Urology Coding and Reimbursement Podcast

UCR 280: Testosterone Pellet Denials, Secondary Payer Prior Auths, and Urology Risk Assessments

13 Mar 2026

Contributed by Lukas

March 13, 2026 In this episode, Scott, Mark, and Dr. Ray Painter tackle three emerging reimbursement challenges affecting urology practices: widespre...

UCR 279: LCDs, NCDs, LCAs, and Audits — Understanding Medicare’s Coverage Landscape

09 Mar 2026

Contributed by Lukas

March 6, 2026 In this episode, Scott, Mark, and Dr. Ray Painter break down the complex “alphabet soup” of Medicare coverage and auditing tools—...

UCR 278: E/M Leveling — It’s as Clear as Mud

27 Feb 2026

Contributed by Lukas

February 27, 2026 In this episode, Scott, Mark, and special guest Dr. John Lin tackle real-world evaluation and management (E/M) scenarios submitted ...

UCR 277: The New Economics of In-Office Prostate Biopsies

21 Feb 2026

Contributed by Lukas

February 20, 2026 In this episode, Scott, Mark, and Dr. Ray Painter break down the financial realities of the new prostate biopsy CPT codes and what ...

UCR 276: Live from New Orleans – Modifier 25, Cystoscopy Denials, and How to Win the Appeal

13 Feb 2026

Contributed by Lukas

February 13, 2026 In this special live episode recorded at the Urology Advanced Coding and Reimbursement Seminar in New Orleans on January 31st, 2026...

UCR 275: Telehealth Extended Through 2027, Proper Instillation Coding, and Medically Impossible Days

05 Feb 2026

Contributed by Lukas

February 5, 2026 In this episode, Scott, Mark, and Dr. John Lin break down the latest telehealth news—Congress has officially extended Medicare tel...

UCR 274: Reducing Physician Burnout with AI – The docology Story

28 Jan 2026

Contributed by Lukas

January 30, 2026 On this episode, Scott and Mark Painter sit down with Dr. Sida Niu and Tyler Hamik, co-founders of docology, an AI-driven clinical i...

UCR 273: Telehealth Coverage in 2026 and the PRS Coding & Reimbursement Hub

23 Jan 2026

Contributed by Lukas

January 23 , 2026 In this episode, Scott and Mark Painter discuss what the upcoming January 31 deadline means for telehealth coverage under Medicare,...

UCR 272: ProMaxo Coding Update + Deductible Season Logistics

16 Jan 2026

Contributed by Lukas

January 16, 2026 In this episode, Scott, Mark, and Ray Painter revisit the new prostate biopsy CPT codes and provide a key update on the use of ProMa...

UCR 271: The Downcoding Dilemma – How to Fight Back and Get Paid What You Deserve

09 Jan 2026

Contributed by Lukas

January 9, 2026 In this episode, Scott, Mark, and Ray Painter tackle the growing issue of automated downcoding by commercial payers—where level 4 a...

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

03 Jan 2026

Contributed by Lukas

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 ...

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

27 Dec 2025

Contributed by Lukas

December 26, 2025 In this episode, Scott, Mark, and Ray Painter answer listener questions about the new 2026 prostate biopsy CPT codes. They clarify ...

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

12 Dec 2025

Contributed by Lukas

December 12, 2025 In this episode, Scott, Mark, and Ray Painter share highlights from the recent Urology Advanced Coding and Reimbursement Seminar in...

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

21 Nov 2025

Contributed by Lukas

November 21, 2025 In this episode, Scott, Mark, and Ray Painter explore the reimbursement challenges surrounding procedures that may not be covered b...

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

14 Nov 2025

Contributed by Lukas

November 14, 2025 In this episode, Scott, Mark, and Ray Painter discuss the impact of the government’s recent reopening on telehealth services for ...

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

31 Oct 2025

Contributed by Lukas

October 31, 2025 In this Halloween-themed episode, Scott, Mark, Ray, and special guest Dr. John Lin explore the “curse” of poor documentation and...

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

24 Oct 2025

Contributed by Lukas

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 nationall...

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

17 Oct 2025

Contributed by Lukas

October 17, 2025 In this episode, Scott, Mark, and Ray Painter clarify the latest on the Medicare claims hold during the government shutdown, explain...

