Urology Coding and Reimbursement Podcast artwork

Urology Coding and Reimbursement Podcast

242 episodes - English - Latest episode: 7 days ago -

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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Episodes

UCR 103: Clarifications - 99211 in addition to office procedure; when can you bill an E&M in the post-op period, Modifier -24

July 08, 2022 16:00 - 28 minutes - 19.3 MB

July 8, 2022 Mark, Scott, and Ray clarify some concept nuances that may have been misinterpreted or misunderstood.  Urologists’ Coding Workshop July 23, 2022 - 10 am - 3 pm EST Register Now Special 5-hour Zoom Workshop: intensive and interactive workshop for practicing urologists and APPs (coders, billers, and admins are welcome to participate). "Beef Up" On your Urology Coding Knowledge PRS Network Presentation Team Dr. John Lin Mark Painter Scott Painter Dr. Ray Painter From th...

UCR 103: Clarifications - 99211 in addition to office procedure; when can you bill an E&M in the post-op period, Modifier -24

July 08, 2022 16:00 - 28 minutes - 19.3 MB

July 8, 2022 Mark, Scott, and Ray clarify some concept nuances that may have been misinterpreted or misunderstood.  Urologists’ Coding Workshop July 23, 2022 - 10 am - 3 pm EST Register Now Special 5-hour Zoom Workshop: intensive and interactive workshop for practicing urologists and APPs (coders, billers, and admins are welcome to participate). "Beef Up" On your Urology Coding Knowledge PRS Network Presentation Team Dr. John Lin Mark Painter Scott Painter Dr. Ray Painter From th...

UCR 102: "Unspecified" ICD-10 Code Denials

July 01, 2022 15:00 - 23 minutes - 16 MB

July 1, 2022 Mark, Scott, and Ray discuss ICD-10 "Unspecified" codes and the increase in denials.  Urologists’ Coding Workshop July 23, 2022 - 10 am - 3 pm EST Register Now Special 5-hour Zoom Workshop: intensive and interactive workshop for practicing urologists and APPs (coders, billers, and admins are welcome to participate). "Beef Up" On your Urology Coding Knowledge PRS Network Presentation Team Dr. John Lin Mark Painter Scott Painter Dr. Ray Painter From the perspective of ...

UCR 101: Modifier 25 - deep dive

June 23, 2022 19:00 - 56 minutes - 38.7 MB

June 24, 2022 Mark and Scott welcome Dr. John Lin to the podcast to discuss in detail Modifier -25. Skyline Urology to Pay 1.85M to Settle False Claims Act Allegations of Medicare Overbilling  https://www.justice.gov/opa/pr/skyline-urology-pay-185-million-settle-false-claims-act-allegations-medicare-overbilling  Also Corporate Integrity Agreement  OIG Audit Modifier 25 https://oig.hhs.gov/oei/reports/oei-07-03-00470.pdf   NCCI Policy Manual: https://www.cms.gov/medicare/national-corr...

UCR 100: Some of the most popular topics in the first 100 episodes and why they were popular

June 17, 2022 17:00 - 18 minutes - 12.9 MB

June 17, 2022 Mark and Scott discuss the most popular topics of the first 100 episodes and why they were popular.  ​NEW ONLINE WORKSHOP - Urologists’ Coding Workshop Special 5-hour virtual, intensive, and interactive workshop for practicing urologists and APPs (coders, billers and admins are welcome to participate). "Beef Up" On General Coding Knowledge PRS Network Presentation Team Dr. John Lin Mark Painter Scott Painter From the perspective of a practicing Urologist and experts In...

UCR 099: Can urologists bill MRI fusion biopsy; billing pathology during the pathologist's absence; and biofeedback and pelvic floor therapy billing?

