82 episodes

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

    • Health & Fitness
    • 4.9 • 7 Ratings

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 082: No Surprises Act

    UCR 082: No Surprises Act

    January 21, 2022 
    Mark, Scott, and special guest Dr. John Lin discuss the No Surprises Act.   Mark provides an overview of the act and the three discuss how will the act is going to impact urologists and urology practices.

    AMA: Implementation of the No Surprises Act
    AMA toolkit for physicians: Preparing for implementation of the No Surprises Act
    From CMS: Provider requirements and resources (No Surprises Act)
    From CMS: example of what a good faith estimate may include (PDF)
    Urology Advanced Coding and Reimbursement Seminar - Virtual Event
    REGISTRATION OPEN
    Live Online Event
    Information and Registration
    Online - January 28-29, 2022 

    Special Guest Information

    Dr. Lin is the administrator of The Thriving Urology Practice Facebook group.
    The Thriving Urology Practice Facebook Group link to join:

    https://www.facebook.com/groups/ThrivingPractice/
     
     
    Join the discussion:
    Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.





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    • 57 min
    UCR 081: New Modifiers 2022 and Urodynamics Coding

    UCR 081: New Modifiers 2022 and Urodynamics Coding

    January 14, 2022


     
    Mark, Ray, and Scott discuss the new modifiers and urodynamics coding

     



     



    Urology Advanced Coding and Reimbursement Seminar - Virtual Event


    REGISTRATION OPEN
    Live Online Event
    Information and Registration
    Online - January 28-29, 2022 

    Join the discussion:
    Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.





     Click Here to Start Your Free Trial of AUACodingToday.com 

    • 25 min
    UCR 080: Urology Advanced Coding and Reimbursement Seminar - Now Virtual, QPP New Reporting Change, and PRS 2022 Event Calendar Preview

    UCR 080: Urology Advanced Coding and Reimbursement Seminar - Now Virtual, QPP New Reporting Change, and PRS 2022 Event Calendar Preview

    January 6, 2022


     
    Mark, Ray, and Scott discuss the change of the Urology Advanced Coding and Reimbursement Seminar from in-person to online.  Mark provides an update on the QPP reporting that was just announced.  The PRS 2022 event calendar is previewed.

     



     



    Urology Advanced Coding and Reimbursement Seminar - Virtual Event


    REGISTRATION OPEN
    Live Online Evengt
    Information and Registration
    Online - January 28-29, 2022 

    Join the discussion:
    Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.





     Click Here to Start Your Free Trial of AUACodingToday.com 


     

    • 13 min
    UCR 079: FAQs - Disease v. personal history; modifier -24; data ordered prior to 1st visit - new or established

    UCR 079: FAQs - Disease v. personal history; modifier -24; data ordered prior to 1st visit - new or established

    December 21, 2021


    Ray and Scott discuss and answer questions from the PRS Communities.
    1) I have a question regarding BPH w/LUTS; if a patient is treated successfully with a TURP, no longer having any LUTS, would the diagnosis then be BPH w/o LUTS (N40.0) or would it be Personal Hx of disease of other male genital organs (Z87.438)
    2)  If a patient is in the office for the postop visit after prostatectomy, and the urologist moves on from going over postop care topics to cancer counseling(further testing/cancer surveillance/possible need for future treatment like radiation/review pathology/need for genomics/etc.), can an E/M code be billed based on time with a 24 modifier?

    If so, should the 24 modifier EM code be documented on a separate note or at the bottom of the postop visit note?

    If this is allowed, can you provide a sample of what the documentation should look like on the 24 modifier EM code? 
    3) The practice I work for has a medical oncologist who often sees patients referred by one of urologists. A question has come up about whether the oncologist can order tests prior to seeing the pt. Aside from pt confusion about having tests ordered by someone they have not seen, I don’t think there is a problem—the initial encounter would still be a new patient visit since he has not performed a procedure or supervised a test. He could count the review of the tests he previously ordered in data since they were not counted when ordered. Is this correct?
    4) Presenting Problem vs Assessment
    Her presenting problem is Annual: Rec UTIs.
    CC/HPI:
    Follow-up recurrent UTIs, recommended management is D-mannose and Estrace, timed voiding, hygiene, copius fluids. Compliance had been suboptimal in the past but she re-reports better compliance over the last year. She's had no interval UTI's. She has no other urinary complaints.
    UA today negative.
    The patient's bladder is emptying adequately, with a documented post-void residual today of (mL): 7

    A/P: stable rUTI on D-mannose and Estrace, timed voiding, hygiene, copius fluids

    Refill Estrace, continue above lifestyle mods and d-mannose. F/U 2 years w/ PVR

    Our coders said they would not feel comfortable using both assessment codes based on the above note. I’ve asked the provider to add an appended note linking the ICD-10 codes to the presenting problem, but I’m having a hard time defending the coders on this one because I understand the pathophysiology! Also, they say that they interpret this to mean the Estrace is ‘treating’ the rUTI, but it’s not……just helping to prevent one, not like an antibiotic.

    I think the doc should start the note with,” Follow-up of recurrent UTI with atrophic vaginitis.” Wouldn’t that be sufficient???
    5) Do I need an E/M code when I do Urodynamics procedures?

    2022 Urology Coding and Reimbursement
    Update Webinar


    December 28th, 2021
    1 - 2:30 PM EST
    *Webinar will be recorded and available for 6 months
    Information and Registration

     



    Urology Advanced Coding and Reimbursement Seminar


    REGISTRATION OPEN
    Live In-Person Event
    Information and Registration
    New Orleans, January 28-29, 2022 

    Join the discussion:
    Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.





     Click Here to Start Your Free Trial of AUACodingToday.com 

    • 25 min
    UCR 078: Highlights Day 2- Urology Advanced Coding and Reimbursement Seminar - Las Vegas, Dec 2021

    UCR 078: Highlights Day 2- Urology Advanced Coding and Reimbursement Seminar - Las Vegas, Dec 2021

    December 13, 2021


    Ray and Scott discuss the highlights of the Seminar and share some of the takeaways for each session.

    Urology Advanced Coding and Reimbursement Seminar


    REGISTRATION OPEN
    Live In-Person Event
    Information and Registration
    New Orleans, January 28-29, 2022 

    Join the discussion:
    Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.





     Click Here to Start Your Free Trial of AUACodingToday.com 

    • 21 min
    UCR 077: Highlights Day 1- Urology Advanced Coding and Reimbursement Seminar - Las Vegas, Dec 2021

    UCR 077: Highlights Day 1- Urology Advanced Coding and Reimbursement Seminar - Las Vegas, Dec 2021

    December 9, 2021


    Ray and Scott discuss the highlights of the Seminar and share some of the takeaways for each session.

    Urology Advanced Coding and Reimbursement Seminar


    REGISTRATION OPEN
    Live In-Person Event
    Information and Registration
    New Orleans, January 28-29, 2022 

    Join the discussion:
    Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.





     Click Here to Start Your Free Trial of AUACodingToday.com 

    • 24 min

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