth data exchange between clinical documentation and billing.
HIPAA-Compliant Processes
All our billing operations follow strict HIPAA guidelines to protect patient information. With us, every stage of the revenue cycle is secure and compliant
Dedicated Team
You get a dedicated account manager who knows your practice, your payer mix, and your providers. When something needs attention, you contact that one person.
Who We Serve
Our Billing Services Are for Every Type of
Urology Practice in the US
Whether you’re an individual urologist just getting started or a multi-site group managing hundreds of procedures a week, our billing adapts to your volume and workflow.
Conditions We Commonly Bill at WeCare
Solo Urology Practitioners
Multi-Provider Urology Groups
Hospital-Based Urology Departments
Ambulatory Surgery Centers (ASC)
Subspecialty Urology Clinics
Telehealth-Only Urology Practices
What They’re Talking About Us?
Questions Urology Practitioners Ask Us
Most of the urology care providers ask us questions. Some of the common questions are:
Our onboarding process is very simple and fast. Most of the clinics are fully onboarded and with us within 7–14 days. If you’re switching from another billing company, we manage the transition carefully.
Yes. We handle billing for all settings, including your urology clinic, a hospital outpatient department, and your ASC. We accurately manage the correct place-of-service codes. If a procedure is performed at multiple locations, we make sure each claim is filed correctly for each setting.
Our fee is a percentage of collections, typically in the 4–7% range, depending on your practice size. But we assure you that our urology RCM services will cost you less than the cost of in-house urology billing.
Yes. Patient responsibility is an increasingly important part of urology practices, particularly for high-cost procedures. We generate clear, readable patient statements and contact patients for their payment responsibilities. Also, we keep following up on outstanding balances in a professional, non-aggressive manner that protects your patient relationships.
Find Out How Much Revenue Your Urology Practice Is Missing
No doubt you are providing exceptional urology care to your patients, but your practice revenue also needs better treatment. You can consult us for urology claim management services and guidance.
No setup fees. No risk. Just results.