Urology Coding and Reimbursement Podcast

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

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.

  1. 3 DAYS AGO

    UCR 211: 2025 cystoscopy code changes and should coders review images attached before submitting charges, or is provider documentation sufficient?

    September 13, 2024 Mark, Ray, and Scott discuss questions from the PRS Community.Hi, In your Urology Times article on July 30th, there is mention of a proposed change to the practice expense component of cystoscopy due to updates in the supply valuation by CPT RVU Update committee. It talks about "packs SA045, SA058 and SA042". What are these packs and can you explain further how this will impact the in-office RVU for CPT 52000? thanksWe are looking for some guida...

    27 min

  2. 6 SEPT

    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 components and separately billable services, emphasizing the importance of documentation.The episode also reviews coding for G2211, where Mark adjusts his stance to include hypogonadism for long-term management. Additionally, the hosts discuss the supervision levels required for ...

    22 min

  3. 30 AUG

    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 back for Dysuria postop complication, has been having dysuria for 2 weeks. Our urologist decided to perform Cystoscopy for this.Cystoscopy performed, but we did Not bring Pt. back to OR. So, it should Not be a billable serviceBut then, Per NCCI, Diagnostic test and procedures may be paid as a s...

    28 min

  4. 22 AUG

    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 during the same session and after record review we fail the audit.Now compliance is very quick to say refund it, stop billing it, its bundled, etc.But we know a modifier is allowed so when is it allowed????Everything I find online like AAPC says to bill both 52214 and 52001-59 but there...

    19 min

  5. 15 AUG

    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 gland was not removed, therefore, 50545 is not supported. PX description: Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy). I recall reading a PRS article regarding&nbs...

    24 min

  6. 9 AUG

    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 DescioseClick Here to Get More Information and Request a QuoteUrology Advanced Coding and Reimbursement Seminars - In-Person SeminarsRegister Now for the Urology Advanced Coding and Reimbursement SeminarSpecial Early Bird code: 25UACRS732 Click Here for Information and RegistrationEvent DetailsLocation:Las Vegas: December 6-7, 2024, ...

    25 min

  7. 2 AUG

    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, a question on IPP coding pls. How do you we code for "2-piece Ambicore IPP placement"? With this new Ambicore IPP, the penile prosthesis consists of only One pair of Cylinders and a Pump and eliminates the need for a separate Reservoir. Are we coding with 54405-52? VS no modifier 52? Thank yo...

    25 min

  8. 25 JULY

    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 importance of physician involvement at state and national levels, the AMA's stance on telehealth advancements, and the necessity for collective action and financial contributions to influence healthcare policies. The conversation highlights how unified efforts and innovative sol...

    29 min
See All (211)

About

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.

Information

  • Creator
    Mark Painter, Scott Painter and Dr. Ray Painter
  • Years Active
    2020 - 2024
  • Episodes
    211
  • Rating
    Clean
  • Copyright
    © 2024 Urology Coding and Reimbursement Podcast
  • Show Website
    Urology Coding and Reimbursement Podcast

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