UCR 262: Government shutdown update, and how to stop paying processing fees on payer payments.

11 Oct 2025

Contributed by Lukas

October 10, 2025 In this episode, Scott, Mark, and Ray Painter address two pressing topics for urology practices. First, they provide the latest upda...

UCR 261: Government Shutdown Impact and a Human Perspective on AI in Urology

03 Oct 2025

Contributed by Lukas

October 3, 2025 In this episode, Scott, Mark, and Ray Painter discuss two timely and important topics. First, they break down the current government ...

UCR 260: Potential Government Shutdown and Telehealth – What Urology Practices Need to Know Now

26 Sep 2025

Contributed by Lukas

September 26, 2025 In this episode, Scott, Mark, and Ray discuss the looming federal government shutdown and how it could impact urology practices—...

UCR 259: Bladder Cancer Reimbursement Strategies – Using Unlisted J Codes and the New Zusduri Hub Tools

18 Sep 2025

Contributed by Lukas

UCR 259: Bladder Cancer Reimbursement Strategies – Using Unlisted J Codes and the New Zusduri Hub ToolsSeptember 19, 2025 In this episode, Scott, M...

UCR 258: Telehealth in Limbo — What’s Next as the Deadline Looms?

17 Sep 2025

Contributed by Lukas

September 17, 2025 In this episode, Scott, Mark, and Ray Painter break down the latest updates on the future of Medicare telehealth coverage as the S...

UCR 257: Clearing the Field — Catheters That Suck and Understanding C9761

04 Sep 2025

Contributed by Lukas

September 5, 2025 In this episode, Scott, Mark, Ray, and special guest Dr. John Lin delve into the nuances of coding and billing for steerable vacuum...

UCR 255: Medicare’s WISeR Program – Prior Auth Comes to Traditional Medicare and Facility Payments for Catheters That Suck

04 Sep 2025

Contributed by Lukas

August 15, 2025 In this episode, Scott, Mark, Ray, and special guest Dr. John Lin dive deep into Medicare’s upcoming Wiser Program—set to begin i...

UCR 256: A Hybrid Urology Practice—Dr. Marc Rose’s Concierge Model Journey

22 Aug 2025

Contributed by Lukas

August 22, 2025 In this special episode, Scott, Mark, and Ray welcome Dr. Marc Rose, a practicing urologist in Vero Beach, Florida, to share his jour...

UCR 254: Downcoding on the Rise – What to Watch For, and is United Healthcare getting out of Medicare Advantage plans?

08 Aug 2025

Contributed by Lukas

August 8, 2025 In this episode, Scott, Mark, and Ray discuss the troubling expansion of automatic E/M downcoding by payers—and what your practice c...

UCR 253: Complex Bladder Clot Evacuation Coding and How to Bill Pre-Surgical E/M Services

01 Aug 2025

Contributed by Lukas

August 1, 2025 In this episode, Scott, Mark, and Ray answer coding questions submitted through the PRS Helpdesk. Pay er: Anthem BCBSState: NVCode/Co...

UCR 252: Documentation and Coding for - Aborted Stone Procedure, Urethral Pressure Studies, Prostate Biopsy Guidance, and Fiducial Marker Placement

25 Jul 2025

Contributed by Lukas

July 25, 2025 In this episode, Scott, Mark, and Ray answer coding questions submitted through the PRS Help Desk. 1) Payor: MedicareState: FLCode/Cod...

UCR 251: Initial Reactions to the 2026 Proposed CMS Rules

18 Jul 2025

Contributed by Lukas

July 18, 2025 In this episode, Scott, Mark, and Ray Painter break down their first impressions of the 2026 proposed Medicare physician fee schedule. ...

UCR 250: Advocacy, Policy, and the Future of Urology with Dr. Peter Bretan

11 Jul 2025

Contributed by Lukas

July 11, 2025 In this special episode, Dr. Peter Bretan—president of the AACU—joins Scott, Mark, and Ray to share his journey from transplant sur...

UCR 249: New FDA Rulings – What It Means for Coding, Coverage, and Reimbursement

28 Jun 2025

Contributed by Lukas

June 27, 2025 Scott, Mark, and Ray discuss how new FDA rulings—like the recent update for Rezūm—impact coverage, coding, and reimbursement. They...

