HomeCase StudiesHeritage Urology Center
Specialty RCM Urology & Robotic Surgical Procedures Phoenix, AZ (7 Urologists)

Heritage Urology Center: Streamlining Robotic Surgery Claims & Reducing A/R to 21 Days

Navigating robotic-assisted laparoscopic surgery coding, prostate procedure authorizations, and lithotripsy facility billing.

Published March 2026 5 min read
98.9%
Clean Claim Rate
Robotic surgery claim accuracy
21 Days
Days in A/R
Down from 45 days
1.4%
Denial Rate
Reduced from 13.8%

The Challenge

  • Robotic surgical technique add-on CPT S2900 denied by commercial insurance carriers.
  • Prostatectomy and cystoscopy claims rejected for unbundling diagnostic vs therapeutic codes.
  • Incomplete prior authorizations for shockwave lithotripsy procedures.

The Solution & Strategy

  • Configured payer-specific rules in the billing engine flagging non-covered robotic add-on codes prior to submission.
  • Assigned certified urology coders to review surgical operative notes for NCCI edit compliance.
  • Automated ePA authorizations for all elective outpatient lithotripsy procedures.

Quantifiable Key Results

Clean Claim Rate
98.9%
Up from 83.1%
Days in A/R
21 Days
53% drop in aging
Denial Rate
1.4%
90% denial reduction
"Robotic urological procedures require specialized coding. YAKKAY Healthcare brought our Days in A/R down to 21 days and virtually eliminated denials."
Dr. Steven Ross, MDPresident at Heritage Urology Center

Actionable Takeaways for Practice Leaders

1
Verify payer policy coverage for non-standard surgical technique add-on codes prior to claim dispatch
2
Ensure diagnostic cystoscopy is not unbundled from primary therapeutic urological surgical procedures

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