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Urology Brochure

Urology RCM, built for office and OR

Surgical modifier accuracy, urodynamic test sequencing, and prostate therapeutic billing for urology practices.

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Why urology billing is different

Urology practices bill across two very different settings in the same week: same-day office procedures and scheduled OR cases. Between co-surgeon modifiers, global-period tracking, and urodynamic test bundling rules, it's easy for a generic system to lose revenue on both ends.

What generic software misses

  • Missing co-surgeon or assistant modifiers turn a completed OR case into a denied claim.
  • Diagnostic procedures performed inside a global surgical period get flagged as bundled and denied.
  • Urodynamic testing components get billed as one code instead of the several actually performed.
  • LHRH agonist injections for prostate cancer ship without the Local Coverage Determination documentation payers require.

What the platform does about it

Surgical modifier scrubbing

Co-surgeon, assistant, and global-period modifiers are verified before a claim leaves the practice.

Global period awareness

Post-op visits inside an active surgical window are flagged automatically to prevent bundled-care denials.

Urodynamic code sequencing

Only the components actually performed are billed, checked against NCCI edit crosswalks.

LHRH therapy documentation

Prostate cancer diagnosis codes are cross-referenced with payer-specific coverage determinations automatically.

Generic software vs. Unlimited Financials

Surgical assist coding
Missing modifiers trigger full claim rejections.
Co-surgical components are verified before submission.
Global period tracking
Diagnostics inside the window get billed and denied.
Active windows are monitored and flagged automatically.
Prostate therapeutics
Diagnosis-to-coverage matching happens manually, if at all.
Coverage determinations are checked automatically against the diagnosis.

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See your own surgical mix, not a sample chart

Bring your OR schedule and payer mix to a demo, and we'll show you exactly how the platform handles them.

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