Urology Coding and Reimbursement Podcast
Episodes
310 episodes
UCR 185: Countdown to the MIPS submission deadline - are you prepared?
March 1, 2024Hosts Scott, Mark, and Ray discuss the upcoming MIPS submission deadline of April 1st and address common questions about MIPS submissions. Registration is open for the Documentation for C...
UCR 184: FAQs - Clarification of split shared visit, and cystoscopy, dilation, and clot evacuation coding
February 23, 2024Mark, Scott, and Ray discuss questions that came into the PRS Network: Regarding the most recent podcast episode on shard/split visits: Medicare's policy states that only one practitioner ...
UCR 183: Unleashing the power of words, the importance of Documentation for Reimbursement
February 16, 2024Ray and Scott discuss the importance of documentation for reimbursement.They emphasize the need to communicate effectively through documentation with billers, computers, and AI systems to ensure acc...
UCR 182: Clarifying Split or Shared Visits
February 9, 2024Ray, Mark, and Scott discuss questions that came in about split or shared Visits.Our questions are: When our doctors cover hospital patients, we often have Physician Assistants in t...
UCR 181: FAQs - Hospital E/M Codes, Ureteroneocystostomy coding, and Pelvis Exam Clarification
February 2, 2024Ray, Mark, and Scott answer and discuss the following questions:The seminar this past week was great. I have one question that I asked during the seminar but still not sure of the correct answer...
UCR 180: Revisiting G2211 and understanding code 99459 and its usage
January 19, 2024Scott and Mark discuss the topics of G2211 and code 99459. They clarify some common questions and confusion surrounding these codes, provide guidance on their appropriate use, and share updates on their exp...
UCR 179: Top documentation, coding, and billing issues impacting urology
January 12, 2024Scott and Dr. Ray Painter discuss the top issues impacting urologists and their practices. G2211 Guidance Document [free download]...
UCR 178: Using G2211 - discussion, questions, and scenarios
January 5, 2024Mark, Scott, and Dr. Ray Painter discuss the new G2211 code. How it should be used, examples, provide scenarios, and share questions about using the code. G2211 Guidance Document<...
UCR 177: Discussion with Dr. John Lin - Removal of foreign body from penis; A great way to combat physician burnout
December 29, 2023Mark, Scott, and Dr. Lin discuss topics from the Thriving Urology Practice Facebook Group:There is still no CPT code for extricating the penis from a foreign body, right?Guy used a 2.5 poun...
UCR 176: FAQs - Can you bill simple prostatectomy and cystorrhaphy; Value for new pelvic exam code; Can you bill uroflow and/or PVR twice on same day; and can you bill voiding trial post-op after prostatectomy?
December 22, 2023Mark, Ray, and Scott answer questions from the PRS Urology Coding Community:I have multiple providers who want to bill 55867 & 51860 for the same procedure. While there’s isn’t an NCCI Edit...
UCR 175: Why All Urologists and Staff Should Join and Participate in a State Urology Society - a discussion with Dr. Richard Pelman
December 15, 2023Mark, Ray, and Scott welcome Dr. Richard Pelman to discuss the importance of State Urology Societies and why you should participate. Urology Advanced Coding and Reimbursement Se...
UCR 174: 2024 Urology Advanced Coding and Reimbursement Seminar - Key Takeaways and Insights
December 8, 2023Mark, Ray, and Scott welcome Dr. John Lin to discuss the 2024 Urology Coding and Reimbursement Seminar and share their thoughts about the 2024 Urology Coding and Reimbursement Seminar in Las Vegas, on Decem...
UCR 173: Implementing 2024 changes - understanding G2211 and exploring new category 3 codes with Dr. Jonathan Rubenstein
December 1, 2023Mark, Ray, and Scott welcome Dr. Jonathan Rubenstein to discuss the big CMS changes for urology in 2024 and how to implement them. Urology Advanced Coding and Reimbursement Seminar
UCR 172: Part B drugs - calculating reimbursement and how to compare clinically similar drugs for your practice.
November 22, 2023Mark, Ray, and Scott discuss Part B drugs and how a practice can compare clinically similar drugs. Telehealth Resource Centers
UCR 171:Unlocking Telehealth's Potential in Urology: A Conversation with Lisa Finkelstein, DO
November 17, 2023Mark, Ray, and Scott have a conversation with Dr. Finkelstein about Telehealth in Urology.Dr. Finkelstein's expertise illuminates key considerations for urologists seeking to harness the potential o...
UCR 170: CMS Final Rule 2024 - Analysis and Summary
November 10, 2023Mark presents the summary of the newly released CMS 2024 Final Rule. Urology Advanced Coding and Reimbursement Seminar
UCR 169: Integrated Practice Wide RCM, Part - 3: Key Practice Indicators, Data, Analytics, Trends and Implementing
November 3, 2023 Mark and Scott welcome back Larry Kemp, FACHE to continue the discussion on Integrated Practice Wide RCM. Mark Painter and PRS Consulting
UCR 168: FAQs with Dr. John Lin - Can you bill an E/M if provided in a procedure room after cysto?; BCBS not paying for ICD-10: N52.9 ED - unspecified, what to do?
October 27, 2023 Mark and Scott welcome back John Lin to answer more questions that have come into the Thriving Urology Practice Facebook Group. Can I bill for a modifier- 25 if the E&M service wa...
UCR 167: Incident To - additional clarification; Not prescribed by a physician denial
October 20, 2023 Ray, Mark, and Scott discuss questions from the Urology Coding and Reimbursement Group.I am a solo urologist newly working with a P.A. that I hired. What is the modifier for billing "incid...
UCR 166: Incident To - billing injections; Coding debridement of Fournier's gangrene
October 13, 2023 Ray, Mark, and Scott discuss questions from the Urology Coding and Reimbursement Group.Are injections like Lupron and Prolia and the administration given by an advanced practice provider s...
UCR 165: Takeaways from recent national and regional Urology meetings
October 6, 2023 Ray, Mark, and Scott discuss important topics from recently attended national and regional Urology meetings.Mark Painter and PRS Consulting
UCR 164: FAQs - Coding for insertion of an Estring; Trimix billing, what codes should you use?
September 29, 2023 Ray, Mark, and Scott discuss questions that came into the Urology Coding and Reimbursement Group:I'm trying to verify the correct CPT code for insertion of an Estring to treat vaginal ch...
UCR 163: FAQs - Hiring Certified Coders; Removal of foley, nurse visit or bladder irrigation? "Modifier Required"; Assistant Surgeon - preop / interop consult?
September 22, 2023 Ray, Mark, and Scott discuss questions that came into the Urology Coding and Reimbursement Group:We are looking to hire a certified coder. We are open to the position being remote if the...
UCR 162: Targeted Probe and Educate (TPE) and Recovery Audit Contractor (RAC) Audits
September 15, 2023 Ray, Mark, and Scott discuss what Targeted Probe and Educate (TPE) and Recovery Audit Contractor (RAC) Audits are and how they are different.Mark Painter and PRS Consulting...
UCR 161: Shared split visit clarification and new rules; "Procedure to Provider" edits, PCR code denials
September 8, 2023 Ray, Mark, and Scott discuss questions that came into the Urology Coding and Reimbursement Group:We use shared visits to facilitate our inpatient consultations. Typically our APP will per...