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 067: What is your Urology Coding Score? The average denial rate of Urology claims is 17% - we can do better!
September 07, 2021 17:00 - 25 minutes - 17.5 MBSeptember 7, 2021 Ray, Mark, and Scott discuss Ray's quest of helping Urology be the best coding specialty. They discuss the free Urology Coding Score Quiz and how it can help identify your coding needs. Click Here to Take the Free Quiz Now PRS Network has declared October as "Urology Coding Month" and is offering a 50% discount to the Urology Coding Course for Urologists and APPs and the Urology Coding Course for Coders / Billers and Admins. Urology Advanced Coding and Reimbursement...
UCR 066: FAQs - Code for Renal Pelvic Washings CORRECTION; Physical Exam: necessity and documentation; Vasectomy initial visit E&M level in 2021
August 27, 2021 21:00 - 29 minutes - 20.4 MBAugust 27, 2021 Mark, Ray, and Scott discuss questions from the Urology Coding and Reimbursement Group Question 1: 55 Seconds CORRECTION - Renal Pelvic Washings CPT Code - 52005 Question 2 - minute 5:26 I need something in writing from Dr. Ray painter for my Urologist. I have this info from the AMA and Noridian both, but they want to hear it from you. We are told by Noridian and also the AMA who is the author of the CPT book that an Exam is still needed. Question 3 - 22:56 What ...
UCR 066: FAQs - Code for Renal Pelvic Washings CORRECTION; Physical Exam: necessity and documentation; Vasectomy initial visit E&M level in 2021
August 27, 2021 21:00 - 29 minutes - 20.4 MBAugust 27, 2021 Mark, Ray, and Scott discuss questions from the Urology Coding and Reimbursement Group Question 1: 55 Seconds CORRECTION - Renal Pelvic Washings CPT Code - 52005 Question 2 - minute 5:26 I need something in writing from Dr. Ray painter for my Urologist. I have this info from the AMA and Noridian both, but they want to hear it from you. We are told by Noridian and also the AMA who is the author of the CPT book that an Exam is still needed. Question 3 - 22:56 What ...
UCR 065: FAQs - Rezum (53854) reimbursement; CPT 55866 denial; CPT 74425 when it's not billed with 50690; code for Renal Pelvic Washings
August 20, 2021 22:00 - 22 minutes - 15.7 MBAugust 20, 2021 Mark, and Scott discuss questions from the Urology Coding and Reimbursement Group Question 1: 55 Seconds Is Rezum (53854) reimbursement dropping in 2022? Question 2 - minute 9:26 CPT 55866 was denied when billed with C67.9 and C67.2. It has an LCD/NCD that only lists dx codes related to gender identity. Surely those are not the only conditions that support medical necessity! Does anyone know how to appeal to a payer that denies for a more specific condition? Thanks for...
UCR 064: RAC Audits (Recovery Audits) - What happens and how to handle it when you get an audit request
August 17, 2021 20:00 - 20 minutes - 13.9 MBAugust 17, 2021 Ray, Mark, and Scott discuss Recovery Audits. Mark shares what you need to look for and how you need to react. He also shares some current common audit requests. 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. ...
UCR 064: RAC Audits (Recovery Audits) - What happens and how to handle it when you get an audit request
August 17, 2021 20:00 - 20 minutes - 13.9 MBAugust 17, 2021 Ray, Mark, and Scott discuss Recovery Audits. Mark shares what you need to look for and how you need to react. He also shares some current common audit requests. 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. ...
UCR 063: FAQs; 51728 and 51729 differentiation, Criteria for 45990, F/U visit and provider did a PVR can use -25
August 09, 2021 22:00 - 27 minutes - 18.9 MBAugust 9, 2021 Ray, Mark, and Scott discuss questions from the Urology Coding and Reimbursement Group Question 1: 49 Seconds What documentation could I look for to differentiate 51728 and 51729. There is no clear mention of “urethral pressure profile study” in UDS documentation. Question 2 - minute 10:22 What are the criteria for billing 45990 - the CPT book lists "requiring" anesthesia. Can I bill 45990 since the DRE was done under anesthesia after a cystoureteroscopy Question 3 ...
