Doctor Management Services

What is the number one thing that is being overlooked in urology billing? Supporting documents that relate to medical necessity, particularly for procedures such as urodynamic testing, or stone treatment, where payers are looking for a clear clinical justification prior to authorizing payment. If that’s not specified, claims are returned for more information or are rejected altogether. Medical billing for urology must establish that justification from the beginning of the claim, making it obvious that the procedure relates to the diagnosis – otherwise practices will end up making claims that they may have to make multiple times.