192 episodes
Urology Coding and Reimbursement Podcast Mark Painter, Scott Painter and Dr. Ray Painter
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- Health & Fitness
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4.8 • 11 Ratings
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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.
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UCR 192: Payer Communication - reporting services that are not payable during a global period
April 19, 2024
Ray, Mark, and Scott discuss the nuances of communicating with payers and clearinghouses during the post-operative global period.
New Courses Available for Urologists and Urology APPs
Documentation for Reimbursement Challenge for Urologists
Use Special Discount Code:DRC5624 and Save 36%
Documentation for Coding and Reimbursement for APPs
Use Special Discount Code: DCRA5624 and Save 36%
Certification for Urology Coders
Documentation, Coding, and Billing Certification Course for Urology Coders
Use Special Discount Code: DCBSC5624 and Save 36%
PRS Billing and Other Services
Click Here to Get More Information and Request a Quote
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.
Click Here to Start Your Free Trial of AUACodingToday.com -
UCR 191: FAQs - G2211 age restrictions; void trial fail coding; gemcitabine instillation coding; and scrotoplasty simple v. complicated
April 12, 2024
Mark and Scott discuss questions that have come into the PRS communities:
Hi is there any documentation, regarding the age limit for G2211 or 99459?
Our MD think that they only apply to patients over 65 years old. Is this true or is there documentation stating we can use them on patients under 65 years old. If a patient fails a Trial of void, and a catheter is placed, would the 51700 be coded or just 51702? Should it matter if pass its fail? The service was still performed. And the 51702 is a component of the 51700.What are the codes that I use for gemcitibine bladder installation in the office. I know I would use 51720 would be the cpt code but how do i bill for the medicine?For Scrotoplasty, complicated (CPT 55180), Does it need to be performed with either Graft of Flap, to call for "complicated"? I am trying to differentiate between 55175 (scrotoplasty, simple) and 55180 (scrotoplasty, complicated), thank you!
New Courses Available for Urologists and Urology APPs
Documentation for Reimbursement Challenge for Urologists
Use Special Discount Code:DRC5624 and Save 36%
Documentation for Coding and Reimbursement for APPs
Use Special Discount Code: DCRA5624 and Save 36%
Certification for Urology Coders
Documentation, Coding, and Billing Certification Course for Urology Coders
Use Special Discount Code: DCBSC5624 and Save 36%
PRS Billing and Other Services
Click Here to Get More Information and Request a Quote
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.
Click Here to Start Your Free Trial of AUACodingToday.com -
UCR 190: Enhancing Urology Practice Efficiency - New Training Courses Explained
April 5, 2024
Mark, Scott, and Ray discuss why PRS developed two new courses, one for Urologists and one for APPs
These courses aim to tackle the challenges practices face with documentation for reimbursement and efficient use of Electronic Health Records (EHR), emphasizing the importance of a unified team approach to stay updated on coding, billing, and documentation. They also discuss the critical role of Advanced Practice Providers (APPs) in urology, their billing nuances, and the necessity of continuous education to ensure financial health and combat provider burnout. The discussion wraps up with insights into the evolving landscape of medical coding and billing, stressing on AI's role in audits and the need for precise documentation. Links to further details about the courses can be found below.
New Courses Available
Documentation for Reimbursement Challenge for Urologists
Use Special Discount Code: DRC5624 and Save 36% (ends 5/6/24)
Documentation for Coding and Reimbursement for APPs
Use Special Discount Code: DCRA5624 and Save 36% (ends 5/6/24)
Certification for Urology Coders
Documentation, Coding, and Billing Certification Course for Urology Coders
Use Special Discount Code: DCBSC5624 and Save 36% (ends 5/6/24)
PRS Billing and Other Services
Click Here to Get More Information and Request a Quote
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.
Click Here to Start Your Free Trial of AUACodingToday.com -
UCR 189: Urology Practice Business and Leadership Insights with Dr. David J. Ellis
March 28, 2024
Mark, Scott, and Ray welcome Dr. David J. Ellis to discuss the evolution of urology practice, leadership strategies, the role of organizations like LUGPA, AUA, and AACU, and the importance of communication and education in the field.
PRS Billing and Other Services
Click Here to Get More Information and Request a Quote
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.
Click Here to Start Your Free Trial of AUACodingToday.com -
UCR 188: Change Health cyberattack updates, G2211 developments, FAQs - Urodynamics authorization, taxonomy multi-specialty practice
March 22, 2024
Mark, Scott, and Ray discuss the Change Health cyberattack, G2211 developments and questions that came into the PRS Network.
We have been receiving denials for our Urodynamics appointments because authorization was obtained under a provider that differs from the provider that signed off on the note day of services. For non-medicare plans (and plans that do not adhere to 100% of medicare guidelines) are we able to have a provider that is not on-site at the time of the UDS appointment sign off on the note?We are a multi-specialty practice that all share one TIN. If we send an established patient to be seen by a provider that practices under a different taxonomy, can this provider then bill under a new patient encounter? For example, Urology refered to Urogynecology or if Oncology referred to Urology? Additionally, can these pts be seen by differing specialties, at different office locations on the same day?
PRS Billing and Other Services
Click Here to Get More Information and Request a Quote
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.
Click Here to Start Your Free Trial of AUACodingToday.com -
UCR 187: Change Health cyberattack update; FAQs - 99459 documentation, N30.10 denials, and 51701 for urine capture
March 15, 2024
Mark, Scott, and Ray discuss questions that came into the PRS Network.
Hello,
What is the recommendation on documentation for new code 99459? Our practice is wanting to create a template for this procedure code. I know documenting a chaperon is key. Thank youHello,
I need help.
I am having issues with multiple insurance companies denying diagnosis code N30.10 stating it is an invalid code. Anyone else experiencing this issue? Any indication on what the issue is?
I looked in the ICD10 code book and it states it is a billable code.
Thank youHi I have a coding question for peds urology.
Can CPT 51701 be used for a urine capture for UAs? Since this is peds our payor mix does not include medicare. I was under the impression that for commerical payors 51701 cannot be used for urine capture and that it would bundle into the E/M service.
Also, shouldn't we be able to code 81001-81003 for the UA? The provider is only coding an E/M service with 51701.
Thanks!
PRS Billing and Other Services
Click Here to Get More Information and Request a Quote
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.
Click Here to Start Your Free Trial of AUACodingToday.com