How do you handle specialty urology-oncology therapeutics?

We maintain dedicated clinical algorithms for bladder cancer injections, validating prior-authorizations and supply units.

Can the RCM engine track global surgical periods?

Yes, our platform features global period timers, alerting billing teams of claims submitted within active 90-day windows.

How does the system handle same-day cystoscopy and office visit billing?

Cystoscopy performed on the same day as an evaluation and management service requires modifier -25 on the E/M to demonstrate it was a significant, separately identifiable service. Our charge scrubber automatically evaluates the clinical documentation, appends modifier -25 when supported, and flags cases where the E/M lacks distinct decision-making to protect the practice from audit exposure.

What support exists for urodynamic testing code sequencing (CPT 51726–51797)?

Urodynamic testing involves multiple components (cystometry, uroflowmetry, electromyography, and voiding pressure studies) that are billed as separate CPT codes but frequently denied when bundled incorrectly. Our scrubber applies correct NCCI edit crosswalks for urodynamic code combinations and verifies that only components actually performed are billed.

How are LHRH agonist injections (Lupron, Eligard) billed for prostate cancer?

We maintain medical necessity documentation requirements for LHRH agonist therapy, automatically cross-referencing the patient's prostate cancer ICD-10 diagnosis with payer-specific Local Coverage Determinations, confirming the correct J-code (e.g., J9217 for leuprolide) and vial size, and tracking authorization renewal timelines for depot injection series.

How does the platform manage robotic-assisted surgical procedure coding (CPT 55866)?

Robotic-assisted laparoscopic prostatectomy and other robotic urological procedures require specific prior authorizations and ASC/hospital outpatient coverage determinations. Our system tracks robotic-specific payer authorization requirements, generates required pre-service notifications, and validates that the facility and surgeon meet payer credentialing requirements for robotic procedure reimbursement.

Does the system support intravesical therapy billing for bladder cancer (BCG, Mitomycin)?

Yes. We support intravesical chemotherapy and immunotherapy billing including BCG instillation (CPT 51720) and mitomycin instillation, verifying the associated J-code (J9031 for BCG, J9280 for mitomycin) drug units match administration documentation, tracking induction versus maintenance series intervals, and confirming prior authorization status for each treatment cycle.

Urology PM & RCM Software

Urology Practice Management and RCM Billing, Built to Perform

Master complex prostate therapeutics, urodynamic testing coding, and surgical assists. See why urology practices choose Unlimited Systems for practice management and RCM software.

Why Urology billing is different

Urology practices balance a high volume of minor office-based procedures, diagnostic labs, surgical consults, and complex robotic operating room bookings. Generic billing systems fail to capture this diverse range of services.

Urological surgery billing requires extreme care. When co-surgeon modifier details, assistant surgeon document fields, and postoperative therapy limits are not coordinated perfectly in claims, payers delay reimbursement for months.

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★★★★★4.8/5

★★★★★5/5

6,500+ specialty providersSOC 2 certified

Physician reviewing results at an office workstation

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Urology workspace preview coming soon

HOME SPECIALTIESUrology Practice RCM Software

Trusted Payer & EHR Integration Partners

6,500+

providers nationwide

$70B+

in claims processed annually

4.8/5

average client rating

Designed Around How Your Urology Practice ACTUALLY Works

Our connected workflows are built to make you and your work easier to do and increase your revenue.

Visit-ready

Keep authorization and coverage aligned before the appointment is booked.

Claim-ready

Validate urology codes, modifiers, and documentation before submission.

Practice-ready

Give teams one view of denials, margin, and A/R priorities.

Specialty RCM intelligence

Urology Revenue Cycle Challenges

Hormone therapy and targeted agents drive buy-and-bill complexity.

16%

Est. denial rate

7/10

Prior-auth burden

Where revenue is at risk

LHRH Agonist Billing

Lupron and Eligard require precise dose and duration coding; 1-, 3-, 4-, and 6-month variants each carry distinct billing risks.

How the platform addresses this

J-codes and dosing intervals are validated against documented administration.
Buy-and-bill margin is modeled per agent and payer.
Authorization cycles track with the injection schedule.

