Home Specialities Urology
Capital-intensive care
technology you paid for
Urology-experienced reviewers
operative-note level review
OR through clinic
surgery, scopes, in-office
Revenue recovery
on claims marked paid
The machine gets paid for by you. The savings go to someone else.
Here's the uncomfortable arithmetic of advanced urology. You carried the capital cost, the maintenance contract, the training, and the longer setup times. The patient gets a better recovery and the payer gets a shorter, cheaper admission. And when the payment arrives at the conventional rate, every part of that bargain was funded by you.
Across the 24 urology practices we've analyzed, an average of 4–7% of revenue quietly disappears this way.For a $10M practice, that can mean USD 400K to USD 700K in annual revenue loss, which is roughly the cost of the technology you are not being paid for.
See what got absorbedWhat 4–7% looks like on a $10M practice
The 4–7% range reflects OneMed's analysis of 24 urology practices; the dollar figures apply that range to a $10M example practice. Your actual exposure depends on payer mix, case mix, and documentation.
Two machines, two staff, one payment.
It's routine to examine a patient with a camera and test bladder function in the same visit. Two different pieces of equipment, two setups, two blocks of clinical time. These are separate services, and one of them often receives no payment at all.
One visit. Two separate pieces of equipment, staff and time.
The camera examination
scope, sterilisation, clinical time
paidThe bladder function test
The bladder function test requires separate equipment and separate staff time.
Folded in and paid at $0.Illustrative of a pattern we see often. Whether two services performed together can be paid separately depends on the care given, documentation, and each insurer's rules.
Five ways advanced care gets paid like basic care.
Each of these issues can sit inside a claim that already came back marked as paid, which is exactly why no one is reviewing it.
The technology absorbed into the base payment
You invested in robotic surgery for a reason: better outcomes, faster recovery, less time in hospital. The extra time, expertise, and technology behind it are meant to be paid on top of the base operation. Advanced procedures are often folded into the base operation, and payment arrives at the rate of an open procedure, as if the equipment, training, and setup were not involved.
The test folded into the exam beside it
Examining a patient with a camera and testing bladder function in one visit is two services: two setups, two sets of equipment, two blocks of staff time. The test regularly gets treated as part of the exam and paid nothing.
Complex work paid at the simple rate
What a procedure pays depends on what was actually done. When an operative note says a procedure was performed but doesn't plainly name the technique that made it complex, the claim defaults to the simplest, cheapest version of that operation. The surgery was intricate. The payment wasn't.
The office visit erased by the procedure
A patient may come in for a consultation and need something handled during the same visit, such as a catheter change, minor removal, or same-day procedure. You bill for both the consultation and the procedure. The visit is zeroed as “included,” though you clearly did both.
Minor procedures, quietly paid short
You do high volumes of small procedures. Because each shortfall is modest, it can hide easily. One service may be paid when two were performed, or the payer may apply a lower rate than the contract requires. It's $30 or $50 at a time.
Bandwidth, not effort
Your team isn't failing. They're fighting the claims that shout, because nothing points at the ones that go quiet.
They fight denials, not shortfalls
Your team is trained to focus on denied claims. When a claim is marked paid, even at the rate of a simpler operation, it often moves on without review. Nobody has time to ask whether “paid” meant paid correctly.
The volume trap
Thousands of claims a month across every surgeon. No team can hand-check each payment against your contracts and the operative note. Teams have to triage, and quiet payment losses are often missed first.
You can't see it from the deposit
As the owner, you see one number a month. Whether the robot earned its keep on any given case is invisible from there, and you can't manage what nothing shows you.
Make the payment match the operation.
You get owner-level visibility, experienced reviewers reading the operative notes, and front-end fixes that prevent the same losses from recurring, all inside the systems you already use. No EHR change, no disruption to your clinic or your OR schedule.
See it clearly
Our ClearView dashboard answers one question for you: what did this operation actually pay, versus what it should have? Our process flags absorbed technology, bundled tests, and complex work paid at simple rates without changing how your staff works.
