Urology Billing Services For New York Providers | Drive Better AR Performance
New York Urology practices lose revenue to Medicaid Managed Care denials and NYS-specific prior authorization delays. Transcure’s certified coders and AI-powered capabilities fix claims before payers reject them. You have more streamlined urology billing with:
- In-house billers & coders track NY Medicaid MCO-specific urology CPT and modifier rules.
- AI agents to automate eligibility verification, prior auth, claim submission, and appeal generation.
- Comprehensive denial management that targets NYS workers’ comp and no-fault claim rejections.
- Prior authorization team handles Empire BCBS and Fidelis Care requirements directly.
- Real-time AR dashboards flag aging claims before 90-day NY timely filing limits.
- Appeal every denial instead of filing it away, keeping first-pass clean claims up to 98%.
Our Success in Numbers
Trusted by
500+ Physicians
Catering to
40+ Specialties
1100+ Certified
Medical Billers & Coders
End-to-End
RPA Billing Solutions
Up to 98% First Pass
Clean Claim Rate
What Billing Laws Align with Our Urology Billing Services in New York?
New York urology billing must align with state-specific claims statutes. Transcure structures every claim around these regulations to protect your reimbursement and compliance standing.
Prompt Pay Law (Insurance Law 3224-a)
Payers must settle undisputed claims within 45 days on paper, 30 days electronically, or 15 days after a coverage determination. We track TURP, cystoscopy, and lithotripsy claims against these deadlines and pursue 12 percent statutory interest on late payments.
No-Fault Law (Insurance Law 5106)
Urology claims from motor vehicle trauma, including bladder and renal injury procedures, require payer response within 30 days of receipt. Our expert files NF-3 forms with correct CPT and ICD-10 coding to prevent Regulation 68 denial triggers.
Surprise Bills Law (23 NYCRR 400)
Out-of-network urology procedures performed at in-network facilities, like emergency stone removal, fall under Independent Dispute Resolution instead of patient balance billing. We compile usual and customary charge data to strengthen your IDRE submission.
Medicaid Managed Care Coding Rules
NYS Medicaid MCOs apply plan-specific prior authorization for BPH procedures, PSA testing, and urodynamic studies under DFS Circular Letter 4 standards. Our certified coders match CPT 51798 and related codes to each MCO's utilization review criteria before submission.
What Urology Billing Services Does Transcure Offer?
Transcure’s urology billing services in New York span the full revenue cycle, from eligibility checks through final collections, purpose-built for New York urology practices and their payer mix.
Urology Billing Services Across New York Cities
Transcure delivers urology billing services across New York’s largest cities, adapting to regional payer networks, hospital referral systems, and Medicaid managed care rules unique to each market.
New York City
Buffalo
Rochester
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Yonkers
Syracuse
Albany
New Rochelle
Mount Vernon
Schenectady
What Has Changed in Urology Billing for 2026?
Urology billing underwent major changes this year. CPT code 55700 was deleted and replaced with nine new codes covering approach, imaging guidance, and biopsy type. New codes now cover Aquablation, drug-coated balloon BPH treatment, and revised laparoscopic prostatectomy reporting. Medicare practice expense shifts also favor non-facility settings.
Practices using outdated code sets face immediate denials and revenue loss. Transcure keeps your urology billing current with every CPT update, so your claims stay clean, compliant, and reimbursed without delay.
Counties Served by Transcure’s Urology Billing Services in New York
Transcure provides urology billing services across all counties in New York, from Long Island to Buffalo, Rochester, Albany, and Syracuse.
Kings County (Brooklyn)
Queens County
New York County (Manhattan)
Suffolk County
Bronx County
Nassau County
Westchester County
Erie County
Monroe County
Common Urology Procedures Covered by Transcure’s Billing Services
Transcure handles billing for the full range of urology procedures New York practices perform daily, ensuring accurate coding, clean claims, and faster reimbursement across every payer type.
Cystoscopy Billing
Our coders apply correct diagnostic and surgical cystoscopy codes based on findings and instrumentation used. We verify medical necessity documentation upfront, preventing denials tied to insufficient bladder examination detail or missing indication codes.
Vasectomy Billing
Transcure bills vasectomy procedures with accurate CPT selection, confirming payer-specific coverage rules and consent documentation. We handle bundled global periods correctly, avoiding underpayment or improper unbundling that triggers audits and delays.
Ureteroscopy Billing
We code ureteroscopy claims by approach, whether diagnostic, stone extraction, or laser lithotripsy, matching documentation to the correct procedure code. This precision reduces denials from mismatched laterality or incomplete operative notes.
Shockwave Lithotripsy
Our team applies correct ESWL coding alongside imaging guidance requirements, confirming stone size and location documentation supports medical necessity. This prevents payer pushback and secures timely reimbursement for lithotripsy claims.
TURP Billing
Transcure codes TURP procedures with attention to resection technique, tissue weight, and bundled services, ensuring claims reflect actual surgical work performed. We track payer-specific edits to avoid common transurethral resection denials.
