OUR BLOGS

One denied urology claim is a hiccup. The same denial showing up again next month is a workflow problem. This guide breaks down the most common reasons urology claims get denied, why simply resubmitting isn't a strategy, the denial-management workflow that actually prevents recurrence, and the RCM metrics worth tracking to catch the pattern early.

Great patient care doesn't guarantee healthy cash flow. This guide walks through exactly where urology practices tend to lose revenue — eligibility, authorization, coding, denials, and A/R — and what a specialized urology RCM process actually looks like end to end, including a self-assessment checklist and the KPIs worth tracking.

A claim edits, and the instinct is to slap on a modifier and resubmit. That instinct is exactly how Modifier 25 and Modifier 59 get misused. This guide breaks down what each modifier actually communicates, when documentation does and doesn't support them, how the XE/XP/XS/XU family fits in, and a practical decision framework for urology billing teams in 2026.

A supply claim can look simple until missing documentation or the wrong code triggers a denial. This guide covers CPT vs. HCPCS, medical necessity, common pitfalls, and a practical audit checklist.

New CPT families, federal prior auth rules, and AI tools are reshaping urology revenue cycles. Here’s what practices must act on this year.

It describes cystourethroscopic insertion of a permanent adjustable transprostatic implant (prostatic urethral lift) for BPH. Learn correct coding with 52442, documentation requirements, and how to prevent denials.

CPT 55700 no longer exists for 2026 dates of service it’s been replaced by eleven new prostate biopsy codes. Learn the 55705–55715 family, documentation requirements, common denial triggers, and a pre-submission checklist.

Learn how to correctly report CPT 52442 with base code 52441, meet documentation requirements, avoid common denials, and keep multi-implant claims clean.

This guide covers what changed, documentation payers expect, common coding mistakes, and a quick self-check for your urology billing workflow.

Struggling with CPT 52601 TURP claims? This 2026 guide covers documentation checklists, modifier guidance, global period rules, common mistakes, denial workflows, and RCM tips to keep claims clean and compliant.

CPT 52332 is one of the most billed—and most denied—codes in urology. This 2026 guide covers documentation checklists, modifier rules, NCCI bundling updates, common denial triggers, and payer-specific tips to keep ureteral stent claims clean and paid.

What actually determines whether CPT 52000 is billable and why “separate procedure” isn't permission to unbundle. This guide breaks down the documentation, NCCI bundling rules, modifier decisions, and denial-prevention workflow urology billing teams need before a cystoscopy claim goes out the door.