Urology Coding and Reimbursement Podcast
Episodes
310 episodes
UCR 210: stent in a pyeloplasty follow-up; G2211 and hypogonadism; and direct supervision requirements
September 6, 2024 Mark, Ray, and Scott address follow-up questions from the previous episode concerning the billability of ureteral stents during procedures. They clarify distinctions between inherent procedural compo...
UCR 209: FAQ -Designated procedure room, -78; stopping a procedure prior to entering OR; and is a stent included in a pyeloplasty?
August 30, 2024 Mark, Scott, and Ray talk about questions that came into the PRS Communities.Hi, I have a coding question pls. Thanks so much.Our urologist performed HIFU a month ago. Pt. had come ...
UCR 208: FAQ - Clot evacuation and fulguration coding; robotic assisted partial nephrectomy and lymph node resection: clarification
August 23, 2024 Mark, Scott, and Ray talk about two questions that came into the PRS Communities:I have Optum requesting records on all of our clot evac cases where something in the bladder was fulgurated ...
UCR 207: Updates on G2211 and 99459, what is included in radical nephrectomy code, and complete v. limited penile doppler codes
August 16, 2024Mark, Scott, and Ray talk about G2211 and 99459 updates and two CPT description questions that came into the PRS Communities:I have received a denial for px 50545 stating the adrenal glan...
UCR 206: 2025 Proposed CMS Rules - What Urologists Need to Know
August 9, 2024Mark and Scott discuss the 2025 Proposed CMS Rules. PRS Billing and Other Services - Book a Call with Mark Painter or Marianne Desciose
UCR 205: Coding FAQs - Voiding Trials, IPP Placement, Uroflow Apps and Psoas Hitch
August 2, 2024Mark, Scott, and Dr. Ray Painter discuss FAQs that came into the PRS communities. Can you bill a voiding trial after a patient had a procedure that has 0 day global (UROLIFT).Hi...
UCR 204: Urological Leadership & Advocacy: A Conversation with Dr. Willie Underwood
July 26, 2024Scott, Mark, and Dr. Ray Painter interview Dr. Willie Underwood, a urologist with over 20 years of experience and a key figure in the American Medical Association's leadership. Dr. Underwood discusses the impo...
UCR 203: Streamlining Billing Processes for Part B Drugs
July 19, 2024Scott, Mark, and Dr. Ray Painter explore effective billing practices for Part B drugs, using Jelmyto as an example. They discuss challenges such as prior authorizations, correct dosing, and site-specific billi...
UCR 202: Prostatic needle biopsy coding; and bladder tumor resection and fulguration code selection with Dr. John Lin
July 12, 2024Scott, Mark, and Dr. Ray Painter are joined by Dr. John Lin. In this episode, they answer two questions that came into the Thriving Urology Practice Facebook group:Pearl:We use 55...
UCR 201: Empowering Urologists - Interview with Dr. Eugene Rhee on Policy, Technology, and Future Directions
June 28, 2024Scott, Mark, and Dr. Ray Painter are joined by Dr. Eugene Rhee, a key figure in urology and healthcare policy. Dr. Rhee, who recently completed his term as Chair of the AUA Public Policy, shares his insights o...
UCR 200: Episode 200 - Celebrating the Past, Embracing the Future
June 21, 2024Mark, Scott, and Ray celebrate their milestone episode by reflecting on the origins, achievements, and future goals of the podcast. Urology Advanced Coding and Reimbursement VIRTUAL...
UCR 199: Revisiting Audio-Only Calls for Test Results; Robotic Spermatic Cord/Vein Resection, and Coding Unlisted Laparoscopic/Robotic Procedures
June 14, 2024Mark, Scott, and Ray discuss topics that came into the PRS communities. Can you bring this back up again as it relates to Audio only calls. Question i have is if you are just revi...
