Who We Are We are Prime Medical Billing Solutions, LLC, a results-driven medical billing and revenue cycle partner headquartered in Atlanta, Georgia. Since about 2015, we have operated with the belief that true value lies in partnering, rather than merely contracting, with providers to ensure personalized attention and peak revenue performance. Founded by seasoned billing professionals with 20+ years of combined expert experience, our home office in Atlanta supports both individual practices and larger provider groups. Our team is passionate about maximizing reimbursements and simplifying the billing journey step by step. What Services We Offer We provide a comprehensive suite of services designed to optimize every phase of the revenue cycle: Claims processing & billing management, including electronic, UB‑04, and HCFA‑1500 formats Accounts receivable and collections, focusing on paid-to...
Urology Billing Services
Cystoscopies, prostate biopsies, stone procedures and injectable drugs make urology billing procedure- and drug-heavy. Specialist billers capture it all.
- Office procedures and diagnostics coded from reports
- Injectable drugs for prostate cancer billed with correct units
- Surgical global periods and ASC claims coordinated
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Why urology billing needs specialists
Urologists perform many in-office procedures and diagnostic tests, cystoscopy, urodynamics, uroflowmetry, post-void residual measurement and prostate biopsy, that are frequently bundled with each other or with office visits. Knowing which combinations are payable is key to avoiding denials.
Urology practices also administer expensive injectable drugs, especially hormone therapies for prostate cancer, which require correct HCPCS units, NDCs and sometimes prior authorization. Surgical procedures such as ureteroscopy with lithotripsy, stent placement and prostate procedures carry global periods and often take place in ASCs.
A urology billing partner codes procedures accurately, manages drug billing and authorizations, coordinates professional and ASC claims, and tracks global periods so follow-up visits and unrelated procedures are billed correctly.
Common urology billing challenges
In-office procedure bundling
Cystoscopy and diagnostic tests often bundle with each other and with E/M visits.
Urodynamics coding
Multiple urodynamic components require correct code combinations and modifiers.
Injectable drug billing
Hormone therapies need correct units, NDCs and authorization.
Stone procedure coding
Ureteroscopy, lithotripsy and stent placement combinations are complex.
Global periods
Post-operative care within global periods requires modifiers for unrelated services.
ASC coordination
Facility and professional claims must match.
What a urology billing partner should handle
- Benefits and authorization checks
- Office procedure and diagnostic test coding
- Urodynamics and imaging billing
- Injectable drug billing with J-codes and NDCs
- Surgical and stone procedure coding
- ASC facility claim coordination
- Global period tracking
- Denial management and appeals
- Patient estimates and statements
- Provider and procedure revenue reports
Key codes in urology billing
| Code(s) | What it covers |
|---|---|
| 52000 | Cystourethroscopy (separate procedure). |
| 52332 | Cystourethroscopy with insertion of indwelling ureteral stent. |
| 52356 | Cystourethroscopy with ureteroscopy and lithotripsy, including stent insertion. |
| 55700 | Biopsy of prostate, needle or punch, any approach. |
| 51741 | Complex uroflowmetry. |
| 51798 | Measurement of post-voiding residual urine by ultrasound, non-imaging. |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg. |
Code examples are for orientation only. Always code from the current CPT®, HCPCS and ICD-10-CM code sets and payer policies.
Bundling awareness
Check NCCI edits for urology procedure pairs before billing. Use modifier 59 or X{EPSU} only when procedures are truly distinct and documented as such.
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Tell us your specialty, monthly claim volume, EHR and the problems you want fixed, denials, slow A/R or staffing gaps.
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We review a sample of your claims and aging report to show where revenue is leaking and what a specialist could recover.
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Top-rated medical billing companies
Billing companies listed on BillerFirms, ranked by client reviews. Ask each one about their urology experience.
GreenSense Billing is a trusted leader in medical billing and revenue cycle management, providing comprehensive solutions tailored to the unique needs of healthcare providers across the United States. Our mission is to streamline administrative complexities, optimize reimbursements, and enhance financial performance, allowing medical professionals to focus on delivering exceptional patient care. Our Services • We offer end-to-end medical billing and revenue management solutions, including: • Medical Billing & Coding - Accurate claims processing to maximize reimbursements and minimize denials. • Revenue Cycle Management (RCM) - A holistic approach to managing claims, payments, and collections. • Provider Credentialing - Seamless enrollment with insurance networks to ensure timely reimbursements. • Financial Solutions - Data-driven insights and financial reporting to optimize practice...
Let’s face it, medical billing shouldn’t be the most challenging part of running a practice. At Medical Lean Management, we take the chaos out of revenue cycle management so you can get back to what matters: delivering excellent patient care. Based in Corona, California, we’re not just another faceless billing company, we’re your partners in efficiency, here to simplify the financial side of healthcare. Why Us? Because We Get It. Paperwork piles up. Claims get denied. Regulations keep changing. It’s enough to make anyone’s head spin. That’s where we step in. We don’t just process claims, we optimize your entire revenue cycle, cutting through the red tape to get you paid faster and with fewer headaches. Our goal? To make your billing so smooth, you’ll wonder how you ever managed without us. Here’s How We Help: ✔ Fewer Denials, More Revenue - Our precision-driven approach slashes claim den...
Overview & Mission Access Revenue Hawaii, founded in 2022 in Holualoa, Hawai‘i, is a specialized medical billing and revenue cycle management (RCM) company with a primary focus on behavioral and mental health providers. Drawing deeply from social work roots, the leadership team recognized the administrative friction mental health professionals face, credentialing delays, complex payer regulations, EMR documentation requirements, and chose to build a firm that helps clinicians focus fully on patient care. Their mission centers on removing financial and operational barriers so therapists, counselors, and behavioral health groups can thrive financially while delivering quality care to Hawai‘i’s communities. Origin Story & Local Presence The company was born out of a clear insight: behavioral health providers in Hawai‘i suffer unique administrative challenges. From intricate Medicaid billing...
How much does urology billing cost?
Most billing companies charge a percentage of what they actually collect, so their incentive matches yours. Complex specialties sit at the higher end of the range because of prior authorizations, modifiers and appeal work.
Most common. You pay only on money collected.
Predictable for high-volume, low-complexity claims.
Dedicated billers working inside your systems.
Typical market ranges; actual quotes depend on claim volume, payer mix and scope. Compare quotes from several companies.
Urology billing FAQs
Only when a significant, separately identifiable E/M service is documented, billed with modifier 25.
With the drug’s J-code in the correct units and NDC, plus the injection administration code when appropriate.
Typically with 52356 when stent insertion is included, or other ureteroscopy codes based on the procedure performed.
Yes, many urology billing companies coordinate both professional and ASC facility claims.
Common reasons include bundling of procedures, missing authorizations for drugs and global-period conflicts.
Typically 4% to 7% of collections.
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