Prostate Biopsy Billing
With the 2026 CPT overhaul, we assign the correct biopsy code based on approach and imaging guidance used. This keeps claims compliant with the new nine-code structure and prevents instant rejections.
Our Certifications
Transcure medical billing services operates under strict HIPAA compliance to protect patient data, with AAPC-certified coders ensuring accurate CPT and ICD-10 usage, and SOC-certified systems safeguarding your urology practice’s billing infrastructure and information security.
Why Choose Transcure As Your Urology Billing Partner?
New York urology practices need a billing partner who understands state Medicaid complexity, payer-specific rules, and evolving CPT codes affecting reimbursement daily.
Round-the-Clock Billing Support
Our team monitors claims, authorizations, and denials continuously, resolving payer issues across New York MCOs before delays affect your urology practice’s cash flow.
AAPC-Certified Urology Coders
Certified coders apply accurate 2026 CPT updates, modifiers, and documentation standards specific to prostate, bladder, and stone procedures billed statewide.
Robotic Process Automation
Automated eligibility checks, claim scrubbing, and payment posting reduce manual errors, accelerating reimbursement cycles for high-volume urology practices.
Urology-Specific Billing Expertise
We specialize exclusively in urology coding nuances, from TURP to lithotripsy, avoiding generic billing mistakes that trigger New York payer denials.
Full Regulatory Compliance
Every claim meets HIPAA, New York Medicaid, and NCCI guidelines, protecting your practice from audits, penalties, and compliance-related revenue disruption.
New York Payer Contract Analysis
We review MCO and commercial payer contracts across New York, identifying underpayment patterns and negotiation opportunities.
Underpayment Recovery
Our team audits paid claims against New York fee schedules, recovering missed revenue from incorrect payments before timely filing deadlines expire.
How Transcure Cut Idaho Kidney Institute's Unpaid Claims by 66% in 90 Days?
Idaho Kidney Institute faced a daunting $300,000 backlog of unpaid claims stuck in the 60+ day bucket. Partnering with Transcure, IKI resolved denied claims, insurance verification gaps, and coding issues, reducing the backlog to $100,000 within 90 days and restoring financial stability, allowing staff to refocus on patient care.
Which EHR Platforms Do Our Urology Billing Services Support?
Transcure’s Urology billing services integrate seamlessly with leading EHR platforms, including Athenahealth, NextGen, and others. We ensure smooth data flow, accurate claims, and uninterrupted revenue cycle management for your practice.
Trusted by Urology Service Providers In New York
Transcure billing company provides professional billing services across 40+ specialties, and that’s why we have a good reputation on major review platforms.
What Our Clients Say About Our Medical Billing Services
New York practices trust Transcure medical billing company to simplify billing, reduce denials, and accelerate reimbursements. Here is what our clients have to say about working with us.
Jackie Judd
Practice Manager
Wilson Creek Internal Medicine
As a practice manager, I was looking to streamline the medical billing process. I tried other companies, but they were all complicated and took too much of my time. Fortunately, I found Transcure. They excel in tailoring solutions to fit my requirements.
Amber Vaughan
Office Manager
Idaho Kidney & Hypertension Institute
We are a large practice with 15 providers. Transcure has been working with us for the last 5 years. This billing company has been a great asset to us. I work with Transcure and they provide everything I ask for. The team is friendly and very pleasant to work with.
Ashlee Rose
Practice Manager
Harding Memorial Healthcare
We’ve been working with Transcure for 8 years now and I just wanted to say how happy we are with their services. They always get back to us quickly and are very easy to work with. They get my bills paid in record time and help us to generate millions in revenue.
Frequently Asked Questions About Urology Billing Services in New York
What CPT code changes affect urology billing in New York for 2026, and how does Transcure handle them?
CPT 55700 was deleted and replaced with nine new codes covering approach, imaging guidance, and biopsy type. Transcure updates every claim accordingly to prevent instant denials statewide.
How does the New York Prompt Pay Law affect urology reimbursement timelines?
Insurance Law 3224-a requires payers to settle undisputed urology claims within 45 days on paper or 30 days electronically. Transcure tracks deadlines and pursues statutory interest owed.
Which New York counties does Transcure serve for urology billing?
Transcure supports urology practices across Kings, Queens, New York, Suffolk, Bronx, Nassau, Westchester, Erie, and Monroe counties, applying county-specific Medicaid MCO and commercial payer rules to claims.
Which EHR platforms integrate with Transcure's urology billing services?
Transcure integrates with Athenahealth, NextGen, and other leading EHR platforms, ensuring accurate data flow between clinical documentation and claims, reducing errors and supporting uninterrupted revenue cycle management.
How does Transcure reduce Medicaid Managed Care denials for New York urology practices?
Certified coders apply plan-specific prior authorization rules under DFS Circular Letter 4 for BPH, PSA, and urodynamic studies, matching CPT 51798 to each MCO’s review criteria.
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