Urology Coding and Reimbursement Podcast

Mark Painter, Scott Painter and Dr. Ray Painter
  • 4.8 (14)
  • HEALTH & FITNESS
  • UPDATED BIWEEKLY

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. 1D AGO

    UCR 270: The G2211 Payment Problem – Coding Mistakes That Hurt More Than You Think

    January 2, 2026  In this episode, Scott, Mark, and Dr. John Lin dive into the complexities of billing G2211, the Medicare add-on code for complex E/M visits, which now pays nearly $18 per use. They unpack a real-world case where a hospital system’s blanket use of modifier 25 is preventing employed physicians from getting reimbursed for G2211, potentially costing them thousands in RVUs. The discussion covers payer-specific rules, how to appeal inappropriate denials, how contract structure affects physician compensation, and when to fight for carve-outs. They also explore why every urology practice should reassess payer mix and drop underperforming contracts when appropriate. Urology Advanced Coding and Reimbursement Seminar Information and Registration PRS Coding and Reimbursement Hub Access the Hub Free Kidney Stone Coding Calculator Download Now PRS Coding Courses For Urologist For APPs For Coders, Billers, and Admins PRS Billing and Other Services - Book a Call with Mark Painter or  Marianne Desciose Click Here to Get More Information and Request a Quote   Join the Urology Pharma and Tech Pioneer Group Empowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.          https://www.prsnetwork.com/joinuptp Click Here to Start Your Free Trial of AUACodingToday.com    The Thriving Urology Practice Facebook group. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/

    29 min

  2. 12/27/2025

    UCR 269: New Prostate Biopsy Codes for 2026 – Answers to Your Questions

    December 26, 2025  In this episode, Scott, Mark, and Ray Painter answer listener questions about the new 2026 prostate biopsy CPT codes. They clarify global periods, explain the differences between transrectal and transperineal approaches, and tackle the nuances of coding for MRI-guided procedures—especially when using systems like Promaxo. They also break down the use of 55715 for additional targeted lesions, when modifiers like 52 may apply, and how payers might interpret these new codes differently. The team emphasizes caution, payer communication, and the evolving nature of both coding and coverage guidance. Urology Advanced Coding and Reimbursement Seminar Information and Registration PRS Coding and Reimbursement Hub Access the Hub Free Kidney Stone Coding Calculator Download Now PRS Coding Courses For Urologist For APPs For Coders, Billers, and Admins PRS Billing and Other Services - Book a Call with Mark Painter or  Marianne Desciose Click Here to Get More Information and Request a Quote   Join the Urology Pharma and Tech Pioneer Group Empowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.          https://www.prsnetwork.com/joinuptp

    32 min

  3. 12/12/2025

    UCR 268: Urology Advanced Coding Seminar Highlights and CPT’s Early Framework for AI Reimbursement

    December 12, 2025  In this episode, Scott, Mark, and Ray Painter share highlights from the recent Urology Advanced Coding and Reimbursement Seminar in Las Vegas, including robust discussions on E/M coding, prostate biopsy changes, modifiers, and the Wiser program. They also provide an important update on the AMA’s recent meeting about coding and payment for algorithmic services, detailing how CPT and the RUC are approaching AI integration in healthcare. From potential reimbursement models to risk assignment and FDA considerations, this forward-looking conversation covers the groundwork being laid for AI’s role in clinical care and payment policy. Urology Advanced Coding and Reimbursement Seminar Information and Registration PRS Coding and Reimbursement Hub Access the Hub Free Kidney Stone Coding Calculator Download Now PRS Coding Courses For Urologist For APPs For Coders, Billers, and Admins PRS Billing and Other Services - Book a Call with Mark Painter or  Marianne Desciose Click Here to Get More Information and Request a Quote   Join the Urology Pharma and Tech Pioneer Group Empowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.          https://www.prsnetwork.com/joinuptp Click Here to Start Your Free Trial of AUACodingToday.com    The Thriving Urology Practice Facebook group. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/

    22 min

  4. 11/21/2025

    UCR 267: Covered vs. Non-Covered Procedures – Getting Reimbursed

    November 21, 2025  In this episode, Scott, Mark, and Ray Painter explore the reimbursement challenges surrounding procedures that may not be covered by insurance, including those considered cosmetic, elective, or medically unnecessary. They discuss how to identify whether a service is reimbursable, when to use ABNs, how different payer rules come into play, and why collecting upfront may be the smartest move. You’ll also hear strategies for handling denials, gray-area procedures, and why knowing the rules—and your contracts—can make all the difference. Urology Advanced Coding and Reimbursement Seminar Information and Registration PRS Coding and Reimbursement Hub Access the Hub Free Kidney Stone Coding Calculator Download Now PRS Coding Courses For Urologist For APPs For Coders, Billers, and Admins PRS Billing and Other Services - Book a Call with Mark Painter or  Marianne Desciose Click Here to Get More Information and Request a Quote   Join the Urology Pharma and Tech Pioneer Group Empowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.          https://www.prsnetwork.com/joinuptp Click Here to Start Your Free Trial of AUACodingToday.com    The Thriving Urology Practice Facebook group. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/

    22 min

  5. 11/14/2025

    UCR 266: Government Reopens—What It Means for Telehealth Coverage and Medicare Claims