UCR 248: Coding for BPH and Bladder Stones in One Surgery, Tips for New Urology Coders, and a Telehealth Legislative Update

20 Jun 2025

Contributed by Lukas

June 20, 2025 In this episode, Ray, Mark, and Scott answer questions that came into the PRS Helpdesk and give an update on Telehealth and where it st...

UCR 247: 2 New Denial Twists - 1) getting E/M, G2211, and UA paid; 2) downcoding; and revisiting coding for graft around the urethral anastomosis during prostatectomy (from Episode #234)

12 Jun 2025

Contributed by Lukas

June 13, 2025 In this episode, Ray, Mark, and Scott discuss recent denial issues from Aetna and Humana and offer some possible solutions. They also r...

UCR 246: ER Consult for ED, Increasing Upfront Patient Collections, Billing for PAE Conscious Sedation, and Can You Bill Extra If It Sucks?

06 Jun 2025

Contributed by Lukas

June 6, 2025 In this episode, Ray, Mark, and Scott welcome back Dr. John Lin to discuss topics brought up on the Thriving Urology Practice Facebook G...

UCR 245: Prostate Biopsy Code Overhaul, E/M with 51798 Modifier Recommendations, and Coding Robotic Vasectomies

30 May 2025

Contributed by Lukas

May 30, 2025 In this episode, Mark and Scott address upcoming significant changes to the prostate biopsy codes and provide guidance on correctly appl...

UCR 244: Remote Uroflow Billing, High MDM Clarity, and Medicare Advantage Contract Challenges

23 May 2025

Contributed by Lukas

May 23, 2025 Scott, Mark, and Ray answer listener questions on coding for remote uroflowmetry, defining high-complexity MDM, and dealing with low Med...

UCR 243: Introducing the PRS Coding and Reimbursement Hub: Featuring Jelmyto as the Example

19 May 2025

Contributed by Lukas

May 16, 2025 Scott and Mark switch roles to introduce the new PRS Coding and Reimbursement Hub, featuring Jelmyto as an example. The Hub helps practi...

UCR 242: Pediatric penile torsion repair, MA scope of practice, and incident to billing for a hospital-employed urologist

09 May 2025

Contributed by Lukas

May 9, 2025 In this episode, Scott, Mark, and Ray answer questions that came into the PRS Helpdesk.One of my specialties is pedsurology and there is ...

UCR 241: Recap of AUA 2025 – Exciting New Tech, Reimbursement Challenges, and Community Connections

02 May 2025

Contributed by Lukas

May 2, 2025 In this episode, Scott, Mark, and Ray share highlights from the AUA 2025 Annual Meeting in Las Vegas, discussing exciting new technologie...

UCR 240: 2025 Practice Pressures - PE Slow-Down, Staffing Gaps, Physician Shortages, & Efficiency Planning

24 Apr 2025

Contributed by Lukas

April 25, 2025 Scott, Mark, and Ray discuss the pressures of Urology practice in 2025. They talk about what you need to be aware of and why you need ...

UCR 239: Incident To billing for a hospital-employed urologist at a freestanding clinic, Incident To Target Probe and Educate (TPE) Audit, and correct coding for ASC stent removal without cystoscope

18 Apr 2025

Contributed by Lukas

April 18, 2025 Scott, Mark, and Ray discuss questions that came into the PRS Helpdesk:For the past 8 months, I have been in an employed position with...

UCR 238: Current Urocuff coding, how to code for the Revi, can 91122 be done in the office, and prostate cancer "active surveillance" E/M problem level

11 Apr 2025

Contributed by Lukas

April 11, 2025 Scott and Mark discuss questions that came into the PRS Helpdesk:Hello, Some years ago we were using the SRS urocuff. Can you tell me ...

UCR 237: Who Can Provide Billable Biofeedback Services, and Can These Services Be Billed Under Incident-to Rules?

04 Apr 2025

Contributed by Lukas

April 4, 2025 Scott and Mark discuss who can perform biofeedback services, clarify billing requirements, and explore practical scenarios involving in...

UCR 236: NGS Updates on G0463 & G2211, APP Billing for Neuromodulation, and Bilateral Ureteral Stent [52332] Denials

28 Mar 2025

Contributed by Lukas

 March 28, 2025 Scott, Mark, and Dr. Ray Painter discuss questions that came into the PRS Helpdesk. NGS sent a newsletter about the use of: cpt cod...