Experienced people read the note
When something looks short, it goes to reviewers who know urology billing. Specialty reviewers read the operative note and decide whether payment is actually owed. That requires human judgment, not guesswork.
We build the appeal
Where work was unfairly absorbed or repriced, we draft the appeal with the exact operative documentation behind it and pursue the reversal.
Fix it at the front end
We help your surgeons document what made a procedure complex directly in the note, so the record supports the operation from day one and the same revenue is not lost again next year.
The 2026 OneMed Urology Profit Index.
We reviewed anonymized results from every urology practice we worked with over the last 18 months. The patterns became visible when paid claims were reviewed closely.
24
urology practices analyzed
138,000+
claims reviewed
$195K
average recovered per practice
88%
appeal success rate
Clean-claim rates rose 11% on average. This is where the recovered money had been hiding, and the largest category was the technology the practice had already paid for.
| Where the money was found | Share of what we recovered |
|---|---|
| Surgical technology absorbed into the base payment | 31% |
| Tests folded into the exam alongside them | 26% |
| Office visits erased by a same-day procedure | 19% |
| Complex operations paid as simple ones | 15% |
| Minor procedures quietly paid short | 9% |
Aggregated across OneMed urology engagements over the trailing 18 months. Individual results vary by practice, payer mix, documentation, procedure mix, and starting point.
Who We Serve?
Revenue recovery and full-cycle billing for urology.
Robotic & advanced surgical urology
Practices carrying serious capital investment, where absorbed technology payments hit the return directly.
Independent urology practices
Owner-run practices where every absorbed procedure lands straight on the bottom line.
Large urology groups & multi-site
Groups needing consistent review across surgeons and locations, so the same leaks aren't repeating everywhere.
Ambulatory surgery & office-based urology
High-volume in-office procedure and diagnostic settings, where same-day work drives the revenue.
Your claims data, handled properly
A BAA is executed before any claims data is shared, and everything is handled in a controlled, auditable environment.
Ten claims will show you the gap.
You shouldn't have to hand a new vendor months of patient records to find out whether this is real. Pull ten recent payment records, remove the patient details, and we will review them with you to show where payment came up short.
- 1 · Pull 10 payment records with a mix of robotic surgeries, in-office procedures, and combined exam and test visits.
- 2 · Remove patient details including names, dates of birth, and member IDs. We only need the amounts and claim details.
- 3 · Send them securely through our portal before the call.
- 4 · Review them live with us to see where technology was absorbed, a test was bundled, or complex work was paid as simple.
Request received.
Thank you. A member of our team will review your information and be in touch within one business day. We look forward to showing you what your practice should be collecting.
Common questions.
Why doesn't our technology investment show up in the deposit?
Because the payment often doesn't distinguish between the advanced approach and the conventional one. The additional work and technology that justify a robotic procedure are meant to be paid on top of the base surgery, but they're frequently absorbed into it, and the claim still comes back marked paid.
What do you actually look for?
Technology and add-on work absorbed into the base surgical payment, diagnostic tests folded into the exam performed alongside them, complex operations paid at the rate of simpler ones because the note didn't name the technique, office visits erased when a procedure happened the same day, and high-volume minor procedures quietly paid short.
How do you find it?
Our ClearView dashboard shows leadership where a payment came in below what the care should have paid, and our urology-experienced reviewers check it against the operative note and build the appeal.
Isn't this just asking surgeons to document more?
No. It's making sure the note names what actually happened. Your surgeon already did the complex work. The goal is that the record says so plainly, so the payment matches the operation. We're not asking anyone to claim more than they did.
What happens on the 15-minute review?
You bring ten recent payment records with patient details blacked out, including a mix of robotic surgeries, in-office procedures, and combined exam and test visits. We show you what came up short, live, without a bulk PHI upload.
Do we have to switch billing companies?
No. The review works alongside your current billing, and many practices start there before expanding.
Get paid for the technology you bought
Bring ten claims to a 15-minute review and see what was quietly absorbed using your own numbers.