Urology Coding and Reimbursement Podcast
Episodes
310 episodes
UCR 160: Exploring the Impact of ModMed: A Conversation with Dr. Eric Tygenhof
September 1, 2023 Ray, Mark, and Scott welcome special guest Dr. Eric Tygenhof to talk about his experience switching to and using ModMed in his practice. Dr. Eric Tygenhof is a partner in Southland Urolo...
UCR 159: Agenda of the 2024 Urology Advanced Coding and Reimbursement Seminar
August 25, 2023 Ray, Mark, and Scott discuss the 2024 Urology Advanced Coding and Reimbursement Seminar Agenda. What topics were chosen and why they were chosen.AGENDADAY 1
UCR 158: Coding retrograde pyelogram w/ stent (52332 & 52005); remote physiologic monitoring coding (99457 & 99458); documentation for urodynamics code - 51729
August 18, 2023 Ray, Mark, and Scott discuss 3 questions that came into the Urology Coding and Reimbursement Group (see below for link to sign up free):Hello, I still need more clarification on billing CPT...
UCR 157: Chronic Care Management reimbursement; coding for scrotal lesion excisions
August 11, 2023 Ray, Mark, and Scott discuss 2 questions that came into the Urology Coding and Reimbursement Group (see below for a link to sign up free):Good Evening Our office is looking into Ch...
UCR 156: How to bill Urocuff in Medicare Advantage Plan; E/M service in global not related to surgery Modifier -24; and urologists billing moderate sedation in hospital
August 4, 2023 Ray, Mark, and Scott discuss 3 questions that came into the Urology Coding and Reimbursement Group (see below for link to sign up free).Thank you for your recent podcast 147 with attention t...
UCR 155: Staff shortages, what can you do?
July 28, 2023 Ray, Mark, and Scott discuss staff shortages. Mark shares insights on some of the things you can do to address the issue. Urology Documentation, Coding, and Billing Certification...
UCR 154: Prior Authorizations and Prior Authorization Denials
July 21, 2023 Ray and Scott welcome special guest Marianne Desciose, Director of Operations for PRS Managed Services, LLC., to discuss Prior Authorizations and Prior Authorization Denials.Urology Documentati...
UCR 153: 2024 CMS Proposed Rules and how they will impact urology - preliminary analysis
July 14, 2023 Mark, Ray, and Scott discuss the newly released 2024 CMS Proposed Rules. Mark provides a preliminary analysis of what changes are important to urology.Urology Documentation, Coding, and B...
UCR 152: E/M Medical Decision Making - Problem; visits with Elevated PSAs, and when does prostate cancer reach a level 5 problem?
July 7, 2023 Mark, Ray, and Scott discuss the problem section of E/M medical decision making. The following question was asked that sparked this discussion:Undiagnosed new problem with uncertain pro...
UCR 151: FAQs with Dr. John Lin - Increasing 99214-25 denials, what can you do; TURBT and stent placement can this be unbundled?
June 30, 2023 Mark, Ray, and Scott welcome back John Lin to answer more questions that have come into the Thriving Urology Practice Facebook Group. My billers are now getting a sh*t ton of denials of ...
UCR 150: Integrated Practice Wide RCM, Part 2 - Point of Service Actions
June 23, 2023 Mark, Ray, and Scott welcome back Larry Kemp, FACHE to continue the discussion on Integrated Practice Wide RCM. In part 2 of this 4-part series, Larry shares information about Point of Servic...
UCR 149: Coding for prostatic artery embolization (PAE); Urocuff payment coverage, reports of diagnosis denials
June 16, 2023 Mark, Ray, and Scott discuss questions that came up during a May monthly training webinar: Coding for prostatic artery embolization (PAE); Urocuff payment coverage, reports of diagnosis denials&nb...
UCR 148: Coding for MRI fusion biopsy of the prostate; correcting a death date error
June 9, 2023 Mark, Ray, and Scott welcome back Dr. John Lin to discuss 2 questions that came into the Thriving Urology Practice Facebook Group [click to j...