UCR 063: FAQs; 51728 and 51729 differentiation, Criteria for 45990, F/U visit and provider did a PVR can use -25
August 09, 2021 22:00 - 27 minutes - 18.9 MBAugust 9, 2021 Ray, Mark, and Scott discuss questions from the Urology Coding and Reimbursement Group Question 1: 49 Seconds What documentation could I look for to differentiate 51728 and 51729. There is no clear mention of “urethral pressure profile study” in UDS documentation. Question 2 - minute 10:22 What are the criteria for billing 45990 - the CPT book lists "requiring" anesthesia. Can I bill 45990 since the DRE was done under anesthesia after a cystoureteroscopy Question 3 ...
UCR 062: Physician Compensation Overview: Private Practice and Hospital System
August 03, 2021 22:00 - 26 minutes - 18.1 MBAugust 3, 2021 Ray, Mark, and Scott welcome Larry Kemp to discuss urologist compensation and key concerns we see working directly with physician groups nationwide. Change is needed and not easy, communicating concerns softly, using practice data as keystone aligned with key goals and sustainability. Webinar Recording Recording of the 2022 CMS Proposed Rules and the Impact on Urology Practices webinar is now available. Go here to view the recording and slides now... Recording/Slides ...
UCR 061: The Increasing Role and Billing Issues of Advanced Practice Provider (APP)
July 23, 2021 19:00 - 29 minutes - 20.3 MBJuly 23, 2021 Ray, Mark, and Scott discuss the Advanced Practice Provider (APP) and their increasing role. Also, they discuss how the 2022 CMS Proposed Rule has a change that will impact PAs. Webinar Recording Recording of the 2022 CMS Proposed Rules and the Impact on Urology Practices webinar is now available. Go here to view the recording and slides now... Recording/Slides Urology Advanced Coding and Reimbursement Seminar REGISTRATION OPEN Live In-Person Events Information and ...
UCR 061: The Increasing Role and Billing Issues of Advanced Practice Provider (APP)
July 23, 2021 19:00 - 29 minutes - 20.3 MBJuly 23, 2021 Ray, Mark, and Scott discuss the Advanced Practice Provider (APP) and their increasing role. Also, they discuss how the 2022 CMS Proposed Rule has a change that will impact PAs. Webinar Recording Recording of the 2022 CMS Proposed Rules and the Impact on Urology Practices webinar is now available. Go here to view the recording and slides now... Recording/Slides Urology Advanced Coding and Reimbursement Seminar REGISTRATION OPEN Live In-Person Events Information and ...
UCR 060: 2022 CMS Proposed Rules and how they impact the Urology Practices
July 16, 2021 17:00 - 35 minutes - 24.2 MBJuly 16, 2021 Ray, Mark, and Scott discuss the 2022 CMS Proposed Rules and how they impact the Urology Practices. Mark breaks down the proposed changes and how they will impact urology practices. FREE Webinar - July 22, 2021 2022 CMS Proposed Rules and how they impact the Urology Practices 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 di...
UCR 060: 2022 CMS Proposed Rules and how they impact the Urology Practices
July 16, 2021 17:00 - 35 minutes - 24.2 MBJuly 16, 2021 Ray, Mark, and Scott discuss the 2022 CMS Proposed Rules and how they impact the Urology Practices. Mark breaks down the proposed changes and how they will impact urology practices. FREE Webinar - July 22, 2021 2022 CMS Proposed Rules and how they impact the Urology Practices 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 di...
UCR 059: Why Bother with QPP (Quality Payment Program)?
July 09, 2021 20:00 - 36 minutes - 25 MBJuly 9, 2021 Ray, Mark, and Scott try to answer the question "why bother with QPP?". Mark shares the reasons why the implementation of value-based medicine is important. In the discussion, they share the 4 main reasons why you should bother with QPP. Read more about QPP at: https://qpp.cms.gov/ Need help with implementing QPP? Mark and his consultants can guide you: Schedule a call today! REGISTRATION OPEN Urology Advanced Coding and Reimbursement Seminar - Live In-Person Ev...
UCR 058: PCNL Revisited; Modifier -25 and LHRH injections; Billing for Multiple Bladder Biopsies
July 02, 2021 22:00 - 44 minutes - 30.4 MBJuly 2, 2021 Ray, Mark, and Scott welcome back Dr. John Lin to clarify PCNL coding and answer some questions from the Thriving Urology Practice facebook group. Mark corrects information provided on a previous podcast. 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/ REGISTRATION OPEN Urology Advanced Coding and Reimbursement Seminar - Live...
