Urology Coding and Reimbursement Podcast
Episodes
310 episodes
UCR 236: NGS Updates on G0463 & G2211, APP Billing for Neuromodulation, and Bilateral Ureteral Stent [52332] Denials
March 28, 2025 Scott, Mark, and Dr. Ray Painter discuss questions that came into the PRS Helpdesk. NGS sent a newsletter about the use of: cpt code G0463 as a primary code for G2211. Need more i...
UCR 235: Telehealth Updates, Conversion Factor Disappointment, Medicaid Possible Cuts, and a Surge in RAC Audits
March 21, 2025 Scott, Mark, and Dr. Ray Painter break down the latest developments in telehealth policy and Medicare reimbursement. Mark shares the good news about the extension of telehealth flexibilities and the bad...
UCR 234: G2211 Follow-up time frame, coding for graft around the urethral anastomosis during prostatectomy, and radical nephrectomy coding - 50545 and 50548
March 14, 2025 Scott, Mark, and Ray discuss three coding questions from the PRS Community and the Thriving Urology Practice Facebook group. My question is regarding G2211. Is there a time frame ...
UCR 233: Telehealth Uncertainty and Specialty Designations in Urology Practices
March 7, 2025 Scott, Mark, and Ray discuss the latest updates (or lack thereof) on telehealth policies as the current extension nears expiration. They break down what practices should consider when scheduling teleheal...
UCR 232: Work RVUs and Modifier 22, Unlisted Codes, Category III Codes - Navigating Payer Reporting and Administrator Discussions
February 28, 2025 Scott, Mark, and Dr. Ray Painter break down the challenges of securing fair compensation for extra work performed in urology procedures when using modifier 22, unlisted codes, or Category III codes. ...
UCR 231: FAQs - Billing Romoval of Testicular Appendix, G2211 Modifier Confusion, and Leveraging Provider Portals
February 21, 2025 Scott and Mark discuss questions from the PRS Network Community and the Thriving Urology Practice Facebook group.Does anyone bill out a removal of testicular appendix separately from the ...
UCR 230: FAQs - ESWL Bladder Stone Coding; Remote Incident To; and Coding Challenging Stone Cases with Single-Use Ureteroscopes
February 14, 2025 Scott, Mark, and Ray discuss questions that came into the PRS Network Community.Our doctor's occasionally use the ESWL (Extracorporeal Shock Wave Lithotripsy) for bladder stones. In...
UCR 229: Takeaways from the Urology Advanced Coding and Reimbursement Seminar in New Orleans
February 7, 2025 Scott and Mark welcome back Dr. John Lin and Marianne Descoise to discuss some key takeaways from the Urology Advanced Coding and Reimbursement Seminar, which took place in New Orleans from Janu...
UCR 228: G0559 Clarification, GC Modifier Explained, and G2211 Documentation Suggestion
UCR 228: G0559 clarification, GC Modifier Explained, and G2211 documentation suggestion.January 24, 2025 Scott, Mark, and Dr. Ray Painter address questions submitted to the PRS Network.
UCR 227: Understanding Recoupments – How to Protect Your Practice’s Revenue
January 17, 2025 Scott, Mark, and Dr. Ray Painter are joined by special guest Marianne Desois, COO of PRS Managed Services, to dive into the growing issue of payer recoupments. They discuss the tactics payers use, com...
UCR 226: Simplifying Kidney Stone Coding – Introducing the Free Coding Calculator
January 13, 2025Mark, Scott, and Ray discuss how the new free Kidney Stone Coding Calculator, supported by Calyxo is a great tool for double-checking, teaching, discussing, and calculating kidney stone coding scenarios.
UCR 225: Navigating Urology Coding and Reimbursement in 2025: Predictions, Updates, and Telehealth Insights
January 8, 2025 Mark, Scott, and Ray discuss new rule changes and what is ahead in 2025Urology Advanced Coding and Reimbursement Seminar - New Orleans, LARegister Now for the Urology Advanced Codi...