June 09, 2022 19:00 - 29 minutes - 20.2 MB

June 10, 2022 Mark, Scott, and Ray discuss questions that came into the PRS Community Forum  1) Can we bill for cpt 76377 or it is considered a Radiology procedure. My doctors want some direction if we can bill for this during prostate biopsy. Do you have any advice on this? Thank you so much! 2) We have a small path lab and pathologist will be out of town for a week and we are trying to figure out how to bill these charges while she is on vacation. Since we are a small lab, what if we di...

UCR 098: E&M Level 3 with a Vasectomy on the same day

June 02, 2022 21:00 - 35 minutes - 24.3 MB

Available June 3, 2022 Mark, Scott, and Ray discuss Mark's call with a payer making the argument that an E&M service can be billed with a Vasectomy on the same day.  ​NEW ONLINE WORKSHOP - Urologists’ Coding Workshop Special 5-hour virtual, intensive, and interactive workshop for practicing urologists and APPs (coders, billers and admins are welcome to participate). "Beef Up" On General Coding Knowledge PRS Network Presentation Team Dr. John Lin Mark Painter Scott Painter From the p...

UCR 098: E&M Level 3 with a Vasectomy on the same day

June 02, 2022 21:00 - 35 minutes - 24.3 MB

Available June 3, 2022 Mark, Scott, and Ray discuss Mark's call with a payer making the argument that an E&M service can be billed with a Vasectomy on the same day.  ​NEW ONLINE WORKSHOP - Urologists’ Coding Workshop Special 5-hour virtual, intensive, and interactive workshop for practicing urologists and APPs (coders, billers and admins are welcome to participate). "Beef Up" On General Coding Knowledge PRS Network Presentation Team Dr. John Lin Mark Painter Scott Painter From the p...

UCR 097: Independent historian, newborn (post-hospitalization) circumcision consult, stent removal diagnosis, and temporary code 0421T

May 27, 2022 06:00 - 24 minutes - 17.1 MB

May 27, 2022 Mark, Scott, and Ray discuss questions that came into the PRS Community Forum. 1. Independent historian. For pediatric visits, I'm a little unclear what counts as an independent historian. I see the definition from CMS indicates "an individual (eg, parent, guardian, surrogate, spouse, witness) who provides a history in addition to a history provided by the patient who is unable to provide a complete or reliable history (eg, due to developmental stage, dementia, or psychosis) o...

UCR 096: AUA Annual Meeting Recap; E/M 2021 Data Clarification

May 20, 2022 22:00 - 28 minutes - 19.5 MB

May 20, 2022 Mark, Scott, and Ray talk about the recent AUA Annual meeting in New Orleans.  Also, we had a question come in about using the same data in medical decision making in two different encounters.  Can you count the same category 1 data twice?  ​NEW ONLINE WORKSHOP - Urologists’ Coding Workshop Special 5-hour virtual, intensive, and interactive workshop for practicing urologists and APPs (coders, billers and admins are welcome to participate). "Beef Up" On General Coding Knowle...

UCR 096: AUA Annual Meeting Recap; E/M 2021 Data Clarification

May 20, 2022 22:00 - 28 minutes - 19.5 MB

May 20, 2022 Mark, Scott, and Ray talk about the recent AUA Annual meeting in New Orleans.  Also, we had a question come in about using the same data in medical decision making in two different encounters.  Can you count the same category 1 data twice?  ​NEW ONLINE WORKSHOP - Urologists’ Coding Workshop Special 5-hour virtual, intensive, and interactive workshop for practicing urologists and APPs (coders, billers and admins are welcome to participate). "Beef Up" On General Coding Knowle...

UCR 095: Correct Coding - Cystectomy, with continent diversion, bilateral pelvic lymphadenectomy, and prostatectomy; AUA Annual Meeting May 2022

May 06, 2022 19:00 - 28 minutes - 19.8 MB

May 6, 2022 Mark, Scott, and Ray discuss a question about a scenario regarding coding the most comprehensive code: Scenario 6 module 9, Cystectomy, with continent diversion, bilateral pelvic lymphadenectomy and prostatectomy. I captured both 55845 and 51596 and I also looked at the possibility of 51575 (Cystectomy with bilat lymphadenectomy, 50825 continent diversion including intestine anastomosis, and 55840 proctectomy. Do I not choose the 50825 (along with other codes) because of the in...

