Urology Coding and Reimbursement Podcast
Episodes
310 episodes
UCR 060: 2022 CMS Proposed Rules and how they impact the Urology Practices
July 16, 2021Ray, Mark, and Scott discuss the 2022 CMS Proposed Rules and how they impact the Urology Practices. Mark breaks down the proposed changes and how they will impact urology practices. &...
UCR 059: Why Bother with QPP (Quality Payment Program)?
July 9, 2021Ray, Mark, and Scott try to answer the question "why bother with QPP?". Mark shares the reasons why the implementation of value-based medicine is important. In the discussion, they share the 4 main...
UCR 058: PCNL Revisited; Modifier -25 and LHRH injections; Billing for Multiple Bladder Biopsies
July 2, 2021Ray, Mark, and Scott welcome back Dr. John Lin to clarify PCNL coding and answer some questions from the Thriving Urology Practice facebook group. Mark corrects information provided on a previous podcast....
UCR 057: Statistics and Target Metrics for Urology Practices
June 29, 2021Ray, Mark, and Scott discuss some highlight statistics and metrics presented in the online course: "Important Revenue Cycle Management (RCM) Me...
UCR 056: PCNL (Percutaneous Nephrolithonomy) coding; How to approach stone coding.
June 18, 2021Ray, Mark, and Scott discuss PCNL coding. We have been getting more questions about PCNL coding. Mark explains PCNL coding and how you should code and bill. Also, they have a disc...
UCR 055: E&M 2021 Guidelines - When it seems like a level 4 but MDM will only get you to a level 3, what can you do?
June 11, 2021Ray, Mark, and Scott welcome Dr. John Lin to discuss Medical Decision Making. When it seems like a level 4 but MDM will only get you to a level 3, what can you do?Question from Michael:
UCR 054: How to deal with providers that will not provide the documentation needed to get reimbursed
June 8, 2021Ray, Mark, and Scott discuss the importance of physicians and other QHPs providing accurate documentation to communicate what they have done. Since the QHP is the only one able to communicate what service...
UCR 053: TURBT vs. Bladder fulguration and biopsy codes; AUACodingToday.com Bundling Matrix; Upcoming Seminars
May 28, 2021Ray, Mark, and Scott welcome Dr. John Lin and discuss TURBT vs. Bladder fulguration and biopsy codes (52204 and 52224). The discussion is a deep dive into what circumstances the codes are used and how to ...
UCR 052: How to deal with payer's letters to physicians about E&M billing levels relative to "peers".
May 21, 2021Ray, Mark, and Scott welcome Dr. John Lin to discuss payer's letters to physicians regarding their E&M billing levels relative to their "peers". Dr. Lin runs The Thriving Urology Practice facebook gro...
UCR 051: Is patient care better with clinical pathways and good coding? Why and how the pathways are impacted by coding.
May 17, 2021Ray, Mark, and Scott discuss clinical pathways and coding and how they impact patient care. They also discuss why accurate coding and documentation are important parts of clinical pathways and patient ca...
UCR 050: Physician supervision, incident to, and IDTF; FAQs - 99221-99223 denials and takebacks; Biofeedback billing after prostate surgery; 2 surgeon surgery: colovesical fistula and robotic lap sigmoid colectomy coding. May 3, 2021 Ray, Mark and Scott
May 11, 2021Ray, Mark, and Scott discuss physician supervision, incident to, and IDTF (Independent Diagnostic Testing Facility), also answer questions from the PRS Community and the
UCR 049: FAQs - Documentation for the administration of patient-supplied drugs; TURBT of multiple bladder tumors - can you "aggregate"; stone fragment removal, billing for Calyxo device; scrotal cyst code?
May 3, 2021Ray, Mark and Scott discuss questions from the Urology Coding and Reimbursement Group FAQs [40 Seconds] Our patients bring...
UCR 048: Documentation Support for Lab Tests; Coding for Laparoscopic and Robotic Procedures
April 23, 2021Ray and Scott discuss why you need to provide complete documentation for lab tests. Payers are starting to focus audits and takebacks on lab test reimbursement. Mark talks about how to document yo...
UCR 047: How Much Coding Does a Urologist Really Need to Know, and Why?
April 20, 2021Ray and Scott discuss the common question from urologists "Why do I need to learn to code? I have a team that does that". Over the years many Urologists have asked this question. Ray shares hi...
UCR 046: The New Optimizer Series from PRS: Why it Was Developed and the First Part of the Series - "Optimizing Front Office and Critical Processes"
April 12, 2021Mark, Ray, and Scott discuss the new PRS Network series: The Optimizer. Why they decided to develop the Optimizer Series and what they hope to help urology practices accomplish.Also, the...
UCR 045: Modifier Rules and other data in the National Physician Fee Schedule Relative Value File; where it is in AUACodingToday and how we made it easier to understand
April 3, 2021Mark, Ray, and Scott had a question this week on whether or not you could use the bilateral modifier (-50) for code:54351 - Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic
UCR 044: Payers - using hassle factor to delay payments, what you can do
March 26, 2021Mark, Ray, and Scott discuss a problem with United Health Care and payment delays for higher-priced claims (ie Provenge, Urolift). What options do you have? What should you do?Share your...
UCR 043: FAQs - Bilateral Ureteroscopy Laser lithotripsy with stent; Urodynamics and Catheter; Cysto w/ sp Tube; Family history and risk; Documenting what was reviewed
March 19, 2021Mark, Ray, and Scott discuss several questions about the new 2021 E&M rules from the Urology Coding and Reimbursement Group:Question 1 (:55)For bilateral Ureteroscopy Las...
UCR 042: How the New Technical Revisions to E&M 2021 Guidelines Impact Urology
March 12, 2021Ray, Mark and Scott discuss technical revisions that the AMA released March 9th, 2021. The team breaks down what's different and what urology practices need to understand. In a...
UCR 041: Deductible Season: Impacts and How to Ensure Your Practice is Prepared
March 7, 2021Ray, Mark, and Scott discuss deductibles and the impact they have on urology practices. The importance of previsit planning and training to ensure a healthy practice.Take the <...
UCR 040: "Incident to" billing; When to bill the 99211- Nurse Visit
UCR 040: "Incident to" billing; When to bill the 99211- Nurse VisitFebruary 26, 2021Ray, Mark and Scott discuss incident to billing and when to bill the 99211 nurse visit. <...
UCR 039: FAQs, Multiple ESWLs, 55700 with 96372, vital sign collection requirements, 99441-99443 usage, 51702 and A4344
February 19, 2021Ray, Mark and Scott discuss questions from the Urology Coding and Reimbursement Group Question...
UCR 038: What is the Urology QHPs Role in Coding and Billing
February 16, 2021Ray and Scott discuss what a urology QHP should do and what they should not do. As we teach at PRS, you should always work at the top of your license. This does include some...