UCR 024: Answers to questions asked on the PRS Community; News about advanced payment paybacks Artwork

Urology Coding and Reimbursement Podcast

The Urology Coding and Reimbursement Podcast is for Urologists and urology practice staff: Administrators, APPs, Billers and Coders. We help urologists and staff achieve peak economic and practice efficiency so there is time and energy to focus on patient care and a happy life. Your cohosts, Mark, Scott and Dr. Ray Painter discuss urology coding and share best practices for the urology office. We will answer submitted urology coding questions so that you can learn the concepts and apply in your practice. Learn the best practices: urology coding, revenue cycle management, scheduling, collections, patient information collection, pre-authorization, prior approval, charge capture, office communications, claim entry review, appeals, audits and billing, that we have tested and proven so you can adapt and incorporate.

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Urology Coding and Reimbursement Podcast

UCR 024: Answers to questions asked on the PRS Community; News about advanced payment paybacks

October 02, 2020 • Episode 24

0:00 | 27:05

Mark, Ray, and Scott answer questions from the Urology Coding and Reimbursement group. Mark gives

1) Can urologist bill for Covid intake screenings? We hear from a provider that when patient walks in the door and we perform the Covid intake screening ( we do these anyways), we can bill for this?
We would have to submit out Covid form, a medical form, and a SOAP note, these can be signed by an NP for submition to the insurance?

2) Can a Urologist bill a 50590 and a 76000? It says only if medically necessary. What would be considered medically necessary?

3) Can you explain in an office setting when you would only bill a 51702 for catheter change for management of chronic urinary retention pt VS including an E/M charge 99213 VS when to use a modifier 25?

From my understanding there is no charge for a catheter removal and this is included in the E/M portion of the charge, so shouldn't every chronic catheter pt (for NGB, urinary retention) also have an E/M charge in addition to the 51702?

Good news from the resolution act: regarding the Medicare repayment