UCR 235: Telehealth Updates, Conversion Factor Disappointment, Medicaid Possible Cuts, and a Surge in RAC Audits

22 Mar 2025

Contributed by Lukas

March 21, 2025 Scott, Mark, and Dr. Ray Painter break down the latest developments in telehealth policy and Medicare reimbursement. Mark shares the g...

UCR 234: G2211 Follow-up time frame, coding for graft around the urethral anastomosis during prostatectomy, and radical nephrectomy coding - 50545 and 50548

14 Mar 2025

Contributed by Lukas

 March 14, 2025 Scott, Mark, and Ray discuss three coding questions from the PRS Community and the Thriving Urology Practice Facebook group. My que...

UCR 233: Telehealth Uncertainty and Specialty Designations in Urology Practices

07 Mar 2025

Contributed by Lukas

March 7, 2025 Scott, Mark, and Ray discuss the latest updates (or lack thereof) on telehealth policies as the current extension nears expiration. The...

UCR 232: Work RVUs and Modifier 22, Unlisted Codes, Category III Codes - Navigating Payer Reporting and Administrator Discussions

28 Feb 2025

Contributed by Lukas

February 28, 2025 Scott, Mark, and Dr. Ray Painter break down the challenges of securing fair compensation for extra work performed in urology proced...

UCR 231: FAQs - Billing Romoval of Testicular Appendix, G2211 Modifier Confusion, and Leveraging Provider Portals

21 Feb 2025

Contributed by Lukas

February 21, 2025 Scott and Mark discuss questions from the PRS Network Community and the Thriving Urology Practice Facebook group.Does anyone bill o...

UCR 230: FAQs - ESWL Bladder Stone Coding; Remote Incident To; and Coding Challenging Stone Cases with Single-Use Ureteroscopes

14 Feb 2025

Contributed by Lukas

 February 14, 2025 Scott, Mark, and Ray discuss questions that came into the PRS Network Community.Our doctor's occasionally use the ESWL (Extr...

UCR 229: Takeaways from the Urology Advanced Coding and Reimbursement Seminar in New Orleans

07 Feb 2025

Contributed by Lukas

 February 7, 2025 Scott and Mark welcome back Dr. John Lin and Marianne Descoise to discuss some key takeaways from the Urology Advanced Coding and ...

UCR 228: G0559 Clarification, GC Modifier Explained, and G2211 Documentation Suggestion

24 Jan 2025

Contributed by Lukas

UCR 228: G0559 clarification, GC Modifier Explained, and G2211 documentation suggestion.January 24, 2025 Scott, Mark, and Dr. Ray Painter address que...

UCR 227: Understanding Recoupments – How to Protect Your Practice’s Revenue

17 Jan 2025

Contributed by Lukas

January 17, 2025 Scott, Mark, and Dr. Ray Painter are joined by special guest Marianne Desois, COO of PRS Managed Services, to dive into the growing ...

UCR 226: Simplifying Kidney Stone Coding – Introducing the Free Coding Calculator

13 Jan 2025

Contributed by Lukas

January 13, 2025Mark, Scott, and Ray discuss how the new free Kidney Stone Coding Calculator, supported by Calyxo is a great tool for double-checking,...

UCR 225: Navigating Urology Coding and Reimbursement in 2025: Predictions, Updates, and Telehealth Insights

08 Jan 2025

Contributed by Lukas

January 8, 2025 Mark, Scott, and Ray discuss new rule changes and what is ahead in 2025Urology Advanced Coding and Reimbursement Seminar - New Orlean...

UCR 224: End-of-Year Update: the American Relief Act - Conversion Factor Not Addressed, Telehealth Extended

27 Dec 2024

Contributed by Lukas

December 27, 2024 Mark and Scott discuss the American Relief Act and the impact it will have on urology practices. Urology Advanced Coding and Reimb...

UCR 223: United Healthcare Had an Issue with our Episode 212 - Why and a Recap of What We Covered

20 Dec 2024

Contributed by Lukas

December 20, 2024 Ray, Mark, and Scott welcome back Dr. John Lin to discuss Episode 212 which United Healthcare asked us to take down. Urology Advan...