UCR 094: Prepayment claim review request and a new proposal from United Health Care to urology practices

April 29, 2022 18:00 - 33 minutes - 22.8 MB

April 29, 2022 Mark, Scott, and Ray discuss two current topics: 1)  Letter of notification from CMS/Qlarant, a provider was selected for prepayment claim review. We have received two record requests from them on urine PCR code 87798.  2)  United Health Care proposing a plan to encourage e-consults for urology providers.  ​NEW ONLINE WORKSHOP - Urologists’ Coding Workshop Special 5-hour virtual, intensive, and interactive workshop for practicing urologists and APPs (coders, billers and a...

UCR 093: FAQs - Billing for misfired Urolift implant and chief complaint documentation

April 22, 2022 17:00 - 21 minutes - 14.7 MB

Available April 22, 2022 Mark, Scott, and Ray answer questions 1)I have been asked if it is appropriate to bill for "misfired" Urolift implants? 2)  I know Jon's opinion on this, but was wondering what the Painters think....chief complaint--do you have to be more detailed than stating "follow up"?  ​NEW ONLINE WORKSHOP - Urologists’ Coding Workshop Special 5-hour virtual, intensive, and interactive workshop for practicing urologists and APPs (coders, billers and admins are welcome to pa...

UCR 092: FAQs - Telemedicine POS, Bladder Interstitial Fiducial Marker, and Botox injection to pelvic floor.

April 15, 2022 06:00 - 22 minutes - 15.6 MB

Available April 14, 2022 Mark, Scott, and Ray answer questions 1) If a patient is being set up for a telemedicine visit with an MD in the MD's secondary clinic and the MD is in his/her primary clinic.  Do we bill under the primary clinic with a place of service 02? Also, should documentation support where the patient is located? 2)  How should I code for Bladder Interstitial Fiducial Marker placements in a female patient? The markers are placed cystoscopically and are used to guide radiat...

UCR 091: FAQs - Remote uroflow; Interstim covered diagnoses issue; TURP and bladder scan during global; Robot-assisted laparoscopic prostatectomy

April 08, 2022 06:00 - 26 minutes - 18.3 MB

Available April 8, 2022 Mark, Scott, and Ray answer questions 1) My clinic is trying out the app through Emano Flow that tracks a patients urine flow for 14 days and then the Urologist goes over the results with the patient when the trial is finished. My clinic is very confused on whether or not each individual day needs an interpretation written by the doctor in order to bill a uroflow (51741) on a particular day? 2)  [9:05]  I am working on an appeal letter to Regence Blue Shield for in...

UCR 090: UTI – PCR UPDATE Part 2, Modifier -22

April 01, 2022 17:00 - 22 minutes - 15.5 MB

April 1, 2022 Mark, Scott, and Ray discuss an update on the MolDx guidelines for PCR billing set to take effect on April 17th, 2022.  They also talk about Modifier -22; should you use it and what it takes. UTI – PCR UPDATE The following Medicare Administrative Contractors (MAC) aka Carriers, have issued a proposed multi-jurisdictional Local Coverage Decision (LCD) for Multiplex Nucleic Acid Amplification Test (NAAT) PANELS FOR INFECTIOUS DISEASE Testing, Wisconsin Physician Services Insur...

