Urology Coding and Reimbursement Podcast
Episodes
310 episodes
UCR 110: Coding guidance from manufacturers; CMS 2023 proposed rule: Discarded Drug Rebate
August 26, 2022Mark, Ray, and Scott discuss the reliability of a manufacturer's coding guidance and the Discarded Drug Rebate in the CMS proposed rule for 2023.Urology Advanced Coding and Reimbursement Semina...
UCR 109: FAQs - Modifier Sequencing follow-up; Unbundling never allowed, but should be paid; Trimix injection training; and Bladder neck contracture codes
August 19, 2022Mark, Ray, and Scott discuss questions that came into the PRS community:I just listened to the podcast on Order of modifiers on a claim. Just one question. I've been taught that the global modifi...
UCR 108: Modifier Sequencing: the orders in which you should order modifiers on a claim
August 12, 2022Mark, Ray, and Scott discuss how modifiers should be ordered. Mark shares what modifier sequencing is, why modifier sequencing is important and provides examples of how to order modifiers on a claim.
UCR 107: Questions - Coding for TURBT with the removal of half a tumor; does medicare pay for repeat Urolift procedures?
August 5, 2022Ray, Mark, and Scott discuss two questions that came into the Urology Coding and Reimbursement Gropou about billing a TURBT even though the whole tumor was not removed also they discuss coverage of repeat Uro...
UCR 106: Injections codes, why you may want to bill even if you know it's probably going to be denied
July 29, 2022Ray, Mark, and Scott discuss a question regarding injection codes and why it may be an excellent decision to bill the injection code even though you know it will probably be denied. Complian...
UCR 105: Laser ureteral stone through nephrostomy tube; Compliance plans
July 22, 2022Ray, Mark, and Scott discuss a question regarding antegrade ureteroscopy with laser lithotripsy to treat a ureteral stone and compliance plans. Compliance PlansQues...
UCR 104: 2023 CMS Proposed Rules and how they will impact the Urology Practices
July 15, 2022Ray, Mark, and Scott discuss the 2023 CMS Proposed Rules and how they will impact Urology Practices. Mark breaks down what's important to urology in the new proposed rules. Urologists’...
UCR 103: Clarifications - 99211 in addition to office procedure; when can you bill an E&M in the post-op period, Modifier -24
July 8, 2022Mark, Scott, and Ray clarify some concept nuances that may have been misinterpreted or misunderstood. Urologists’ Coding WorkshopJuly 23, 2022 - 10 am - 3 p...
UCR 102: "Unspecified" ICD-10 Code Denials
July 1, 2022Mark, Scott, and Ray discuss ICD-10 "Unspecified" codes and the increase in denials. Urologists’ Coding WorkshopJuly 23, 2022 - 10 am - 3 pm EST...
UCR 101: Modifier 25 - deep dive
June 24, 2022Mark and Scott welcome Dr. John Lin to the podcast to discuss in detail Modifier -25.Skyline Urology to Pay 1.85M to Settle False Claims Act Allegations of Medicare Overbilling ...
UCR 100: Some of the most popular topics in the first 100 episodes and why they were popular
June 17, 2022Mark and Scott discuss the most popular topics of the first 100 episodes and why they were popular. NEW ONLINE WORKSHOP - Urologists’ Coding WorkshopSpecial 5-ho...
UCR 099: Can urologists bill MRI fusion biopsy; billing pathology during the pathologist's absence; and biofeedback and pelvic floor therapy billing?
June 10, 2022Mark, Scott, and Ray discuss questions that came into the PRS Community Forum 1) Can we bill for cpt 76377 or it is considered a Radiology procedure. My doctors want some direction ...
UCR 098: E&M Level 3 with a Vasectomy on the same day
Available June 3, 2022Mark, Scott, and Ray discuss Mark's call with a payer making the argument that an E&M service can be billed with a Vasectomy on the same day. NEW ONLINE WORKSHOP - Uro...
UCR 097: Independent historian, newborn (post-hospitalization) circumcision consult, stent removal diagnosis, and temporary code 0421T
May 27, 2022Mark, Scott, and Ray discuss questions that came into the PRS Community Forum.1. Independent historian. For pediatric visits, I'm a little unclear what counts as an independent historian. I see ...
UCR 096: AUA Annual Meeting Recap; E/M 2021 Data Clarification
May 20, 2022Mark, Scott, and Ray talk about the recent AUA Annual meeting in New Orleans. Also, we had a question come in about using the same data in medical decision making in two different encounter...
UCR 095: Correct Coding - Cystectomy, with continent diversion, bilateral pelvic lymphadenectomy, and prostatectomy; AUA Annual Meeting May 2022
May 6, 2022Mark, Scott, and Ray discuss a question about a scenario regarding coding the most comprehensive code:Scenario 6 module 9, Cystectomy, with continent diversion, bilateral pelvic lymphadenectomy a...
UCR 094: Prepayment claim review request and a new proposal from United Health Care to urology practices
April 29, 2022Mark, Scott, and Ray discuss two current topics:1) Letter of notification from CMS/Qlarant, a provider was selected for prepayment claim review. We have received two record requests from...
UCR 093: FAQs - Billing for misfired Urolift implant and chief complaint documentation
Available April 22, 2022Mark, Scott, and Ray answer questions1)I have been asked if it is appropriate to bill for "misfired" Urolift implants?2) I know Jon's opinion on this, but was wondering ...
UCR 092: FAQs - Telemedicine POS, Bladder Interstitial Fiducial Marker, and Botox injection to pelvic floor.
Available April 14, 2022Mark, Scott, and Ray answer questions1) If a patient is being set up for a telemedicine visit with an MD in the MD's secondary clinic and the MD is in his/her primary clinic. D...
UCR 091: FAQs - Remote uroflow; Interstim covered diagnoses issue; TURP and bladder scan during global; Robot-assisted laparoscopic prostatectomy
Available April 8, 2022Mark, Scott, and Ray answer questions1) My clinic is trying out the app through Emano Flow that tracks a patients urine flow for 14 days and then the Urologist goes over the results w...
UCR 090: UTI – PCR UPDATE Part 2, Modifier -22
April 1, 2022Mark, Scott, and Ray discuss an update on the MolDx guidelines for PCR billing set to take effect on April 17th, 2022. They also talk about Modifier -22; should you use it and what it takes....
UCR 089: New MolDx guidelines for PCR billing - Part 1
March 25, 2022Mark and Scott discuss the new MolDx guidelines for PCR billing set to take effect on April 17th, 2022. Urology Coding Course Spring Registration Is Open!...
UCR 088: Clarification -TC and -26 modifiers [#87]; FAQs - VUDS, Anterior Exenteration, and Prophylactic Antibiotic Injections
Mark, Ray, and Scott discuss comments and questions from PRS Forums: PRS Community and Urology Coding and Reimbursement Group:1) Re: RE: New Podcast Episode: -TC and -26 modifiers - Urodynamics billing: split or global? (3/11/22...