UCR 057: Statistics and Target Metrics for Urology Practices
June 29, 2021 12:00 - 25 minutes - 17.5 MBJune 29, 2021 Ray, Mark, and Scott discuss some highlight statistics and metrics presented in the online course: "Important Revenue Cycle Management (RCM) Metrics; How to use them to identify and fix issues". What metrics should you be reviewing and how do you compare to others. Optimizer Series Important Revenue Cycle Management (RCM) Metrics; How to use them to identify and fix issues Information and Order Form REGISTRATION OPEN Urology Advanced Coding and Reimbursement...
UCR 056: PCNL (Percutaneous Nephrolithonomy) coding; How to approach stone coding.
June 18, 2021 22:00 - 23 minutes - 16.1 MBJune 18, 2021 Ray, Mark, and Scott discuss PCNL coding. We have been getting more questions about PCNL coding. Mark explains PCNL coding and how you should code and bill. Also, they have a discussion about stone coding in general and Mark gives his approach to coding stones. What do you start with Location? Approach? Number of Stones? what's next? OPTIMIZER SERIES PART 2 Online Course from PRS Consulting - June 24th! Important Revenue Cycle Management (RCM) Metrics; How to ...
UCR 055: E&M 2021 Guidelines - When it seems like a level 4 but MDM will only get you to a level 3, what can you do?
June 11, 2021 20:00 - 39 minutes - 27.1 MBJune 11, 2021 Ray, Mark, and Scott welcome Dr. John Lin to discuss Medical Decision Making. When it seems like a level 4 but MDM will only get you to a level 3, what can you do? Question from Michael: I'm still having a hard time with less straight forward #MDM. I had a patient with left testicular pain x 3 mos. He fell from a ladder and had back pain with radicalar pain down into his leg and likely testis. GU exam is unremarkable. UA is normal. I have ordered an MRI of the lumbar spine....
UCR 054: How to deal with providers that will not provide the documentation needed to get reimbursed
June 08, 2021 22:00 - 30 minutes - 20.7 MBJune 8, 2021 Ray, Mark, and Scott discuss the importance of physicians and other QHPs providing accurate documentation to communicate what they have done. Since the QHP is the only one able to communicate what services were provided during the encounter. REGISTRATION OPEN Urology Advanced Coding and Reimbursement Seminar - 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 Reimbu...
UCR 054: How to deal with providers that will not provide the documentation needed to get reimbursed
June 08, 2021 22:00 - 30 minutes - 20.7 MBJune 8, 2021 Ray, Mark, and Scott discuss the importance of physicians and other QHPs providing accurate documentation to communicate what they have done. Since the QHP is the only one able to communicate what services were provided during the encounter. REGISTRATION OPEN Urology Advanced Coding and Reimbursement Seminar - 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 Reimbu...
UCR 053: TURBT vs. Bladder fulguration and biopsy codes; AUACodingToday.com Bundling Matrix; Upcoming Seminars
May 28, 2021 16:00 - 43 minutes - 29.7 MBMay 28, 2021 Ray, Mark, and Scott welcome Dr. John Lin and discuss TURBT vs. Bladder fulguration and biopsy codes (52204 and 52224). The discussion is a deep dive into what circumstances the codes are used and how to differentiate in the documentation. They also share information about the "Bundling Matrix" on AUACodingToday.com (click for free trial) Finally, they discuss the Urology Advanced Coding and Reimbursement Seminar - Live In-Person Events (Information and Registration) Dr. Li...
UCR 053: TURBT vs. Bladder fulguration and biopsy codes; AUACodingToday.com Bundling Matrix; Upcoming Seminars
May 28, 2021 16:00 - 43 minutes - 29.7 MBMay 28, 2021 Ray, Mark, and Scott welcome Dr. John Lin and discuss TURBT vs. Bladder fulguration and biopsy codes (52204 and 52224). The discussion is a deep dive into what circumstances the codes are used and how to differentiate in the documentation. They also share information about the "Bundling Matrix" on AUACodingToday.com (click for free trial) Finally, they discuss the Urology Advanced Coding and Reimbursement Seminar - Live In-Person Events (Information and Registration) Dr. Li...