UCR 224: End-of-Year Update: the American Relief Act - Conversion Factor Not Addressed, Telehealth Extended
December 27, 2024 Mark and Scott discuss the American Relief Act and the impact it will have on urology practices. Urology Advanced Coding and Reimbursement Seminar - New Orleans, LARegister ...
UCR 223: United Healthcare Had an Issue with our Episode 212 - Why and a Recap of What We Covered
December 20, 2024 Ray, Mark, and Scott welcome back Dr. John Lin to discuss Episode 212 which United Healthcare asked us to take down. Urology Advanced Coding and Reimbursement Seminar - New Orleans, LA...
UCR 222: Top Takeaways from the Urology Advanced Coding and Reimbursement Seminar - Dec 6-7, 2024
December 13, 2024 Ray, Mark, and Scott discuss the top takeaways from the Urology Advanced Coding and Reimbursement Seminar in Las Vegas, Dec 6-7, 2024Urology Advanced Coding and Reimbursement Seminar - New ...
UCR 221: FAQs - Bladder stone fragment, and basket coding; can you substitute 52601 for 0421T?
November 22, 2024 Mark and Scott answer two questions that came in through the coding course:Can you help me to clarify, if the stone in the bladder was fragmented by basket and removed, can we bil...
UCR 220: 2025 CMS Final Rule Part 2 - Telehealth
November 15, 2024 Ray, Mark, and Scott talk about the CMS Final Rule for 2025 in part 2 of this two-episode discussion.PRS Billing and Other Services - Book a Call with Mark Painter or Marianne Desc...
UCR 219: 2025 CMS Final Rule Part 1 - Conversion factor, negatively impacted procedures, and the post-operative global
November 8, 2024 Ray, Mark, and Scott talk about the CMS Final Rule for 2025 in part 1 of this two-episode discussion.PRS Billing and Other Services - Book a Call with Mark Painter or Marianne Desci...
UCR 218: How to Identify and Fix Hidden Traps in Revenue Cycle Management (RCM)
November 1, 2024 Ray and Scott talk PRS MS Director of Operation, Marianne Desciose about Revenue Cycle Management (RCM) current and sometimes hidden issues.PRS Billing and Other Services - Book a Call with ...
UCR 217: Understanding split shared visits and incident to billing
UCR 217: Split shared and incident to visitsOctober 25, 2024 Ray, Mark, and Scott talk about split shared and incident to visits.PRS Billing and Other Services - Book a Call wit...
UCR 216: Breaking Down the Top 3 ICD-10 Challenges of 2024
October 18, 2024 Ray, Mark, and Scott talk about the top 3 ICD-10 Challenges of 2024.PRS Billing and Other Services - Book a Call with Mark Painter or Marianne Desciose
UCR 215: Preparing for 2025 - Urology Advanced Coding and Reimbursement Seminar Discussion and Agenda
October 11, 2024 Ray, Mark, and Scott discuss the upcoming Urology Advanced Coding and Reimbursement Seminar, why you should attend, and the agenda for the upcoming seminars.PRS Billing and Other Services - ...
UCR 214: Telehealth update, downcoding of claims, and level 5 E/M services in urology
October 4, 2024 Ray, Mark, and Scott talk about the Telehealth status, payer down coding, and level 5 E/M services in urologyUrology Coding and Billing Certification Course for Coders, Billers, and Admins
UCR 213: Navigating Prior Authorizations, Precertification, and Eligibility Issues in Urology with Guest Marianne Desciose
September 27, 2024 Ray and Scott welcome guest Marianne Desciose to discuss Prior Authorizations, Pre Certifications, and Eligibility. PRS Billing and Other Services - Book a Call with Mark...
UCR 211: 2025 cystoscopy code changes and should coders review images attached before submitting charges, or is provider documentation sufficient?
September 13, 2024 Mark, Ray, and Scott discuss questions from the PRS Community.Hi, In your Urology Times article on July 30th, there is mention of a proposed change to the practice expense compone...