Procedure-mixedurology combines office visits with cystoscopy, biopsy, and stone procedures
Imaging-gatedCT urography and prostate MRI commonly require imaging authorization
Drug documentationBPH and advanced-disease therapies carry authorization and documentation

Urology runs a high office volume on top of in-office procedures, imaging, and specialty drugs that need authorization. Cystoscopy, prostate biopsy, and stone procedures fill the procedure schedule, while CT urography, prostate MRI, and specialty therapies carry a prior authorization load. Surveillance visits for PSA monitoring, stone follow-up, and cancer recheck add a steady recall demand on top of that. Flexbone automates the scheduling, recall, eligibility, and authorization work that keeps both the office and the procedure schedule full and covered.

How does AI handle urology prior authorization for imaging and procedures?

AI determines what needs authorization, assembles the documentation, and submits and tracks the request to a decision. Urology carries several authorization streams. Advanced imaging such as CT urography and multiparametric prostate MRI commonly requires prior authorization, often through a radiology benefit manager. In-office and surgical procedures, including cystoscopy and some stone and prostate procedures, plus specialty therapies for BPH and advanced disease, add documentation-heavy requests, and Medicare and commercial plans apply different criteria. Flexbone determines the requirement, assembles the clinical documentation, submits the 278 request with the relevant CPT codes, and tracks it to a decision, routing denials to appeal. The urology and gynecology prior authorization page covers the detail.

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How does AI schedule and run recall calls for a urology practice?

AI answers inbound calls, books office visits and procedures, and runs the recall that surveillance depends on. A urology practice books a high volume of office visits, diagnostic studies, and procedures, and it depends on recall for surveillance: PSA monitoring, stone follow-up, and cancer surveillance all require getting patients back on schedule. Flexbone answers inbound calls, books office visits and procedures, runs recall campaigns, confirms appointments and any prep, and fills cancellations from a waitlist. It runs a 270/271 eligibility check before the visit so a coverage gap does not surface after a procedure.

How Flexbone runs a urology practice

Flexbone deploys voice and browser agents inside your urology EHR. The front office gets scheduling, procedure booking, recall, and confirmation. The back office gets eligibility, imaging and procedure and drug authorization, and denial follow-up that reads the 835 remittance and its CARC and RARC codes. Results write back to the chart, and exceptions go to staff with context. The rollout is scoped to your procedure mix, benefit managers, and payers.