See it on your own claims

Buy-and-bill drug reference5 agents · codes, channel, prior-auth, and billing notes

Drug	Code	Route	Channel	Cost	PA	Billing notes
Lupron (leuprolide)	J9217 / J9218	IM/SQ	Part B	$5K-$12K/yr	Sometimes	Duration-specific J-codes; multiple SKUs.
Eligard (leuprolide)	J9217	SQ	Part B	$5K-$12K/yr	Sometimes	Refrigerated; temperature tracking at dispensing.
Firmagon (degarelix)	J9155	SQ	Part B	$10K/yr	Yes	Two-vial reconstitution; wastage complexity.
Keytruda (pembrolizumab)	J9271	IV	Part B	$180K/yr	Yes	Oncology-style complexity without dedicated oncology billing staff.
Provenge (sipuleucel-T)	Q2043	IV	Part B	$90K/course	Yes	Patient-specific; chain of custody critical.

Cabinet integration: Urology practices stocking LHRH agonists in multiple dose formulations are high-risk for wrong-J-code billing. Cabinet integration with duration-specific dispensing rules materially reduces this error.

AI + Automation

AI & Automation for Urology

A surgical modifier wizard applies the correct double-modifier combination automatically.
Vial inventory reconciles against billed therapeutic doses automatically.
Global surgical period windows track automatically against the surgical calendar.
Work by exception surfaces only the visits with an actual modifier or global-period conflict.

Explore AI for Urology

Real Urology Practices, Real Results

See how urology groups across the country use Unlimited Systems to lift collections, cut denials, and reclaim staff time.

Featured Practice

Urology Partners of the Midwest

Columbus, OH14-provider group practice

“Unlimited Systems gave our urology billing team the specialty-specific automation we could never get from a generic platform. First-pass claim acceptance climbed fast.”

- Director of Revenue Cycle

23%

Fewer denials

11 days

Faster A/R

Calculate Your RCM Revenue Leakage

Drag the sliders to estimate how much unrealized cash remains locked in your current specialty billing cycles before optimization.

Model your current claim volume

Adjust both inputs to match your practice.

Monthly specialty claims1,500

200 claims15,000 claims

Average claim value$250

$80 value$3,500 value

Estimated annual revenue recovered

$315,000

Calculated using a 7.0% reduction in write-offs from rejection recovery, pre-authorization verification, and drug-waste capture.

Monthly invoiced volume: $375,000
Standard industry loss: $31,875

Unlimited Systems Guarantee: Fully integrated bi-directional EHR triggers maintain first-pass bill submission scores above 98.6% across regional payer rules on day one.

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See your recovery estimate

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See Your Results Immediately5/55/54.8/5

One platform for every urology workflow

Eight connected capabilities, grouped around the way your practice works.

Front office

Keep registration and appointment calendars in sync.

Patient intake Scheduling

Before the visit

Verify coverage and catch charge risk early.

Financial clearance Charge validation

Revenue cycle

Post payments, route denials, and prioritize A/R.

Payment and denials A/R management

Practice intelligence

See margin, performance, and value-based results.

Analytics Value-based care

The Urology suite

Every part of the urology revenue cycle, in one system

Each module is configured for the codes, modifiers, and payer rules urology teams work with, not adapted from generic billing software.

Urology Patient Intake SoftwareEnable digital symptom indexes and pre-op questionnaires at patient check-in.Urology Scheduling SoftwareCoordinate minor operating rooms, surgeon schedules, and high-frequency biopsy times.Urology Financial Clearance SoftwareInstantly check insurance eligibility for robotic interventions to guarantee surgical collections.Urology Charge Validation SoftwareAudit surgical assists, post-op global periods, and same-day laboratory testing codes.Urology Payment Posting SoftwarePost and allocate payment segments across surgeons, PAs, and facility technical departments.Urology AR Management SoftwareAutomatically assemble surgical notes and diagnostic reports from the EHR to appeal denials.Urology Analytics SoftwareIdentify collections performance, overhead costs, and profitability per surgeon.Urology Value-Based Care SoftwareTrack MIPS quality measures regarding prostate screening and oncology guidelines.

The cost of generic billing

You went into urology to treat patients, not to chase claims

These are the places urology practices most often lose revenue when their billing platform wasn’t built for the work. Unlimited Systems closes each one with rules configured for your specialty.