UCR 222: Top Takeaways from the Urology Advanced Coding and Reimbursement Seminar - Dec 6-7, 2024

13 Dec 2024

Contributed by Lukas

December 13, 2024 Ray, Mark, and Scott discuss the top takeaways from the Urology Advanced Coding and Reimbursement Seminar in Las Vegas, Dec 6-7, 20...

UCR 221: FAQs - Bladder stone fragment, and basket coding; can you substitute 52601 for 0421T?

22 Nov 2024

Contributed by Lukas

November 22, 2024 Mark and Scott answer two questions that came in through the coding course:Can you help me to clarify, if the stone in the bladder ...

UCR 220: 2025 CMS Final Rule Part 2 - Telehealth

15 Nov 2024

Contributed by Lukas

November 15, 2024 Ray, Mark, and Scott talk about the CMS Final Rule for 2025 in part 2 of this two-episode discussion.PRS Billing and Other Services...

UCR 219: 2025 CMS Final Rule Part 1 - Conversion factor, negatively impacted procedures, and the post-operative global

08 Nov 2024

Contributed by Lukas

November 8, 2024 Ray, Mark, and Scott talk about the CMS Final Rule for 2025 in part 1 of this two-episode discussion.PRS Billing and Other Services ...

UCR 218: How to Identify and Fix Hidden Traps in Revenue Cycle Management (RCM)

01 Nov 2024

Contributed by Lukas

November 1, 2024 Ray and Scott talk PRS MS Director of Operation, Marianne Desciose about Revenue Cycle Management (RCM) current and sometimes hidden...

UCR 217: Understanding split shared visits and incident to billing

25 Oct 2024

Contributed by Lukas

UCR 217: Split shared and incident to visitsOctober 25, 2024 Ray, Mark, and Scott talk about split shared and incident to visits.PRS Billing and Othe...

UCR 216: Breaking Down the Top 3 ICD-10 Challenges of 2024

20 Oct 2024

Contributed by Lukas

October 18, 2024 Ray, Mark, and Scott talk about the top 3 ICD-10 Challenges of 2024.PRS Billing and Other Services - Book a Call with Mark Painter o...

UCR 215: Preparing for 2025 - Urology Advanced Coding and Reimbursement Seminar Discussion and Agenda

11 Oct 2024

Contributed by Lukas

October 11, 2024 Ray, Mark, and Scott discuss the upcoming Urology Advanced Coding and Reimbursement Seminar, why you should attend, and the agenda f...

UCR 214: Telehealth update, downcoding of claims, and level 5 E/M services in urology

04 Oct 2024

Contributed by Lukas

October 4, 2024 Ray, Mark, and Scott talk about the Telehealth status, payer down coding, and level 5 E/M services in urologyUrology Coding and Billi...

UCR 213: Navigating Prior Authorizations, Precertification, and Eligibility Issues in Urology with Guest Marianne Desciose

27 Sep 2024

Contributed by Lukas

 September 27, 2024 Ray and Scott welcome guest Marianne Desciose to discuss Prior Authorizations, Pre Certifications, and Eligibility. PRS Billing...

UCR 211: 2025 cystoscopy code changes and should coders review images attached before submitting charges, or is provider documentation sufficient?

13 Sep 2024

Contributed by Lukas

September 13, 2024 Mark, Ray, and Scott discuss questions from the PRS Community.Hi,   In your Urology Times article on July 30th, there is mention ...

UCR 210: stent in a pyeloplasty follow-up; G2211 and hypogonadism; and direct supervision requirements

06 Sep 2024

Contributed by Lukas

September 6, 2024 Mark, Ray, and Scott address follow-up questions from the previous episode concerning the billability of ureteral stents during pro...

UCR 209: FAQ -Designated procedure room, -78; stopping a procedure prior to entering OR; and is a stent included in a pyeloplasty?

30 Aug 2024

Contributed by Lukas

August 30, 2024 Mark, Scott, and Ray talk about questions that came into the PRS Communities.Hi, I have a coding question pls. Thanks so much.Our uro...

UCR 208: FAQ - Clot evacuation and fulguration coding; robotic assisted partial nephrectomy and lymph node resection: clarification

22 Aug 2024

Contributed by Lukas

August 23, 2024 Mark, Scott, and Ray talk about two questions that came into the PRS Communities:I have Optum requesting records on all of our clot e...