UCR 052: How to deal with payer's letters to physicians about E&M billing levels relative to "peers".
May 21, 2021 19:00 - 32 minutes - 22.6 MBMay 21, 2021 Ray, Mark, and Scott welcome Dr. John Lin to discuss payer's letters to physicians regarding their E&M billing levels relative to their "peers". Dr. Lin runs The Thriving Urology Practice facebook group and this topic has generated a lot of discussion. What does it mean if you are not withing the average range. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/ _________________________________________________...
UCR 052: How to deal with payer's letters to physicians about E&M billing levels relative to "peers".
May 21, 2021 19:00 - 32 minutes - 22.6 MBMay 21, 2021 Ray, Mark, and Scott welcome Dr. John Lin to discuss payer's letters to physicians regarding their E&M billing levels relative to their "peers". Dr. Lin runs The Thriving Urology Practice facebook group and this topic has generated a lot of discussion. What does it mean if you are not withing the average range. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/ _________________________________________________...
UCR 051: Is patient care better with clinical pathways and good coding? Why and how the pathways are impacted by coding.
May 17, 2021 12:00 - 25 minutes - 17.7 MBMay 17, 2021 Ray, Mark, and Scott discuss clinical pathways and coding and how they impact patient care. They also discuss why accurate coding and documentation are important parts of clinical pathways and patient care. _____________________________________________________________________ Join the discussion: Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom. _____________________________________________________________________ Click...
UCR 050: Physician supervision, incident to, and IDTF; FAQs - 99221-99223 denials and takebacks; Biofeedback billing after prostate surgery; 2 surgeon surgery: colovesical fistula and robotic lap sigmoid colectomy coding. May 3, 2021 Ray, Mark and Scott
May 11, 2021 19:00 - 33 minutes - 22.9 MBMay 11, 2021 Ray, Mark, and Scott discuss physician supervision, incident to, and IDTF (Independent Diagnostic Testing Facility), also answer questions from the PRS Community and the Urology Coding and Reimbursement Group FAQs [14 minutes and 01 Seconds] Our Urology group bills inpatient hospital codes when we get called in for initial visit (99221-99223). We have always been paid without issues and I have read Medicare guidelines stating this can be billed by each specialty. In the pa...
UCR 050: Physician supervision, incident to, and IDTF; FAQs - 99221-99223 denials and takebacks; Biofeedback billing after prostate surgery; 2 surgeon surgery: colovesical fistula and robotic lap sigmoid colectomy coding. May 3, 2021 Ray, Mark and Scott
May 11, 2021 19:00 - 33 minutes - 22.9 MBMay 11, 2021 Ray, Mark, and Scott discuss physician supervision, incident to, and IDTF (Independent Diagnostic Testing Facility), also answer questions from the PRS Community and the Urology Coding and Reimbursement Group FAQs [14 minutes and 01 Seconds] Our Urology group bills inpatient hospital codes when we get called in for initial visit (99221-99223). We have always been paid without issues and I have read Medicare guidelines stating this can be billed by each specialty. In the pa...
UCR 049: FAQs - Documentation for the administration of patient-supplied drugs; TURBT of multiple bladder tumors - can you "aggregate"; stone fragment removal, billing for Calyxo device; scrotal cyst code?
May 03, 2021 22:00 - 16 minutes - 11.5 MBMay 3, 2021 Ray, Mark and Scott discuss questions from the Urology Coding and Reimbursement Group FAQs [40 Seconds] Our patients bring in there own testosterone and we bill out the administration code 96372.. Is the NDC # required to be documented? (We do document j code, dx , patient provided,amount given, Lot# and expiration.) [8 minutes and 57 Seconds] One of my physicians completed a TURBT of multiple bladder tumors but he never listed any size. Instead, he says "aggregate grea...
UCR 048: Documentation Support for Lab Tests; Coding for Laparoscopic and Robotic Procedures
April 23, 2021 21:00 - 28 minutes - 19.4 MBApril 23, 2021 Ray and Scott discuss why you need to provide complete documentation for lab tests. Payers are starting to focus audits and takebacks on lab test reimbursement. Mark talks about how to document your test properly. We receive frequent questions on Robotic procedures and the proper coding. Mark, Ray and Scott discuss the proper coding for Robotic and laparoscopic procedures. Join the discussion: Urology Coding and Reimbursement Group - Join for free and ask your questi...