UCR 089: New MolDx guidelines for PCR billing - Part 1

March 25, 2022 17:00 - 29 minutes - 20.6 MB

March 25, 2022 Mark and Scott discuss the new MolDx guidelines for PCR billing set to take effect on April 17th, 2022.  Urology Coding Course Spring Registration Is Open! ​Urology Coding Course for Urologists/QHPs  [Register Now]​   ​Urology Coding Course for Coders/Billers/Admins  [Register Now] 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 089: New MolDx guidelines for PCR billing - Part 1

March 25, 2022 17:00 - 29 minutes - 20.6 MB

March 25, 2022 Mark and Scott discuss the new MolDx guidelines for PCR billing set to take effect on April 17th, 2022.  Urology Coding Course Spring Registration Is Open! ​Urology Coding Course for Urologists/QHPs  [Register Now]​   ​Urology Coding Course for Coders/Billers/Admins  [Register Now] 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 088: Clarification -TC and -26 modifiers [#87]; FAQs - VUDS, Anterior Exenteration, and Prophylactic Antibiotic Injections

March 18, 2022 07:00 - 27 minutes - 19.1 MB

Mark, Ray, and Scott discuss comments and questions from PRS Forums: PRS Community and Urology Coding and Reimbursement Group: 1)  Re: RE: New Podcast Episode: -TC and -26 modifiers - Urodynamics billing: split or global? (3/11/22) If the UDS tests are done on Monday and the ordering doc isn’t in the clinic, but there is a supervising doc, I know we would bill for the TC under the supervising doc. If the ordering/interpreting doc doesn’t even see the tests until 2 days later, you’re sayin...

UCR 088: Clarification -TC and -26 modifiers [#87]; FAQs - VUDS, Anterior Exenteration, and Prophylactic Antibiotic Injections

March 18, 2022 07:00 - 27 minutes - 19.1 MB

Mark, Ray, and Scott discuss comments and questions from PRS Forums: PRS Community and Urology Coding and Reimbursement Group: 1)  Re: RE: New Podcast Episode: -TC and -26 modifiers - Urodynamics billing: split or global? (3/11/22) If the UDS tests are done on Monday and the ordering doc isn’t in the clinic, but there is a supervising doc, I know we would bill for the TC under the supervising doc. If the ordering/interpreting doc doesn’t even see the tests until 2 days later, you’re sayin...

UCR 087: -TC and -26 modifiers - Urodynamics billing: split or global?

March 11, 2022 11:00 - 19 minutes - 13.3 MB

March 11, 2022 Mark, Ray, and Scott discuss -TC and -26 billing for urodynamics.  There was a rule change in 2019 that updated how urodynamics should be billed in regards to the -TC and -26.  Prior to that rule change, we recommended split billing but now recommend the global billing. Below is the question that prompted this discussion: Can we bill a TC and 26 modifiers on same day for the 51728, 51741, 51784, 51797?  TC under direct supervision provider and 26 for interpretation from ord...

UCR 087: -TC and -26 modifiers - Urodynamics billing: split or global?

March 11, 2022 11:00 - 19 minutes - 13.3 MB

March 11, 2022 Mark, Ray, and Scott discuss -TC and -26 billing for urodynamics.  There was a rule change in 2019 that updated how urodynamics should be billed in regards to the -TC and -26.  Prior to that rule change, we recommended split billing but now recommend the global billing. Below is the question that prompted this discussion: Can we bill a TC and 26 modifiers on same day for the 51728, 51741, 51784, 51797?  TC under direct supervision provider and 26 for interpretation from ord...

UCR 086: How to Tell if You Need More Urology Coding Training and How to Get It

March 03, 2022 14:00 - 25 minutes - 17.2 MB

March 3, 2022 Scott and Ray discuss the upcoming free webinar [March 10th, 2022]: How to Tell if You Need More Urology Coding Training and How to Get It They discuss why it is important to understand what you know.     Link to Register for the Free Webinar How to Tell if You Need More Urology Coding Training and How to Get It Register Now  PRS Education Foundation Free Urology Resident Training!  Information and Registration Urology Advanced Coding and Reimbursement Seminar - The ...