UCR 207: Updates on G2211 and 99459, what is included in radical nephrectomy code, and complete v. limited penile doppler codes

15 Aug 2024

Contributed by Lukas

August 16, 2024Mark, Scott, and Ray talk about G2211 and 99459 updates and two CPT description questions that came into the PRS Communities:I have rec...

UCR 206: 2025 Proposed CMS Rules - What Urologists Need to Know

09 Aug 2024

Contributed by Lukas

August 9, 2024Mark and Scott discuss the 2025 Proposed CMS Rules.  PRS Billing and Other Services - Book a Call with Mark Painter or Marianne Desci...

UCR 205: Coding FAQs - Voiding Trials, IPP Placement, Uroflow Apps and Psoas Hitch

02 Aug 2024

Contributed by Lukas

August 2, 2024Mark, Scott, and Dr. Ray Painter discuss FAQs that came into the PRS communities.  Can you bill a voiding trial after a patient had a p...

UCR 204: Urological Leadership & Advocacy: A Conversation with Dr. Willie Underwood

25 Jul 2024

Contributed by Lukas

July 26, 2024Scott, Mark, and Dr. Ray Painter interview Dr. Willie Underwood, a urologist with over 20 years of experience and a key figure in the Ame...

UCR 203: Streamlining Billing Processes for Part B Drugs

19 Jul 2024

Contributed by Lukas

July 19, 2024Scott, Mark, and Dr. Ray Painter explore effective billing practices for Part B drugs, using Jelmyto as an example. They discuss challeng...

UCR 202: Prostatic needle biopsy coding; and bladder tumor resection and fulguration code selection with Dr. John Lin

11 Jul 2024

Contributed by Lukas

July 12, 2024Scott, Mark, and Dr. Ray Painter are joined by Dr. John Lin.  In this episode, they answer two questions that came into the Thriving Uro...

UCR 201: Empowering Urologists - Interview with Dr. Eugene Rhee on Policy, Technology, and Future Directions

28 Jun 2024

Contributed by Lukas

June 28, 2024Scott, Mark, and Dr. Ray Painter are joined by Dr. Eugene Rhee, a key figure in urology and healthcare policy. Dr. Rhee, who recently com...

UCR 200: Episode 200 - Celebrating the Past, Embracing the Future

22 Jun 2024

Contributed by Lukas

June 21, 2024Mark, Scott, and Ray celebrate their milestone episode by reflecting on the origins, achievements, and future goals of the podcast.  Ur...

UCR 199: Revisiting Audio-Only Calls for Test Results; Robotic Spermatic Cord/Vein Resection, and Coding Unlisted Laparoscopic/Robotic Procedures

14 Jun 2024

Contributed by Lukas

June 14, 2024Mark, Scott, and Ray discuss topics that came into the PRS communities.    Can you bring this back up again as it relates to Audio onl...

UCR 198: FAQs - Penile shockwave therapy billing; cystoscopy risk MDM, post-vasectomy semen analysis, and Trimix coding

07 Jun 2024

Contributed by Lukas

June 7, 2024Mark and Scott discuss FAQs that came into the PRS communities.  Are you obligated to bill the new Category 3 CPT code for penile shockwa...

UCR 197: Current Urology RCM Challenges (June 2024) -A Conversation with Marianne Desoise

31 May 2024

Contributed by Lukas

May 31, 2024Mark and Scott welcome Marianne Desciose to discuss what are the biggest issues right now in RCM.   Urology Advanced Coding and Reimburs...

UCR 196: Takeaways from the AUA IBL presentation "The Business of Urology – What I have Learned on How to be Clinically Productive" with Dr. John Lin and Dr. Una Lee

24 May 2024

Contributed by Lukas

May 24, 2024Mark, Ray, and Scott welcome Dr. Una Lee and Dr. John Lin to share their thoughts about their AUA IBL presentation "The Business of U...

UCR 195: FAQs - 99459 who's not paying; MUEs for J codes; PCR billing for a rectal swab?

16 May 2024

Contributed by Lukas

May 17, 2024Mark, Ray, and Scott discuss FAQs that came into the PRS Network Community.Are there payers not paying for 99459?Hello, the max units for ...

UCR 194: FAQs - MRI fusion biopsy update; physician onsite for pessary, urodynamics, biofeedback; and NCCI bundle, can you bill higher wRVU?