UCR 147: Coding for 2 E/M services on the same date/patient; coding for services provided to a patient from an SNF in the office
June 2, 2023 Mark, Ray, and Scott discuss coding for 2 E/M services on the same date/patient; coding for services provided to a patient from an SNF in the office.This question originated from a comment on the <...
UCR 146: FAQs - OPPS/ASC multiple procedures; discontinued procedure denial; No Surprises Act - new patient visit; stent placement for promoting healing billable?
May 26, 2023 Mark, Ray, and Scott discuss 4 questions that came into the Urology Coding and Reimbursement Group.I'm trying to understand the Multiple Procedure Payment Reduction (MPPR) rules for OPPS...
UCR 145: Complication modifier (-78) POS discussion; FAQs - laparoscopic evaluation ureter, E/M and therapeutic injection (ADT) in the same visit, code for stone removal using forceps - no cysto
May 19, 2023 Mark, Ray, and Scott talk about a question Dr. John Lin asked on a recent Noridian Mac Call about billing a Modifier -78 with POS 11 (hear the recording on the Thriving Urology Facebook Group). ...
UCR 144: Observations from the 2023 AUA Annual Meeting and a quick update on the implications of the PHE ending
May 5, 2023 Mark, Ray, and Scott share some general observations from last week's 2023 AUA Annual Meeting in Chicago and Mark gives a quick update on the implications of the PHE ending.
UCR 143: Coding for Urology Drug Instillation: Jelmyto, Mitomycin, BCG
April 28, 2023 Mark, Ray, and Scott talk about coding for urology drug installation. They use coding for Jelmyto, Mitomycin, BCG as examples.Jelmyto Billing and Coding Guide
UCR 142: Adopting New Technology and Getting Reimbursed
April 21, 2023 Mark, Ray, and Scott talk about Reimbursement for New technology. With the 2023 AUA Annual meeting in Chicago coming up they thought it would be a good time to discuss this topic. Com...
UCR 141: Optilume coding update; robotic prostatectomy questions: can bill with urethral suspension? If performing with 38571 (BPLND) should you bill the S2900?
April 14, 2023Mark, Ray, and Scott revisit coding for Optilume and provide an update, and also discuss two questions about robotic prostatectomy coding. Can you share your thoughts on billing 51990 & 5...
UCR 140: Integrated Practice Wide RCM - Part 1: Pre-service work
April 7, 2023Larry Kemp joins Mark, Ray, and Scott as a special guest to delve into Integrated Practice Wide RCM in this first part of a two-part series. In the episode, Larry offers his expert insights on what you nee...
UCR 139: FAQs - Coding for OPTILUME, antegrade ureteroscopy code, and correct coding for torsion/orchiopexy with laterality modifiers
Available March 31, 2023Mark, Ray, and Scott discuss FAQs: What codes should we capture for OPTILUME? 52276 w/0499T? Or should we be looking at something else?For an anteg...
UCR 138: FAQs - Interposition of peritoneal flaps code, HIPAA compliant telehealth platform PHE deadline, and coding for PVR with no bladder scan
March 24, 2023Mark, Ray, and Scott discuss FAQs: Would you consider interposition of peritoneal flaps separately billable with a Prostatectomy/lymphadenectomy? “The peritoneum at the dom...
UCR 137: When your coder and EMR disagree, what do you do?
March 17, 2023Ray and Scott discuss a question that came into the PRS Community: When your coder and EMR disagree, what do you do? Join The Urology Coding Compliance and Education N...
UCR 136: Prehab clinic coding (PT/Dietician before surgery), straight catheter billing - 51701 v P9612?
March 10, 2023Mark, Ray, and Scott discuss questions that came into the PRS Community. We want to do a prehab clinic for patients to improve conditions before surgery. They would be using a PT/Dieti...