UCR 085: Research pathways - coding services that may not have a clear answer - Pelvic Wave coding

February 22, 2022 20:00 - 20 minutes - 13.8 MB

February 22, 2022 Mark, Scott, and Ray discuss how to answer the question below and how to approach answering similar questions:  What would be the appropriate CPT codes to bill for Pelvic Wave (pelvic floor PT)? Urology Advanced Coding and Reimbursement Seminar - The Recordings REGISTRATION OPEN Information and Registration   Urology E&M Workshop - Recordings Over 5 Hours of UROLOGY E/M Training!  Information and Registration   Join the discussion: Urology Coding and Reimbursemen...

UCR 084: Data and Reports - Overview of why data is so important and a preview of the upcoming free data webinar

February 11, 2022 19:00 - 26 minutes - 18.5 MB

February 11, 2022   Mark, Scott, and Ray discuss why data is so important and how you can learn more in the upcoming Free Webinar:  Essential Coding and Billing Data and Reports for Urology Practices Workshop (2/17/22) More information and registration    Urology Advanced Coding and Reimbursement Seminar - The Recordings REGISTRATION OPEN Information and Registration   Urology E&M Workshop - Recordings Over 5 Hours of UROLOGY E/M Training!  Information and Registration   Join th...

UCR 084: Data and Reports - Overview of why data is so important and a preview of the upcoming free data webinar

February 11, 2022 19:00 - 26 minutes - 18.5 MB

February 11, 2022   Mark, Scott, and Ray discuss why data is so important and how you can learn more in the upcoming Free Webinar:  Essential Coding and Billing Data and Reports for Urology Practices Workshop (2/17/22) More information and registration    Urology Advanced Coding and Reimbursement Seminar - The Recordings REGISTRATION OPEN Information and Registration   Urology E&M Workshop - Recordings Over 5 Hours of UROLOGY E/M Training!  Information and Registration   Join th...

UCR 083: Contracts - What can you do if payments are lower than expenses; No Surprises Act FAQs

February 04, 2022 18:00 - 41 minutes - 28.5 MB

February 4, 2022   Mark, Scott, and Ray discuss contracts and answer questions about the No Surprises Act.    Urology Advanced Coding and Reimbursement Seminar - The Recordings REGISTRATION OPEN Information and Registration   Urology E&M Workshop - Recordings Over 5 Hours of UROLOGY E/M Training!  Information and Registration   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 ...

UCR 083: Contracts - What can you do if payments are lower than expenses; No Surprises Act FAQs

February 04, 2022 18:00 - 41 minutes - 28.5 MB

February 4, 2022   Mark, Scott, and Ray discuss contracts and answer questions about the No Surprises Act.    Urology Advanced Coding and Reimbursement Seminar - The Recordings REGISTRATION OPEN Information and Registration   Urology E&M Workshop - Recordings Over 5 Hours of UROLOGY E/M Training!  Information and Registration   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 ...

UCR 082: No Surprises Act

January 21, 2022 23:00 - 57 minutes - 39.6 MB

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 Adv...

UCR 081: New Modifiers 2022 and Urodynamics Coding

January 14, 2022 23:00 - 25 minutes - 17.8 MB

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 

UCR 081: New Modifiers 2022 and Urodynamics Coding

January 14, 2022 23:00 - 25 minutes - 17.8 MB

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 

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

January 07, 2022 01:00 - 13 minutes - 9.41 MB

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 - Jo...

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

January 07, 2022 01:00 - 13 minutes - 9.41 MB

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 - Jo...

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

December 21, 2021 19:00 - 25 minutes - 17.9 MB

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(f...