UCR 047: How Much Coding Does a Urologist Really Need to Know, and Why?
April 20, 2021 21:00 - 24 minutes - 16.6 MBApril 20, 2021 Ray and Scott discuss the common question from urologists "Why do I need to learn to code? I have a team that does that". Over the years many Urologists have asked this question. Ray shares his thoughts on how much coding urologists need to know and why they need to know it. 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 046: The New Optimizer Series from PRS: Why it Was Developed and the First Part of the Series - "Optimizing Front Office and Critical Processes"
April 12, 2021 13:00 - 25 minutes - 17.5 MBApril 12, 2021 Mark, Ray, and Scott discuss the new PRS Network series: The Optimizer. Why they decided to develop the Optimizer Series and what they hope to help urology practices accomplish. Also, they discuss part 1 of the series: Optimizing the Front Office and Critical Processes. Mark shares a story of 1 practice that lets $100,000 of uncollected AR walk through the door each month. They continue the discussion of how the series can help you focus on specific parts of your practice...
UCR 045: Modifier Rules and other data in the National Physician Fee Schedule Relative Value File; where it is in AUACodingToday and how we made it easier to understand
April 03, 2021 15:00 - 29 minutes - 20.6 MBApril 3, 2021 Mark, Ray, and Scott had a question this week on whether or not you could use the bilateral modifier (-50) for code: 54351 - Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic You may be surprised at the answer! This prompted the discussion on data and where it comes from and how we have interpreted it and summarized it in AUACodingToday.com. The interpretation and summarization help make coding more efficient. Join the discussion: Urology Coding an...
UCR 044: Payers - using hassle factor to delay payments, what you can do
March 26, 2021 20:00 - 22 minutes - 15.7 MBMarch 26, 2021 Mark, Ray, and Scott discuss a problem with United Health Care and payment delays for higher-priced claims (ie Provenge, Urolift). What options do you have? What should you do? Share your payer stories with us Email: [email protected] or on the free Q&A forum Urology Coding and Reimbursement Group. Take the 30 Day Urology Coding and Billing Challenge and learn what a coder, biller, admin and other non-QHPs should know and nothing more. Learn More Join the discussion...
UCR 043: FAQs - Bilateral Ureteroscopy Laser lithotripsy with stent; Urodynamics and Catheter; Cysto w/ sp Tube; Family history and risk; Documenting what was reviewed
March 19, 2021 20:00 - 33 minutes - 23.1 MBMarch 19, 2021 Mark, Ray, and Scott discuss several questions about the new 2021 E&M rules from the Urology Coding and Reimbursement Group: Question 1 (:55) For bilateral Ureteroscopy Laser lithotripsy with stent placements can we bill 52353, 52332 (using N20.0 as diagnosis) & 52356 (using N20.1 as diagnosis) Question 2 (5:35) For Urodynamics- when patient has foley catheter in place prior to procedure and will need a foley catheter placed after the procedure can we bill for the foley ...
UCR 042: How the New Technical Revisions to E&M 2021 Guidelines Impact Urology
March 12, 2021 22:00 - 49 minutes - 33.9 MBMarch 12, 2021 Ray, Mark and Scott discuss technical revisions that the AMA released March 9th, 2021. The team breaks down what's different and what urology practices need to understand. In addition to the details, they will also give urology examples so you understand the concepts. Link to the CPT® Evaluation and Management (E/M) Office or Other Outpatient (99202-99215) and Prolonged Services (99354, 99355, 99356, 99417) Code and Guideline Changes: EM 2021 Guidelines Technical Corre...
