Urogynecology EHR and AI Medical Billing Software

Urogynecologists treat pelvic floor disorders with testing, devices and surgery. XEHR documents each step and bills tests, devices and operations correctly.

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Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Leaks urine when coughing; pelvic pressure.

N39.3 Stress incontinence (female) (male)

ReviewSign note

Diagnosis carried to the claimN39.3

THE HARD PARTS

What makes urogynecology billing hard

Testing billed by component

Urodynamic studies are made of several components, each billed separately. If a component is not documented, it cannot be billed.

Conservative care before surgery

Payers usually want pelvic floor therapy, pessary trials or medication documented before approving surgery for incontinence or prolapse.

Surgery with materials and technique

Operations for prolapse and incontinence must document the approach, technique and any graft or sling used.

WHERE THE WORK HAPPENS

How urogynecology care is delivered and billed

Urogynecologists, trained in obstetrics and gynecology or urology, treat incontinence, prolapse and other pelvic floor disorders. They perform urodynamic testing, pessary fittings and bladder injections in the office, billed on the professional claim, and operate in hospitals and surgery centers, where the claim carries the facility place of service and a global period.

What payers check on urogynecology claims

Urodynamic studies are billed by component.
Surgery approval often requires documented conservative treatment.
Prolapse codes specify the type and degree.
Operations carry global periods.
Bladder injections are billed with drug units.

Common urogynecology diagnoses ICD-10-CM

N39.3	Stress incontinence (female) (male)
N32.81	Overactive bladder
N81.2	Incomplete uterovaginal prolapse
N81.10	Cystocele, unspecified
N39.46	Mixed incontinence
R39.15	Urgency of urination

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

An urogynecology visit, start to payment

1
Assess symptoms

Leakage, urgency, prolapse symptoms and bladder diaries are documented.
2
Test

Urodynamic components and findings are recorded.
3
Treat in steps

Pessary fittings, therapy referrals and medicines are documented before surgery is considered.
4
Bill

Tests, devices, injections and procedures go out on checked claims.

How XEHR helps

From the urogynecology visit to the payment

Components recordedEach urodynamic component is documented and carried to the claim.
Conservative care timelineTherapy, pessaries and medicines are recorded across visits for the approval request.
Detailed operative notesTechnique and materials are captured in the operative note.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for urogynecology

AI medical billing for urogynecology practices

XEHR is an agentic EHR: AI agents do the administrative work around every urogynecology visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Urodynamic studies are billed by component.
Surgery approval often requires documented conservative treatment.
Prolapse codes specify the type and degree.
Operations carry global periods.

Around the visit

Agents run on their own

Coverage checked before each urogynecology visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose an urogynecology EHR

Ask every vendor, including us. The answers show whether a system was built for urogynecology work or only adapted to it.

Ask us on a demo

Are urodynamic components billed separately?
Is conservative care recorded for surgical approvals?
Are prolapse codes captured by type and degree?
Are bladder injections billed with drug units?
Do operations start their global period?

QUESTIONS

Urogynecology practices ask us

Does XEHR support urogynecology?

Yes. Testing, devices, therapy and surgery are documented and billed.

Can XEHR bill urodynamics?

Yes. Each component is recorded and billed.

Does XEHR record pessary fittings?

Yes. Fittings and follow-up are documented.

Can XEHR prepare surgical approvals?

Yes. Conservative care and testing are used to prepare requests.

Does XEHR support pelvic floor therapy referrals?

Yes. Referrals and reports are kept in the record.

Can pessary follow-up be scheduled?

Yes. Follow-up is scheduled from the record.

Can bladder diaries be recorded?

Yes. Diaries are documented in the chart.

How much does XEHR cost for an urogynecology practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take an urogynecology practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

Related specialties

See all specialties

See XEHR set up for urogynecology

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

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