Structure of Urology Medical Billing you should understand

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Structure of Urology Medical Billing you should
understand
Urology medical billing is the process by which
healthcare practitioners bill insurance companies
for services provided to patients. In order to
complete this formality, medical billing and
coding experts assign designated codes to various
procedures to restructure the process of billing
certain procedures. Medical billing
companies assist in healthcare facilities to
optimize the revenue management cycle, fast pace
the payment circle, and ensure that a facility
never runs into the negative bottom line at the
end of each month.   Under the latest ICD-10
system, new categorizes of procedures have been
designated into a seven-digit code made up of
alphanumeric characters. Thus while
undertaking urology billing, a procedure can be
specifically categorized according to its type,
with what part of the body is being affected, and
what equipment is used when conducting the
procedure, plus the body part being affected, and
any other notifications that help to pinpoint its
exact purpose, all this without actually listing
the patients diagnosis in the code.   Urology
Medical Billing Procedures What has changed?
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Structure of Urology Medical Billing you should
understand
Urology billing and coding are very much similar
to other medical services. Stating under the
Medical and Surgery category, the billing codes
for urinary-related procedures starts with 0T
and will continue based upon the type of
procedure is being performed. For example, if
the procedure is to insert an artificial
sphincter, equipment used to help with
incontinence, into the patients urethra, the
perfect billing code would be 0THD0LZ.   The 0T
here denotes it is a surgical procedure of the
urinary system. The H implies that the root
operation is Urology medical billing an
insertion. The D symbolizes the part of the
body in which the final operation is to happen
in this case, it is the urethra. The 0
specifies that the approach to the procedure is
an open one.   An open approach is performed when
the patient is cut open to performing certain
procedures. The L suggests that the equipment
being injected is an artificial sphincter, while
the Z signals that there are no additional
qualifiers by which to define the
procedure. Understanding Structure of Urology
Medical Billing and Codes
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Structure of Urology Medical Billing you should
understand
Keep in mind that Urology billing codes differ
based upon the procedure the patient is
having. For instance, if the patient is to be
treated for his right kidney repair, the code
would be 0TQ00ZZ. Here again 0T places the
code into the category of surgical procedure of
the urinary system. The Q entitles the root
operation as a repair. The 0 denotes that it
is the right kidney which is under treatment or
being repaired. The next 0 means that it is an
open-end procedure. The Z is there to show that
the approach to healing is an open approach, and
it denotes that there are no other qualifiers for
this procedure. After entering the procedure
codes the entire thing is then transferred onto a
billing form which is then sent to the insurance
company. The insurance payer then converts the
code to figure out how much of the procedure is
covered by a designated insurance plan the
particular patient has. From here, the insurance
payer will reimburse its designated amount to the
urology practitioner or facility, which will then
bill (any) remaining balance to the patient.
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Structure of Urology Medical Billing you should
understand
Patients hardly, if ever, see the specific
billing code that is assigned to them for any
procedures they may have. So, all in all, this is
meant for internal use and documentation. Urology
billing and coding for the procedure can be
problematic for those who do not know the
specific codes for precise procedures. Once you
know the pattern and the codes, it is stress-free
to identify the procedure being performed, which
further allows the billing to become a
streamlined exercise. In the end, remember that
to get fully reimbursed the key to success lies
in the accuracy of your codes and
documentation. To know more about our Urology
medical billing and coding services, contact us
at info_at_medicalbillersandcoders.com/888-357-3226.