Urology Coding and Reimbursement Podcast

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...

UCR 179: Top documentation, coding, and billing issues impacting urology

12 Jan 2024

Contributed by Lukas

January 12, 2024Scott and Dr. Ray Painter discuss the top issues impacting urologists and their practices. G2211 Guidance Document [free download]Cli...

UCR 178: Using G2211 - discussion, questions, and scenarios

05 Jan 2024

Contributed by Lukas

January 5, 2024Mark, Scott, and Dr. Ray Painter discuss the new G2211 code.  How it should be used, examples, provide scenarios, and share questions ...

UCR 177: Discussion with Dr. John Lin - Removal of foreign body from penis; A great way to combat physician burnout

29 Dec 2023

Contributed by Lukas

December 29, 2023Mark, Scott, and Dr. Lin discuss topics from the Thriving Urology Practice Facebook Group:There is still no CPT code for extricating ...

UCR 176: FAQs - Can you bill simple prostatectomy and cystorrhaphy; Value for new pelvic exam code; Can you bill uroflow and/or PVR twice on same day; and can you bill voiding trial post-op after prostatectomy?

22 Dec 2023

Contributed by Lukas

December 22, 2023Mark, Ray, and Scott answer questions from the PRS Urology Coding Community:I have multiple providers who want to bill 55867 & 51...

UCR 175: Why All Urologists and Staff Should Join and Participate in a State Urology Society - a discussion with Dr. Richard Pelman

15 Dec 2023

Contributed by Lukas

 December 15, 2023Mark, Ray, and Scott welcome Dr. Richard Pelman to discuss the importance of State Urology Societies and why you should participate...

UCR 174: 2024 Urology Advanced Coding and Reimbursement Seminar - Key Takeaways and Insights

08 Dec 2023

Contributed by Lukas

December 8, 2023Mark, Ray, and Scott welcome Dr. John Lin to discuss the 2024 Urology Coding and Reimbursement Seminar and share their thoughts about ...

UCR 173: Implementing 2024 changes - understanding G2211 and exploring new category 3 codes with Dr. Jonathan Rubenstein

28 Nov 2023

Contributed by Lukas

December 1, 2023Mark, Ray, and Scott welcome Dr. Jonathan Rubenstein to discuss the big CMS changes for urology in 2024 and how to implement them. Ur...

UCR 172: Part B drugs - calculating reimbursement and how to compare clinically similar drugs for your practice.

22 Nov 2023

Contributed by Lukas

November 22, 2023Mark, Ray, and Scott discuss Part B drugs and how a practice can compare clinically similar drugs. Telehealth Resource Centershttps:...

UCR 171:Unlocking Telehealth's Potential in Urology: A Conversation with Lisa Finkelstein, DO

17 Nov 2023

Contributed by Lukas

November 17, 2023Mark, Ray, and Scott have a conversation with Dr. Finkelstein about Telehealth in Urology.Dr. Finkelstein's expertise illuminate...

UCR 170: CMS Final Rule 2024 - Analysis and Summary

10 Nov 2023

Contributed by Lukas

November 10, 2023Mark presents the summary of the newly released CMS 2024 Final Rule. Urology Advanced Coding and Reimbursement Seminar(Click Here fo...

UCR 169: Integrated Practice Wide RCM, Part - 3: Key Practice Indicators, Data, Analytics, Trends and Implementing

02 Nov 2023

Contributed by Lukas

November 3, 2023 Mark and Scott welcome back Larry Kemp, FACHE to continue the discussion on Integrated Practice Wide RCM.  Mark Painter and PRS Con...

UCR 168: FAQs with Dr. John Lin - Can you bill an E/M if provided in a procedure room after cysto?; BCBS not paying for ICD-10: N52.9 ED - unspecified, what to do?

26 Oct 2023

Contributed by Lukas

October 27, 2023 Mark and Scott welcome back John Lin to answer more questions that have come into the Thriving Urology Practice Facebook Group. Can...

UCR 167: Incident To - additional clarification; Not prescribed by a physician denial

20 Oct 2023

Contributed by Lukas

October 20, 2023 Ray, Mark, and Scott discuss questions from the Urology Coding and Reimbursement Group.I am a solo urologist newly working with a P....

UCR 166: Incident To - billing injections; Coding debridement of Fournier's gangrene

13 Oct 2023

Contributed by Lukas

October 13, 2023 Ray, Mark, and Scott discuss questions from the Urology Coding and Reimbursement Group.Are injections like Lupron and Prolia and the...

UCR 165: Takeaways from recent national and regional Urology meetings

06 Oct 2023

Contributed by Lukas

October 6, 2023 Ray, Mark, and Scott discuss important topics from recently attended national and regional Urology meetings.Mark Painter and PRS Cons...

