BHN Healthcare Blog

Urodynamic testing has the potential to provide health care professionals with much more detailed information on the health of their patient’s bladders, urethras, and their body’s ability to store and flush urine. Urodynamics, especially when used in rural health clinics, allows health care professionals to more accurately diagnose causes of urinary incontinence and other issues relating to the bladder and lower urinary system, making it a key service that needs to be integrated into RHC practices.

What Is Urodynamics?

Urodynamics along with urodynamic testing, in its simplest form, is the assessment of how the bladder, urethra, and associated sphincters do their job for storing and releasing urine from the body.

On January 20th of this year, Joe Biden was sworn in as the United States of America’s 46th president. Like any new leader of a country, this change in the White House meant many different things for various people, businesses, and entire industries.

The new administration is a tremendous shift from the previous one, changing the nation’s landscape across the board.

No more are these changes evident than in healthcare. Biden and his administration’s approach - even at first glance - is a totally different beast than former President Trump’s. With that said, how will this impact private practices across the US?

This blog will explore the above question and then delve into urology practices, specifically.

Reimbursement is always a hot topic in urologic care, especially with regards to specific procedures. While individual payors may vary with regards to what they pay for specific evaluation and management (E&M) and procedures (CPT codes), almost all reimbursement is ultimately driven by what rates Medicare will pay and/or how many Relative Value Units (RVU’s) Medicare will assign to a specific E&M or CPT code. This post will review reimbursement trends for urodynamics in 2020 (UDS).

Urodynamic procedures can be scheduled for reimbursements through Medicare and other insurance companies. You will need to know the exact codes listed below in the article to help build a proper case for calculating how much you can be reimbursed for. The following information is a guide to help you estimate your reimbursement. However, not all reimbursements will be accepted. Contact your insurers for an assessment to check if you qualify for urodynamic procedure reimbursements. Each insurance office has strict policies and guidelines on whether you will get accepted or denied your reimbursement.

Urodynamics is performed by thousands of medical practices across the country, but is most often performed by urology, urogynecology, and ObGyn practices.  BHN provides urodynamics testing to hundreds of these practices, and through our work we encounter dozens of instances in which Urodynamics is billed incorrectly, which often leads to underpayment and other issues.