UCR 041: Deductible Season: Impacts and How to Ensure Your Practice is Prepared
March 08, 2021 17:00 - 30 minutes - 20.7 MBMarch 7, 2021 Ray, Mark, and Scott discuss deductibles and the impact they have on urology practices. The importance of previsit planning and training to ensure a healthy practice. Take the 30 Day Urology Coding and Billing Challenge and learn what a coder, biller, admin, and other non-QHPs should know and nothing more. Learn More 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 040: "Incident to" billing; When to bill the 99211- Nurse Visit
February 27, 2021 00:00 - 28 minutes - 19.3 MBUCR 040: "Incident to" billing; When to bill the 99211- Nurse Visit February 26, 2021 Ray, Mark and Scott discuss incident to billing and when to bill the 99211 nurse visit. Take the 30 Day Urology Coding Challenge and learn what a QHP should know and nothing more. Learn More 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 039: FAQs, Multiple ESWLs, 55700 with 96372, vital sign collection requirements, 99441-99443 usage, 51702 and A4344
February 19, 2021 20:00 - 30 minutes - 21.2 MBFebruary 19, 2021 Ray, Mark and Scott discuss questions from the Urology Coding and Reimbursement Group Question 1: 40 Seconds Hello, one of our physicians has been doing multiple ESWL's (cpt 50590) on the same dos for treating more than one stone..i.e one kidney stone, one ureteral stone or bilateral stones..i have found info that says only one 50590 per dos and also to unbundle with an X modifier any clarification much appreciated thanks Question 2 - minute 5:03 We are seeing deni...
UCR 039: FAQs, Multiple ESWLs, 55700 with 96372, vital sign collection requirements, 99441-99443 usage, 51702 and A4344
February 19, 2021 20:00 - 30 minutes - 21.2 MBFebruary 19, 2021 Ray, Mark and Scott discuss questions from the Urology Coding and Reimbursement Group Question 1: 40 Seconds Hello, one of our physicians has been doing multiple ESWL's (cpt 50590) on the same dos for treating more than one stone..i.e one kidney stone, one ureteral stone or bilateral stones..i have found info that says only one 50590 per dos and also to unbundle with an X modifier any clarification much appreciated thanks Question 2 - minute 5:03 We are seeing deni...
UCR 038: What is the Urology QHPs Role in Coding and Billing
February 15, 2021 20:00 - 27 minutes - 19 MBFebruary 16, 2021 Ray and Scott discuss what a urology QHP should do and what they should not do. As we teach at PRS, you should always work at the top of your license. This does include some coding and billing. Ray and Scott discuss and give some examples of the role the QHPs. Take the 30 Day Urology Coding Challenge and learn what a QHP should know and nothing more. Learn More Join the discussion: Urology Coding and Reimbursement Group - Join for free and ask your questions, and s...
UCR 038: What is the Urology QHPs Role in Coding and Billing
February 15, 2021 20:00 - 27 minutes - 19 MBFebruary 16, 2021 Ray and Scott discuss what a urology QHP should do and what they should not do. As we teach at PRS, you should always work at the top of your license. This does include some coding and billing. Ray and Scott discuss and give some examples of the role the QHPs. Take the 30 Day Urology Coding Challenge and learn what a QHP should know and nothing more. Learn More Join the discussion: Urology Coding and Reimbursement Group - Join for free and ask your questions, and s...
UCR 037: E&M 2021 Risk - is prostate cancer with watchful waiting a level 2,3,4 or 5?
February 05, 2021 23:00 - 29 minutes - 20.5 MBFebruary 5, 2021 Mark, Ray, and Scott discuss Risk under the new E&M 2021 guidelines. Mark lays out a position that you can have a level 2, 3, 4, and 5 for watchful waiting for patients with prostate cancer. Your documentation is the key. You need to provide the complete picture to include clinical and medical reimbursement perspectives. Take the 30 Day "Code like Mark Painter" Challenge and finally master urology coding. Learn More Join the discussion: Urology Coding and Reimbursem...
UCR 036: Why Modifier -25 is so important and how it works with the EM 2021 Rules
January 29, 2021 13:00 - 30 minutes - 20.9 MBUCR 036: Why Modifier -25 is so important and how it works with the EM 2021 Rules January 29, 2021 Mark, Ray, and Scott discuss Modifier -25 and how it fits in with the new E&M 2021 Rules. They discuss why Modifier -25 continues to be so important and give examples of what changes with the new guidelines. You can save time by knowing the rules and how to use new guidelines. Your defensible documentation should be much easier to produce. Join the discussion: Urology Coding and Reimb...
UCR 035: E&M 2021 Q&A: Other qualified health professional definition, Data - can I count note and PSAs in the note as separate data points? Is BCG with assessment a level 2 E/M? Prescription drug management clarification.