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

December 13, 2021 22:00 - 21 minutes - 15 MB

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 

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

December 09, 2021 23:00 - 24 minutes - 17.1 MB

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 

UCR 076: Urolift ASC Payment Correction; Agenda Overview - 2022 Urology Advanced Coding and Reimbursement Seminar

December 01, 2021 12:00 - 26 minutes - 17.9 MB

December 1, 2021 Mark, Ray, and Scott discuss a correction to the preliminary analysis of the 2022 payment changes to the ASC payment for Urolift.  They also discuss the final agenda of the upcoming 2022 Urology Advanced Coding and Reimbursement Seminar (December 3rd - 4th, 2021 Las Vegas and January 28th - 29th, 2022 in New Orleans)   Urology Advanced Coding and Reimbursement Seminar REGISTRATION OPEN Live In-Person Events Information and Registration Las Vegas, December 3-4, 2021 Ne...

UCR 076: Urolift ASC Payment Correction; Agenda Overview - 2022 Urology Advanced Coding and Reimbursement Seminar

December 01, 2021 12:00 - 26 minutes - 17.9 MB

December 1, 2021 Mark, Ray, and Scott discuss a correction to the preliminary analysis of the 2022 payment changes to the ASC payment for Urolift.  They also discuss the final agenda of the upcoming 2022 Urology Advanced Coding and Reimbursement Seminar (December 3rd - 4th, 2021 Las Vegas and January 28th - 29th, 2022 in New Orleans)   Urology Advanced Coding and Reimbursement Seminar REGISTRATION OPEN Live In-Person Events Information and Registration Las Vegas, December 3-4, 2021 Ne...

UCR 075: E&M 2021 - Common Questions and Clarifications

November 15, 2021 23:00 - 24 minutes - 17 MB

November 15, 2021 Mark, Ray, and Scott discuss some E&M 2021 FAQs. Is pyuria and hematuria 2 points or one?  If it appears to be clearing, would it still be considered “with exacerbation”? Can a problem be considered chronic if you expect the problem will last >1 year or it is only considered chronic if the problem has existed for >1 year?  If Medicare does not cover Bladder Scans for UTI would we count it If the provider documents that he reviewed "records from the ER" then lists out ...

UCR 074: CMS Final Rule 2022 - Preliminary Analysis and Summary

November 05, 2021 21:00 - 33 minutes - 23 MB

October 22, 2021 Mark presents the preliminary summary of the newly released CMS 2022 Final Rule Urology Advanced Coding and Reimbursement Seminar REGISTRATION OPEN Live In-Person Events Information and Registration Las Vegas, December 3-4, 2021 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 

UCR 073: PHE Extension; Telehealth Update and Urology Coding Month

October 22, 2021 19:00 - 27 minutes - 19.1 MB

October 22, 2021 Mark, Ray, and Scott discuss the PHE, telehealth place of service update, and urology Coding Month finale. Free E&M Training - 4 Sessions (30 minutes each) Session #1 - Why E&M 2021 is So Important [10/25/21 at 3-3:30 pm EST] Session #2 - Medical Decision Making 2.0: Problem, Risk and Data [10/27/21 at 2-2:30 pm EST] Session #3 - Time, Shortcut Tools, and Best Practices [10/28/21 at 1-1:30 pm EST] Session #4 - Case Study [#1 of 22]: Elective Sterilization (Vasectomy) [10/...

UCR 073: PHE Extension; Telehealth Update and Urology Coding Month

October 22, 2021 19:00 - 27 minutes - 19.1 MB

October 22, 2021 Mark, Ray, and Scott discuss the PHE, telehealth place of service update, and urology Coding Month finale. Free E&M Training - 4 Sessions (30 minutes each) Session #1 - Why E&M 2021 is So Important [10/25/21 at 3-3:30 pm EST] Session #2 - Medical Decision Making 2.0: Problem, Risk and Data [10/27/21 at 2-2:30 pm EST] Session #3 - Time, Shortcut Tools, and Best Practices [10/28/21 at 1-1:30 pm EST] Session #4 - Case Study [#1 of 22]: Elective Sterilization (Vasectomy) [10/...

