AgentAI for Urology
Urology billing that survives the audit.
AgentAI combines urology reimbursement specialists with agents that trace every billable, CPT line, rejection, denial, and aged no-response — by provider, payer, and location.
We’ve seen your denials before
Urology doesn’t leak like other specialties. It leaks in E/M levels, bundling edits, and global periods.
Measured across the urology practices we bill — 90 days of real payer responses, spring 2026. These are the denials our agents are built to prevent:
E/M under-leveling
Complex urology visits billed below the level the documentation supports — the safe-looking choice that bleeds on every encounter and still doesn’t protect you in an audit.
E/M level matched to the note, with the evidence anchored to it.
Cystoscopy bundling errors
52000-family procedures billed without the correct NCCI pairings — the payer bundles the second procedure into the first and pays nothing for it.
NCCI pairings checked line-by-line before submission.
Global-period modifier misses
Visits and procedures inside a global period billed without the exception modifier — work you did, denied as already paid for.
Global-period rules checked on every claim; exception modifiers surfaced for review.
PSA screening vs diagnostic
Screening PSA billed as diagnostic (or the reverse) trips coverage rules and turns a covered test into a denial or a surprise patient bill.
Screening vs diagnostic rules checked against the diagnosis.
Urodynamics bundles
Multi-component urodynamics studies billed without the right combinations — components vanish into each other and the reimbursement goes with them.
Bundle combinations validated before the claim leaves.
Modifier 25 discipline
Same-day E/M with a procedure needs a defensible modifier 25 — miss it and the visit is denied; overuse it and you’re an audit target.
Modifier 25 surfaced only where the documentation supports it — approved by the auditors.
What we handle
Where we’ve acquired elite billing companies, their veteran billers oversee the agents — and the agents learn your specialty from millions of real paid claims. E/M leveling that survives audit, cystoscopy families, urodynamics bundles.
See what you’d keepThe rule library
Audit-grade coding, applied by agents — supervised by the auditors themselves.
What the acquired urology team brought onto the platform:
Every rule came from a real audit or a real denial. The auditors’ conventions now run on every claim, every day — and every new payer behavior becomes a rule for every practice on the platform.
Measured on urology claims
The platform numbers, with cohorts attached.
Who runs it
The urology billing company we acquired in 2026 came with certified coding auditors whose judgment trains and supervises our agents.
Urology groups don’t hire a biller — they hire judgment. The auditors who joined us have spent careers earning that trust; now agents do the busywork, and their judgment is applied where it actually pays: coding integrity and the difficult dollars.
Urology expertise, immediately
Urology judgment behind the agents.
Not a call center. The auditors who joined AgentAI have defended urology coding for decades — the agents just took the busywork off their desks.
Nationally published urology coding and reimbursement educator. AUA coding seminar faculty. Co-host of the Urology Coding and Reimbursement Podcast. Mark leads the urology billing practice that trains and reviews our agents’ coding judgment.
Practice management, EHR, claims, onboarding, and workflow expertise across large multi-provider groups and independent practices — the operational counterpart who makes switching painless.
Questions urology practices ask
Do we need to replace our EHR, PM, or clearinghouse?
No. We connect to what you already use and work as an extension of it — the scan itself is read-only under a signed BAA.
Can you start with one provider, site, or payer?
Yes — that’s exactly how the 5-step path works: scoped cohort, review, pilot in parallel, then controlled expansion.
Our E/M levels get challenged. How do you code them?
From the documentation, with the evidence anchored to the note — the same way our auditors have defended levels for years. If the note supports a higher level, we bill it and can show why; if it doesn’t, we tell you what’s missing.
Who reviews coding-sensitive recommendations?
The certified urology coding auditors on our team. Agents flag and draft; people approve — especially anything a payer auditor would read.
What happens in an audit?
Every coded claim carries its documentation trail. The answer to “why this level, why this modifier” is attached before the payer ever asks.
See what your urology billing is leaking.
Free 90-day Urology Revenue Leak Scan — read-only, in plain English. Your own E/M levels, bundling edits, and aged no-response, with dollars attached.
Run a Free Revenue Leak ScanSources: coding practices reflect the urology billing company we acquired (2026) and rules its team has applied for decades. $40–60/visit = the gap between adjacent E/M levels. Leadership titles shown as publicly listed. Stats: measured on live platform books (podiatry cohorts, labeled per stat); your urology cohort comes with the Leak Scan. Not a guarantee of your results.