199 episodios

The Urology Coding and Reimbursement Podcast is for Urologists and urology practice staff: Administrators, APPs, Billers and Coders. We help urologists and staff achieve peak economic and practice efficiency so there is time and energy to focus on patient care and a happy life. Your cohosts, Mark, Scott and Dr. Ray Painter discuss urology coding and share best practices for the urology office. We will answer submitted urology coding questions so that you can learn the concepts and apply in your practice. Learn the best practices: urology coding, revenue cycle management, scheduling, collections, patient information collection, pre-authorization, prior approval, charge capture, office communications, claim entry review, appeals, audits and billing, that we have tested and proven so you can adapt and incorporate.

Urology Coding and Reimbursement Podcast Mark Painter, Scott Painter and Dr. Ray Painter

    • Salud y forma física

The Urology Coding and Reimbursement Podcast is for Urologists and urology practice staff: Administrators, APPs, Billers and Coders. We help urologists and staff achieve peak economic and practice efficiency so there is time and energy to focus on patient care and a happy life. Your cohosts, Mark, Scott and Dr. Ray Painter discuss urology coding and share best practices for the urology office. We will answer submitted urology coding questions so that you can learn the concepts and apply in your practice. Learn the best practices: urology coding, revenue cycle management, scheduling, collections, patient information collection, pre-authorization, prior approval, charge capture, office communications, claim entry review, appeals, audits and billing, that we have tested and proven so you can adapt and incorporate.

    UCR 199: Revisiting Audio-Only Calls for Test Results; Robotic Spermatic Cord/Vein Resection, and Coding Unlisted Laparoscopic/Robotic Procedures

    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 reviewing results that were ordered during a visit, this is essentially not a billable event. Isnt it considered double dipping because the review of the results and test order is included when ordered. Aside from the results, going over a treatment plan could be a billable event. Truly dep...

    • 24 min
    UCR 198: FAQs - Penile shockwave therapy billing; cystoscopy risk MDM, post-vasectomy semen analysis, and Trimix coding

    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? Specifically, do we have to use the Category 3 code when billing Medicare patients, even though there is no payment associated with it, and can we continue collecting cash without making it a Medicare billable service?Is cystoscopy a moderate risk (level 4) procedure for medical decis...

    • 31 min
    UCR 197: Current Urology RCM Challenges (June 2024) -A Conversation with Marianne Desoise

    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 for the Urology Advanced Codingand Reimbursement Virtual SeminarJoin us on July 27th, 2024, for a live Zoom meeting from 9:30 am to 1:30 pm EST, and master the latest in urology coding and reimbursement with ease.Special Early Bird Discount Code: 24UACRVE7Click Here for Information and RegistrationPRS Bi...

    • 42 min
    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

    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" Urology Advanced Coding and Reimbursement VIRTUAL SEMINARRegister Now for the Urology Advanced Codingand Reimbursement Virtual SeminarJoin us on July 27th, 2024, for a live Zoom meeting from 9:30 am to 1:30 pm EST, and master the latest in urology coding and reimbursement wit...

    • 45 min
    UCR 195: FAQs - 99459 who's not paying; MUEs for J codes; PCR billing for a rectal swab?

    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 can't figure out how to bill additional units if more than 80 units is administered. I have tried modifier 59 and my claim was still denied. Any help would be greatly appreciated.Can we bill 13 units for 87798 for UTI PCR and Rectal swab PCR?Would charging 87801 be better for rectal swab ...

    • 29 min
    UCR 194: FAQs - MRI fusion biopsy update; physician onsite for pessary, urodynamics, biofeedback; and NCCI bundle, can you bill higher wRVU?

    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. Pessary Insertion – does it require a physician to be onsite? What about Pessary cleaning?Urodynamics – we know that Medicare requires a physician to be onsite, does this also apply to commercial payers?Biofeedback - we know that Medicare requires a physician to be onsite, does this also apply to commercial payers?Hi...

    • 24 min

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