UCR 072: Implantable Penile Prosthesis Questions; "Incident To" (PTNS example)

October 15, 2021 21:00 - 28 minutes - 19.3 MB

October 15, 2021 Mark, Ray, and Scott revisit a question from Episode 068 about an Implantable Penile Prosthesis. Also, they discuss several additional IPP questions.  Finally, they had a question about PTNS that sparked an "Incident To" clarification discussion. Free E&M Training - 4 Sessions (30 minutes each) Session #1 - Why E&M 2021 is So Important [10/25/21 at 3-3:30 pm EST] Session #2 - Medical Decision Making 2.0: Problem, Risk and Data [10/27/21 at 2-2:30 pm EST] Session #3 - Time...

UCR 071: 2022 New and Revised CPT and ICD-10 Codes for Urology

October 12, 2021 16:00 - 20 minutes - 14.2 MB

October 12, 2021 Mark, Ray, and Scott discuss the new Urology CPT and ICD-10 Codes. Urology Residents Coding and Documentation for Urology Residents More Information and Registration Urology Advanced Coding and Reimbursement Seminar REGISTRATION OPEN Live In-Person Events Information and Registration Las Vegas, December 3-4, 2021 New Orleans, January 28-29, 2022  Join the discussion: Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisd...

UCR 070: Global Surgical Package and Global Days Explained

October 01, 2021 20:00 - 21 minutes - 14.9 MB

October 1, 2021 Ray, Mark, and Scott discuss the global surgical package and the global days. Understanding these concepts is critical to understanding the basics of coding. Urology Residents Coding and Documentation for Urology Residents More Information and Registration Urology Advanced Coding and Reimbursement Seminar REGISTRATION OPEN Live In-Person Events Information and Registration Las Vegas, December 3-4, 2021 New Orleans, January 28-29, 2022  Join the discussion: Urology ...

UCR 070: Global Surgical Package and Global Days Explained

October 01, 2021 20:00 - 21 minutes - 14.9 MB

October 1, 2021 Ray, Mark, and Scott discuss the global surgical package and the global days. Understanding these concepts is critical to understanding the basics of coding. Urology Residents Coding and Documentation for Urology Residents More Information and Registration Urology Advanced Coding and Reimbursement Seminar REGISTRATION OPEN Live In-Person Events Information and Registration Las Vegas, December 3-4, 2021 New Orleans, January 28-29, 2022  Join the discussion: Urology ...

UCR 069: Should Urologists/APPs do their own coding?

September 28, 2021 21:00 - 22 minutes - 15.5 MB

September 28, 2021 Ray, Mark, and Scott discuss the question: Should Urologists/APPs do their own coding?  This was a recent topic in the monthly webinar for PRS Network customers that we also wanted to share with the podcast listeners. 50% discount on all Urology Coding Courses Register now Urology Coding Course for Urologists and APPs Urology Coding Course for Coders / Billers and Admins. Special Offer Ends 10/1/21 Urology Residents Coding and Documentation for Urology Residents ...

UCR 069: Should Urologists/APPs do their own coding?

September 28, 2021 21:00 - 22 minutes - 15.5 MB

September 28, 2021 Ray, Mark, and Scott discuss the question: Should Urologists/APPs do their own coding?  This was a recent topic in the monthly webinar for PRS Network customers that we also wanted to share with the podcast listeners. 50% discount on all Urology Coding Courses Register now Urology Coding Course for Urologists and APPs Urology Coding Course for Coders / Billers and Admins. Special Offer Ends 10/1/21 Urology Residents Coding and Documentation for Urology Residents ...

UCR 068: FAQs; Staged Procedure, IPP codes, Chordee/Hypospadias codes; QW;

September 21, 2021 20:00 - 26 minutes - 18.5 MB

September 21, 2021 Mark and Scott discuss questions from the Urology Coding and Reimbursement Group  Question 1 (:55) I received a denial from local HMO insurance company for 52310-58 stating the benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated.  The patient on 8/11 had an obstructing ureteral stone and was stented pushing the stone back into the kidney billed 52330 and 52332. On 8/19 the patient had ESWL billed ...