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Medical Billing · Nationwide

Urology Medical Billing Services

Complex surgical urology, office cystoscopy, multi-channel urodynamics, and advanced prostate oncology therapies.

Aethera Healthcare Solutions provides full-service medical billing and revenue cycle management to urology groups and surgery centers across the United States. We handle coding, claims, payment posting, denial management, and A/R follow-up end to end — so your team can stay focused on patient care while your revenue cycle runs cleanly.

Typical urology CPT range we work: 52000, 52601, 55700, 51726–51729.

Why urology billing leaks revenue

Cystoscopy bundled into therapeutic procedures (e.g. ureteral stent placement 52332) without appropriate distinct procedural modifiers

Urodynamic study component billing (technical vs professional, pressure flow, electromyography 51784) triggering duplicate claim rejections

Prostate biopsy (55700) and ultrasound guidance (76942) documentation scrutiny by commercial health plans

Part B buy-and-bill oncology injections (Eligard, Lupron, Firmagon) requiring NDC conversion and prompt payment posting

How Aethera fixes it

Specialty-trained coders (CPC/CCS) code to the documentation

First-pass claim scrubbing against payer and NCCI edits

Proactive denial prevention and 72-hour denial work

Relentless A/R follow-up to drive days-in-A/R down

Eligibility and prior-auth verification before service

Transparent, real-time reporting in the provider portal

Free tools for your billing team

Use these any time — no login required.

Urology billing FAQ

How do you handle cystoscopy and stent placement bundling?

We apply NCCI PTP edits and only apply Modifier 59 or XS when the cystoscopy was diagnostic and distinct, protecting your practice from audit clawbacks while maximizing legitimate reimbursement.

Do you bill multi-component urodynamic evaluations?

Yes — we itemize cystometrograms, pressure studies, and sphincter electromyography with accurate modifier 26/TC splits so every aspect of testing is fully paid.

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