Urology Coding and Reimbursement Podcast
Episodes
310 episodes
UCR 035: E&M 2021 Q&A: Other qualified health professional definition, Data - can I count note and PSAs in the note as separate data points? Is BCG with assessment a level 2 E/M? Prescription drug management clarification.
UCR 035: E&M 2021 Q&A: Other qualified health professional definition, Data - can I count note and PSAs in the note as separate data points? Is BCG with assessment a level 2 E/M? Prescription drug management clarification.
UCR 034: 2021 last-minute changes, G2211 update, MRI fusion biopsy of prostate coding, and initial vs subsequent dilations
UCR 034: 2021 last-minute changes, G2211 update, MRI fusion biopsy of prostate coding, and initial vs subsequent dilationsJanuary 8, 2020Mark, Ray, and Scott talk about the last-m...
UCR 033: Lessons Learned from the First 33 Episodes; 2021 Biggest Challenges / Opportunities
Mark, Ray, and Scott talk about lessons learned from the first 33 episodes. Also, they answer the question "what do you see as the biggest challenge (or opportunity) coming in 2021"? Lastly, they discuss where the podcast is headed ...
UCR 032: 2021 Medicare Update Part 2 - Excerpt from our Urology Advanced Coding and Reimbursement Seminar - Virtual Live Event 12-5-20 December 11, 2020
Part 2 of 2 - The final Medicare rule was published on 12/2/2020. Mark presents what has changed, what is important, and the impacts the new rules are going to have on your practice. He also points out what you need to do to prepare...
UCR 031: 2021 Medicare Update Part 1 - Excerpt from our Urology Advanced Coding and Reimbursement Seminar - Virtual Live Event 12-5-20 December 11, 2020
Part 1 of 2 - The final Medicare rule was published on 12/2/2020. Mark presents what has changed, what is important, and the impacts the new rules are going to have on your practice. He also points out what you need to do to prepare...
UCR 030: Happy Thanksgiving! What we included in the agenda of the Urology Advanced Coding and Reimbursement Seminar and Why
November 24, 2020Happy Thanksgiving!Mark, Ray, and Scott discuss the Urology Advanced Coding and Reimbursement Seminar Agenda. Mark explains what we have included and why. Ray emphasizes that th...
UCR 029: As the 2nd wave of pandemic looms, what can you do in your practice if there is another shutdown or slowdown
November 17, 2020Mark, Ray, and Scott discuss the 2nd wave of the pandemic and what that means to the urology practice. The first wave was dedicated to figuring out how to deal with the ...
UCR 028: Defining Poor Business Practices and Implementing Solutions
Mark, Ray, and Scott talk with Larry Kemp, FACHE about assessing your business practices, digging deep to identify the core problem, developing a road map, and then solving the root of the problem. Larry points out that "Being Paid...
UCR 027: Lessons Learned from Our Workshops About the New E&M 2021 Guidelines; Vasectomy Consult - Level 2, 3, or 4? Prostate Cancer?
Mark, Ray, and Scott discuss some lessons and nuances that they learned during the discussion at the recent E&M 2021 workshops. Mark shares the reasoning behind a vasectomy consult and what level it will probably fall with the new gui...
UCR 026: PHE Extension; FAQs - Urology Coding and Reimbursement Group
Mark gives an update on the status of the Public Health Emergency (PHE). Mark, Ray, and Scott discuss FAQs:Coding for a stent removal using a snare without radiologic guidance.CPT code is for the i-Tind procedureCa...
UCR 025: How the Urology Advanced Coding and Reimbursement Seminar came to be and how it looks different this year
Scott and Ray discuss the Urology Advanced Coding and Reimbursement Seminar. Ray shares how it all began and why. They discuss how the Urology Advanced Coding Seminar is going to be different this year. Not only is it going t...
UCR 024: Answers to questions asked on the PRS Community; News about advanced payment paybacks
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 w...