10 May 2024

Contributed by Lukas

May 10, 2024Mark and Scott discuss FAQs that came into the Urology Coding and Reimbursement Group.MRI fusion biopsy updateHi,Can you please help us wi...

UCR 193: PRS and the AUA Annual Meeting

30 Apr 2024

Contributed by Lukas

April 26, 2024Ray, Mark, and Scott discuss the upcoming AUA Annual meeting in San Antonio and what PRS plans to do there.New Courses Available for Uro...

UCR 192: Payer Communication - reporting services that are not payable during a global period

22 Apr 2024

Contributed by Lukas

April 19, 2024Ray, Mark, and Scott discuss the nuances of communicating with payers and clearinghouses during the post-operative global period.  New...

UCR 191: FAQs - G2211 age restrictions; void trial fail coding; gemcitabine instillation coding; and scrotoplasty simple v. complicated

12 Apr 2024

Contributed by Lukas

April 12, 2024Mark and Scott discuss questions that have come into the PRS communities:Hi is there any documentation, regarding the age limit for G221...

UCR 190: Enhancing Urology Practice Efficiency - New Training Courses Explained

03 Apr 2024

Contributed by Lukas

April 5, 2024Mark, Scott, and Ray discuss why PRS developed two new courses, one for Urologists and one for APPs These courses aim to tackle the chal...

UCR 189: Urology Practice Business and Leadership Insights with Dr. David J. Ellis

28 Mar 2024

Contributed by Lukas

March 28, 2024Mark, Scott, and Ray welcome Dr. David J. Ellis to discuss the evolution of urology practice, leadership strategies, the role of organiz...

UCR 188: Change Health cyberattack updates, G2211 developments, FAQs - Urodynamics authorization, taxonomy multi-specialty practice

21 Mar 2024

Contributed by Lukas

March 22, 2024Mark, Scott, and Ray discuss the Change Health cyberattack, G2211 developments and questions that came into the PRS Network.We have been...

UCR 187: Change Health cyberattack update; FAQs - 99459 documentation, N30.10 denials, and 51701 for urine capture

15 Mar 2024

Contributed by Lukas

March 15, 2024Mark, Scott, and Ray discuss questions that came into the PRS Network.Hello,What is the recommendation on documentation for new code 994...

UCR 186: FAQs - Bladder neck resection or TUIP; LT/RT ureteral reimplant; and Lipiodol injection coding

08 Mar 2024

Contributed by Lukas

March 8, 2024Mark, Scott, and Ray discuss questions that came into the PRS Network.Hello all, I have a CPT coding question,Indications = Urinary Obstr...

UCR 185: Countdown to the MIPS submission deadline - are you prepared?

01 Mar 2024

Contributed by Lukas

March 1, 2024Hosts Scott, Mark, and Ray discuss the upcoming MIPS submission deadline of April 1st and address common questions about MIPS submissions...

UCR 184: FAQs - Clarification of split shared visit, and cystoscopy, dilation, and clot evacuation coding

23 Feb 2024

Contributed by Lukas

February 23, 2024Mark, Scott, and Ray discuss questions that came into the PRS Network: Regarding the most recent podcast episode on shard/split visi...

UCR 183: Unleashing the power of words, the importance of Documentation for Reimbursement

17 Feb 2024

Contributed by Lukas

February 16, 2024Ray and Scott discuss the importance of documentation for reimbursement.They emphasize the need to communicate effectively through do...

UCR 182: Clarifying Split or Shared Visits

09 Feb 2024

Contributed by Lukas

 February 9, 2024Ray, Mark, and Scott discuss questions that came in about split or shared Visits.Our questions are: When our doctors cover hospital...

UCR 181: FAQs - Hospital E/M Codes, Ureteroneocystostomy coding, and Pelvis Exam Clarification

01 Feb 2024

Contributed by Lukas

February 2, 2024Ray, Mark, and Scott answer and discuss the following questions:The seminar this past week was great. I have one question that I asked...

UCR 180: Revisiting G2211 and understanding code 99459 and its usage

19 Jan 2024

Contributed by Lukas

January 19, 2024Scott and Mark discuss the topics of G2211 and code 99459. They clarify some common questions and confusion surrounding these codes, p...