UCR 198: FAQs - Penile shockwave therapy billing; cystoscopy risk MDM, post-vasectomy semen analysis, and Trimix coding
June 7, 2024Mark and Scott discuss FAQs that came into the PRS communities. Are you obligated to bill the new Category 3 CPT code for penile shockwave therapy, which we currently provide as a cash service...
UCR 197: Current Urology RCM Challenges (June 2024) -A Conversation with Marianne Desoise
May 31, 2024Mark and Scott welcome Marianne Desciose to discuss what are the biggest issues right now in RCM. Urology Advanced Coding and Reimbursement VIRTUAL SEMINARRegister Now fo...
UCR 196: Takeaways from the AUA IBL presentation "The Business of Urology – What I have Learned on How to be Clinically Productive" with Dr. John Lin and Dr. Una Lee
May 24, 2024Mark, Ray, and Scott welcome Dr. Una Lee and Dr. John Lin to share their thoughts about their AUA IBL presentation "The Business of Urology – What I have Learned on How to be Clinically Productive" ...
UCR 195: FAQs - 99459 who's not paying; MUEs for J codes; PCR billing for a rectal swab?
May 17, 2024Mark, Ray, and Scott discuss FAQs that came into the PRS Network Community.Are there payers not paying for 99459?Hello, the max units for J2704 is 80. I have searched and searched and...
UCR 194: FAQs - MRI fusion biopsy update; physician onsite for pessary, urodynamics, biofeedback; and NCCI bundle, can you bill higher wRVU?
May 10, 2024Mark and Scott discuss FAQs that came into the Urology Coding and Reimbursement Group.MRI fusion biopsy updateHi,Can you please help us with the below questions. ...
UCR 193: PRS and the AUA Annual Meeting
April 26, 2024Ray, Mark, and Scott discuss the upcoming AUA Annual meeting in San Antonio and what PRS plans to do there.New Courses Available for Urologists and Urology APPs
UCR 192: Payer Communication - reporting services that are not payable during a global period
April 19, 2024Ray, Mark, and Scott discuss the nuances of communicating with payers and clearinghouses during the post-operative global period. New Courses Available for Urologists and Ur...
UCR 191: FAQs - G2211 age restrictions; void trial fail coding; gemcitabine instillation coding; and scrotoplasty simple v. complicated
April 12, 2024Mark and Scott discuss questions that have come into the PRS communities:Hi is there any documentation, regarding the age limit for G2211 or 99459?Our MD think that they only apply to pati...
UCR 190: Enhancing Urology Practice Efficiency - New Training Courses Explained
April 5, 2024Mark, Scott, and Ray discuss why PRS developed two new courses, one for Urologists and one for APPs These courses aim to tackle the challenges practices face with documentation for reimbursement an...
UCR 189: Urology Practice Business and Leadership Insights with Dr. David J. Ellis
March 28, 2024Mark, Scott, and Ray welcome Dr. David J. Ellis to discuss the evolution of urology practice, leadership strategies, the role of organizations like LUGPA, AUA, and AACU, and the importance of communication an...
UCR 188: Change Health cyberattack updates, G2211 developments, FAQs - Urodynamics authorization, taxonomy multi-specialty practice
March 22, 2024Mark, Scott, and Ray discuss the Change Health cyberattack, G2211 developments and questions that came into the PRS Network.We have been receiving denials for our Urodynamics appointments because ...
UCR 187: Change Health cyberattack update; FAQs - 99459 documentation, N30.10 denials, and 51701 for urine capture
March 15, 2024Mark, Scott, and Ray discuss questions that came into the PRS Network.Hello,What is the recommendation on documentation for new code 99459? Our practice is wanting to create a template for thi...
UCR 186: FAQs - Bladder neck resection or TUIP; LT/RT ureteral reimplant; and Lipiodol injection coding
March 8, 2024Mark, Scott, and Ray discuss questions that came into the PRS Network.Hello all, I have a CPT coding question,Indications = Urinary Obstruction // Post-Op DX = Obstruction of neck of Urina...