January 15, 2021 19:00 - 35 minutes - 24.2 MBUCR 035: E&M 2021 Q&A: Other qualified health professional definition, Data - can I count note and PSAs in the note as separate data points? Is BCG with assessment a level 2 E/M? Prescription drug management clarification. January 15, 2021 Mark, Ray, and Scott discuss several questions about the new 2021 E&M rules from the Urology Coding and Reimbursement Group: Question 1 It's now 2021 and I'm reviewing the coding seminar that I attended virtually in September. On the discussion of E&M...
UCR 034: 2021 last-minute changes, G2211 update, MRI fusion biopsy of prostate coding, and initial vs subsequent dilations
January 08, 2021 19:00 - 34 minutes - 23.7 MBUCR 034: 2021 last-minute changes, G2211 update, MRI fusion biopsy of prostate coding, and initial vs subsequent dilations January 8, 2020 Mark, Ray, and Scott talk about the last-minute changes- Congress passed a Covid Relief package that included a few impactful changes. They also, discuss the changes with the new code G2211 which now cannot be Paid until 2024. Finally, they answer 2 questions from the Urology Coding and Reimbursement Group: 1) How do I code for MRI fusion biopsy of...
UCR 033: Lessons Learned from the First 33 Episodes; 2021 Biggest Challenges / Opportunities
December 21, 2020 14:00 - 25 minutes - 17.8 MBMark, Ray, and Scott talk about lessons learned from the first 33 episodes. Also, they answer the question "what do you see as the biggest challenge (or opportunity) coming in 2021"? Lastly, they discuss where the podcast is headed in the future. Urology Advanced Coding and Reimbursement Seminar - Virtual Live Event January 29th and 30th, 2021 10am - 6pm EST each day Learn More Join the discussion: Urology Coding and Reimbursement Group - Join for free and ask your questions, and sha...
UCR 032: 2021 Medicare Update Part 2 - Excerpt from our Urology Advanced Coding and Reimbursement Seminar - Virtual Live Event 12-5-20 December 11, 2020
December 15, 2020 21:00 - 26 minutes - 18.4 MBPart 2 of 2 - The final Medicare rule was published on 12/2/2020. Mark presents what has changed, what is important, and the impacts the new rules are going to have on your practice. He also points out what you need to do to prepare your practice. Last Chance to Learn the New E&M Rules in 2020 Live Workshop December 21st, 2020 7pm - 10pm EST Learn More Join the discussion: Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.
UCR 031: 2021 Medicare Update Part 1 - Excerpt from our Urology Advanced Coding and Reimbursement Seminar - Virtual Live Event 12-5-20 December 11, 2020
December 11, 2020 13:00 - 24 minutes - 17 MBPart 1 of 2 - The final Medicare rule was published on 12/2/2020. Mark presents what has changed, what is important, and the impacts the new rules are going to have on your practice. He also points out what you need to do to prepare your practice. Last Chance to Learn the New E&M Rules in 2020 Live Workshop December 21st, 2020 7pm - 10pm EST Learn More Join the discussion: Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.
UCR 031: 2021 Medicare Update Part 1 - Excerpt from our Urology Advanced Coding and Reimbursement Seminar - Virtual Live Event 12-5-20 December 11, 2020
December 11, 2020 13:00 - 24 minutes - 17 MBPart 1 of 2 - The final Medicare rule was published on 12/2/2020. Mark presents what has changed, what is important, and the impacts the new rules are going to have on your practice. He also points out what you need to do to prepare your practice. Last Chance to Learn the New E&M Rules in 2020 Live Workshop December 21st, 2020 7pm - 10pm EST Learn More Join the discussion: Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.
UCR 030: Happy Thanksgiving! What we included in the agenda of the Urology Advanced Coding and Reimbursement Seminar and Why
November 24, 2020 21:00 - 18 minutes - 13 MBNovember 24, 2020 Happy Thanksgiving! Mark, Ray, and Scott discuss the Urology Advanced Coding and Reimbursement Seminar Agenda. Mark explains what we have included and why. Ray emphasizes that there are a lot of big changes this year that can lead to positive outcomes for urology practices. Here is the Agenda for the Upcoming Virtual Live Event: Friday 12/4/20 Time (EST) | Topic 10:00 AM | Welcome 2021 - Back to the Future 10:30 AM | Globals and Modifiers Part 1 11:00...