UCR 023 - New ICD-10 Codes for Urology - Active October 1st, 2020
Mark, Ray, and Scott discuss the new ICD-10 codes that go into effect 10/1/20. Make sure your Electronic Health Record and Practice Management System are up to date with the new codes. Luckily there are not that many new codes and w...
UCR 22: 3 Secrets PRS Uses to Develop Educational Products
September 18, 2020Scott shares the 3 simple steps PRS uses to create the PRS education projects.We have, over the last 30 years, developed a system for creating education products. We used this tested a...
UCR 21: 3 ways to consider incorporating telehealth in your practice now and after the Public Health Emergency
Mark provides an overview of Telehealth utility now and post Public Health Emergency. He shares 3 opportunities to explore using Telehealth, if you are not doing so already.1.) Basic Telehealth - Synchronous Audio Visual2.) ...
UCR 20: FAQs - Question about D40.0, Neoplasm uncertain behavior of prostate? Modifier -57 v Modifier -25?
Mark, Ray and Scott answer 3 questions from the Urology Coding and Reimbursement GroupScenario:New patient being seen via telemedicine for the first visit. Dr. has ER reports and a CT with finding of "a nodular mass-like extensi...
UCR 19: FAQs - Can CPT code 50386 be done in the office? Can I bill CPT 55700 with 76872, 76942, 96372 & J1580?
Mark, Ray and Scott answer 3 questions from the Urology Coding and Reimbursement GroupCan CPT code 50386 be done in the office? The provider wants to remove the stents without cysto whenever possible as he says it is mor...
UCR 18: E&M 2021 Preparation Checklist - The 7 steps you need to take to ensure a smooth transition
Mark, Ray and Scott discuss the 7 steps your practice needs to take to ensure a smooth transition to the new E&M rules in 2021.Choose a transition captain Update Compliance Plan Train...
UCR 017: 2021 CMS Proposed Rules and how they impact the Urology Practices
Mark outlines the proposed rule and the 8 items that will have the most impact on the Urology practice.Final rule posting late this yearConversion factor decreasing by 10.6%E&M 2021 changes being adopted and wi...
UCR 016: FAQs - Consultation billing? Can you bill catheters and leg bags with 51702? Auditing rules for telehealth? PCNL - 50080/81 and -52?
Mark, Ray and Scott discuss answer and discuss questions asked on the Urology Coding and Reimbursement Group.Can you bill a consultation (99245) when one of our providers is sending his pt to another provider in the same group to discuss...
UCR 015: How do you ask the right questions to find the right solution / code?
Mark, Ray and Scott discuss how to find the right codes or solutions by asking questions. The problem is that if you don't ask the right questions you may get the wrong solution. Often times in coding and reimbursement the an...
UCR 014: FAQs - Telehealth Codes for PA/NP phone only visit? 52281 and 52601 during global, bundling question.
For PA and NP phone call only visits, what codes should be used? Additionally, can phone only codes be billed as incident to for established patients?Good morning! Can 52281 needing to be performed during global period of ...
UCR 013: Kidney Stone Coding - a discussion about the CPT® and CMS rules and how they impact multiple stone billing in different locations.
Mark and Ray present the current CMS and CPT rules and how those rules affect coding for multiple stones. As most are well aware, the rules are not always black and white and in this instance, the rules leave plenty of room for interpret...
UCR 012: Maximizing income and efficiency begins with the front office, learn what to look for and how to adjust. Interview with Larry Kemp, FACHE
Larry talks about how teamwork is one of the most important aspects of an efficient office. Learn about one of the best ways to train your office. Larry has helped many urology practices and over the years developed and tested syste...
UCR 011: The 5 most important things for Urologists to include on the home page of their website. Interview with Marketing Expert Brent Stutzman
Brent shares what most Urologists are missing on their website. Do you explain what you do? Have pictures related to your practice? Have a clear call to action? Learn some simple changes you can make to your website to help at...