AI-Powered RCM Built for Urology Practices
From in-office procedures and pathology to advanced-therapy authorization and denial management — SCALE delivers revenue cycle intelligence purpose-built for urology groups, ASCs, and MSOs.
In-Office Procedure Coding
Cystoscopy, urodynamics & procedure-day E/M
Pathology & Lab Billing
TC/PC splits & in-house lab coding
Drug & Injectable Billing
LHRH agonists, buy-and-bill & J-codes
Prior Authorization
Advanced imaging, surgery & specialty drugs
Real-Time RCM Analytics
Live dashboards via SCALE's analytics platform
Urology billing is uniquely complex. We know it cold.
High-complexity care comes with high-complexity billing — and most generalist RCM vendors aren’t equipped to handle it. SCALE is.
In-Office Procedure Bundling
Cystoscopy, urodynamics, and same-day E/M carry bundling and modifier rules that drive under-capture and denials.
Drug & J-Code Exposure
LHRH agonists and other injectables involve buy-and-bill and unit-accuracy risk on high-cost claims.
Pathology Split Billing
In-house lab and pathology TC/PC splits require precise coding to avoid leakage.
How SCALE solves it
Urology Prior Authorization
We manage advanced-imaging, surgical, and specialty-drug authorizations end to end.
Urology Coding & Charge Capture
Automated review flags procedure bundling, modifier, and J-code unit errors.
Urology Denial Management
Payer-specific appeal templates for procedure, drug, and medical-necessity denials.
Drug & Pathology Revenue Integrity
Accurate buy-and-bill and in-house lab TC/PC capture protect high-value revenue.
End-to-end RCM for every Urology encounter
Automation handles volume and velocity. Our experts handle exceptions, edge cases, and strategic optimization — creating a closed-loop system that continuously improves performance over time.
Discovery & Audit
We analyze 90 days of claims data to identify coding gaps, denial patterns, and authorization bottlenecks specific to your practice.
EHR Integration
Seamless connection to your EHR and practice-management system — no new software for your team to learn or manage.
Go-Live & Handoff
SCALE's dedicated team takes over day-to-day RCM operations with transparent reporting from day one.
Continuous Optimization
Monthly performance reviews, payer-policy monitoring, and AI-driven recommendations keep revenue growing over time.
Representative results across SCALE clients
Representative results across SCALE Healthcare clients. Individual outcomes vary by organization size, payer mix, and baseline RCM maturity.
Reduction in average days to pay across SCALE-managed client portfolios
Reduction in cost-to-collect through AI automation and workflow optimization
Reduction in A/R aging beyond 90 days through proactive denial management
Reduction in overall denial rates powered by DenialShield predictive scoring
Works inside the EHRs your team already uses
Let’s build your Urology RCM roadmap together
Book a free 30-minute strategy call with a SCALE Urology specialist. We’ll review your current denial rates, authorization backlog, and coding performance — at no cost.