Review your workflow

Common urology revenue leaks

Missed billing on same-day on-site cystoscopies and ultrasound diagnostics.
Heavy denials for complex urodynamic lab studies and prostate therapeutic procedures.
Lost surgical assist dollars due to missing co-surgeon modifiers on claim forms.
Administrative delays tracking multi-dose oncology-urology immunotherapies (e.g., BCG).

Challenges we solve for urology

The work that generic platforms leave to your staff is the work urology margin actually turns on.

Surgical Assist Coding

Advanced surgical rule scrubber verifies co-surgical components before submission.

Global Post-op Diagnostics

Monitors global care milestones, appending proper modifiers to confirm independent diagnoses.

Urological J-CPT Alignments

Automates medical necessity check across regional Local Coverage Determinations (LCDs).

Legacy software vs. Unlimited Systems

See why urology practices move off general-purpose billing platforms.

CRITERIA

LEGACY SYSTEM COMPROMISE

UNLIMITED SYSTEMS VALUE

Surgical Assist Coding

✕Missing co-surgeon or assistant modifiers (e.g., -62, -80) trigger complete payer rejections.

✓Advanced surgical rule scrubber verifies co-surgical components before submission.

Global Post-op Diagnostics

✕Diagnostic procedures performed within the global surgical window get denied as bundled care.

✓Monitors global care milestones, appending proper modifiers to confirm independent diagnoses.

Urological J-CPT Alignments

✕Mismatched diagnostic ICD-10s for prostate therapeutics (e.g., Eligard, Lupron) lead to drug-loss write-offs.

✓Automates medical necessity check across regional Local Coverage Determinations (LCDs).

Still evaluating

Not Ready to Switch Yet? That's Exactly When to Start the Conversation.

You don't have to be actively replacing your current system to have a useful conversation with Unlimited Systems. Many urology practices talk with us months before a contract renewal or system evaluation to understand where LHRH duration coding, OAB Botox authorization, procedure modifiers, and immunotherapy complexity may already be showing up.

Get a Demo Benchmark Your Current Workflow

A conversation can help identify where duration-specific LHRH J-codes, OAB Botox medical-necessity documentation, procedure modifiers, and Provenge or immunotherapy authorization may be creating avoidable denials.

Less billing work between the visit and payment

Specialty rules and connected data keep your team focused on the exceptions that need judgment.

Verify before the visit

Coverage and authorization stay tied to the order.

Validate specialty charges

Code, unit, and modifier checks happen before filing.

Work the right accounts

Denials and A/R are ranked by value and filing risk.

Care team in scrubs walking through a clinic corridor

35%less manual workflow time

One platform

The rest of the platform your urology practice runs on

The same connected system handles the operational work that sits either side of billing.

Patient Intake

Digital intake, eligibility, and demographic capture before the visit.

Explore Patient Intake

Patient Scheduling

Smart calendars and resource scheduling across providers and locations.

Explore Patient Scheduling

Financial Clearance

Automated eligibility checks and prior authorization management.

Explore Financial Clearance

Charge Validation

Pre-claim scrubbing for coding, modifiers, and compliance accuracy.

Explore Charge Validation

Built for urology

Follow one urology patient from intake to payment

Eight stages, one record. Nothing is rekeyed between systems, so a detail captured at the front desk is still there when the claim goes out, and when the remittance comes back.

Walk the workflow with us

Frequently asked questions

Yes, absolutely. We support billing workflows representing multiple urology clinics and separate ASC facilities.

New to revenue cycle terminology? Browse our healthcare RCM & billing glossary.

We Love Hearing From Our Users

Practices like yours, on what changed after moving to Unlimited Financials.

EXPLORE PRODUCTS GET A DEMO

★★★★★4.8/5

★★★★★5/5

“

I'd love to set up a call to talk about SCOA, and the success we've had with Unlimited Financials.

Sam Wheeler

CFO, SCOA

“

The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.

Ernelita Dacumos

Billing Manager, SHOM

“

Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.

Melissa Shook

Medical Biller, SHOM

“

I would recommend Unlimited Financials to other specialty practices.

Michelle Leandri

CEO, NEPA

“

We transitioned to Unlimited Financials in 2024... the team and platform are absolutely amazing.

Gina

Administrator, FOUR

“

We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.

Renee Bernacchi

Accounts Receivable Coordinator, COAS

“