    November 14, 2025  In this episode, Scott, Mark, and Ray Painter discuss the impact of the government’s recent reopening on telehealth services for Medicare patients. With the new continuing resolution extending COVID-era telehealth flexibilities through January 30, 2026, they break down what this means for billing, coverage, and patient refunds. The team also explores what to watch for if another shutdown looms, how CMS might handle claims from the closure period, and why signs point to telehealth becoming a permanent fixture in Medicare. Urology Advanced Coding and Reimbursement Seminar Information and Registration PRS Coding and Reimbursement Hub Access the Hub Free Kidney Stone Coding Calculator Download Now PRS Coding Courses For Urologist For APPs For Coders, Billers, and Admins PRS Billing and Other Services - Book a Call with Mark Painter or  Marianne Desciose Click Here to Get More Information and Request a Quote   Join the Urology Pharma and Tech Pioneer Group Empowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.          https://www.prsnetwork.com/joinuptp Click Here to Start Your Free Trial of AUACodingToday.com    The Thriving Urology Practice Facebook group. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/

    18 min

  6. 10/31/2025

    UCR 265: The Curse of Insufficient Documentation – What It’s Costing Your Practice

    October 31, 2025  In this Halloween-themed episode, Scott, Mark, Ray, and special guest Dr. John Lin explore the “curse” of poor documentation and its real-world consequences, including payer audits, downcoding, and revenue loss. They discuss how vague or incomplete documentation—even when care is appropriate—can lead to denials and clawbacks, especially in today’s AI-assisted claims review environment. The team also covers practical strategies to improve documentation, the risks of overrelying on ambient AI tools, and why every clinician must understand the rules of E/M coding. This episode is packed with actionable insights to help you protect your revenue and stay ahead of payers’ increasingly aggressive tactics. Urology Advanced Coding and Reimbursement Seminar Information and Registration PRS Coding and Reimbursement Hub Access the Hub Free Kidney Stone Coding Calculator Download Now PRS Coding Courses For Urologist For APPs For Coders, Billers, and Admins PRS Billing and Other Services - Book a Call with Mark Painter or  Marianne Desciose Click Here to Get More Information and Request a Quote   Join the Urology Pharma and Tech Pioneer Group Empowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.          https://www.prsnetwork.com/joinuptp Click Here to Start Your Free Trial of AUACodingToday.com    The Thriving Urology Practice Facebook group. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/

    41 min

  7. 10/24/2025

    UCR 264: The Future of Urology: Addressing Workforce Challenges and APP Utilization with Ken Mitchell, PA-C

    October 24, 2025  In episode 264 of the Urology Coding and Reimbursement Podcast, Scott and Mark Painter sit down with Ken Mitchell, PA-C, a nationally recognized expert in men’s health and a champion for advanced practice providers (APPs) in urology. Ken shares insights on the growing urology workforce shortage, the evolving role of APPs, and recent payer challenges—like restrictions on APP-administered Xiaflex in Arkansas. He also introduces his nonprofit, Gynecology, which promotes men’s health education and training. This episode is a must-listen for practices navigating workforce limitations, payer pushback, and the future of urologic care. Urology Advanced Coding and Reimbursement Seminar Information and Registration PRS Coding and Reimbursement Hub Access the Hub Free Kidney Stone Coding Calculator Download Now PRS Coding Courses For Urologist For APPs For Coders, Billers, and Admins PRS Billing and Other Services - Book a Call with Mark Painter or  Marianne Desciose Click Here to Get More Information and Request a Quote   Join the Urology Pharma and Tech Pioneer Group Empowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.          https://www.prsnetwork.com/joinuptp Click Here to Start Your Free Trial of AUACodingToday.com    The Thriving Urology Practice Facebook group. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/

    30 min

  8. 10/17/2025

    UCR 263: Government shutdown update, coding for bladder stone removal during prostatectomy, and Urocuff coding revisited

    October 17, 2025  In this episode, Scott, Mark, and Ray Painter clarify the latest on the Medicare claims hold during the government shutdown, explaining that it applies only to services affected by expired COVID-era provisions like telehealth under traditional Medicare. They also address coding questions on billing for bladder stone removal during robotic prostatectomy—highlighting when to use 51050 vs. 51999—and revisit proper coding for Urocuff procedures following a UnitedHealthcare audit, emphasizing payer-specific strategies and the importance of reviewing operative details and coverage policies. Urology Advanced Coding and Reimbursement Seminar Information and Registration PRS Coding and Reimbursement Hub Access the Hub Free Kidney Stone Coding Calculator Download Now PRS Coding Courses For Urologist For APPs For Coders, Billers, and Admins PRS Billing and Other Services - Book a Call with Mark Painter or  Marianne Desciose Click Here to Get More Information and Request a Quote   Join the Urology Pharma and Tech Pioneer Group Empowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.          https://www.prsnetwork.com/joinuptp Click Here to Start Your Free Trial of AUACodingToday.com    The Thriving Urology Practice Facebook group. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/

    26 min
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Ratings & Reviews

4.8
out of 5
14 Ratings

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 - 2026
  • Episodes
    269
  • Rating
    Clean
  • Copyright
    © 2026 Urology Coding and Reimbursement Podcast
  • Show Website
    Urology Coding and Reimbursement Podcast

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