UCR 164: FAQs - Coding for insertion of an Estring; Trimix billing, what codes should you use?

04 Oct 2023

Contributed by Lukas

September 29, 2023 Ray, Mark, and Scott discuss questions that came into the Urology Coding and Reimbursement Group:I'm trying to verify the cor...

UCR 163: FAQs - Hiring Certified Coders; Removal of foley, nurse visit or bladder irrigation? "Modifier Required"; Assistant Surgeon - preop / interop consult?

22 Sep 2023

Contributed by Lukas

September 22, 2023 Ray, Mark, and Scott discuss questions that came into the Urology Coding and Reimbursement Group:We are looking to hire a certifie...

UCR 162: Targeted Probe and Educate (TPE) and Recovery Audit Contractor (RAC) Audits

15 Sep 2023

Contributed by Lukas

September 15, 2023 Ray, Mark, and Scott discuss what Targeted Probe and Educate (TPE) and Recovery Audit Contractor (RAC) Audits are and how they are...

UCR 161: Shared split visit clarification and new rules; "Procedure to Provider" edits, PCR code denials

08 Sep 2023

Contributed by Lukas

September 8, 2023 Ray, Mark, and Scott discuss questions that came into the Urology Coding and Reimbursement Group:We use shared visits to facilitate...

UCR 160: Exploring the Impact of ModMed: A Conversation with Dr. Eric Tygenhof

01 Sep 2023

Contributed by Lukas

September 1, 2023 Ray, Mark, and Scott welcome special guest Dr. Eric Tygenhof to talk about his experience switching to and using ModMed in his prac...

UCR 159: Agenda of the 2024 Urology Advanced Coding and Reimbursement Seminar

25 Aug 2023

Contributed by Lukas

August 25, 2023 Ray, Mark, and Scott discuss the 2024 Urology Advanced Coding and Reimbursement Seminar Agenda.  What topics were chosen and why the...

UCR 158: Coding retrograde pyelogram w/ stent (52332 & 52005); remote physiologic monitoring coding (99457 & 99458); documentation for urodynamics code - 51729

18 Aug 2023

Contributed by Lukas

August 18, 2023 Ray, Mark, and Scott discuss 3 questions that came into the Urology Coding and Reimbursement Group (see below for link to sign up fre...

UCR 157: Chronic Care Management reimbursement; coding for scrotal lesion excisions

11 Aug 2023

Contributed by Lukas

August 11, 2023 Ray, Mark, and Scott discuss 2 questions that came into the Urology Coding and Reimbursement Group (see below for a link to sign up f...

UCR 156: How to bill Urocuff in Medicare Advantage Plan; E/M service in global not related to surgery Modifier -24; and urologists billing moderate sedation in hospital

04 Aug 2023

Contributed by Lukas

August 4, 2023 Ray, Mark, and Scott discuss 3 questions that came into the Urology Coding and Reimbursement Group (see below for link to sign up free...

UCR 155: Staff shortages, what can you do?

28 Jul 2023

Contributed by Lukas

July 28, 2023 Ray, Mark, and Scott discuss staff shortages.  Mark shares insights on some of the things you can do to address the issue. Urology Do...

UCR 154: Prior Authorizations and Prior Authorization Denials

21 Jul 2023

Contributed by Lukas

July 21, 2023 Ray and Scott welcome special guest Marianne Desciose, Director of Operations for PRS Managed Services, LLC., to discuss Prior Authoriz...

UCR 153: 2024 CMS Proposed Rules and how they will impact urology - preliminary analysis

14 Jul 2023

Contributed by Lukas

July 14, 2023 Mark, Ray, and Scott discuss the newly released 2024 CMS Proposed Rules.  Mark provides a preliminary analysis of what changes are imp...

UCR 152: E/M Medical Decision Making - Problem; visits with Elevated PSAs, and when does prostate cancer reach a level 5 problem?

07 Jul 2023

Contributed by Lukas

 July 7, 2023 Mark, Ray, and Scott discuss the problem section of E/M medical decision making.  The following question was asked that sparked this ...

UCR 151: FAQs with Dr. John Lin - Increasing 99214-25 denials, what can you do; TURBT and stent placement can this be unbundled?

29 Jun 2023

Contributed by Lukas

June 30, 2023 Mark, Ray, and Scott welcome back John Lin to answer more questions that have come into the Thriving Urology Practice Facebook Group. ...

UCR 150: Integrated Practice Wide RCM, Part 2 - Point of Service Actions

21 Jun 2023

Contributed by Lukas

 June 23, 2023 Mark, Ray, and Scott welcome back Larry Kemp, FACHE to continue the discussion on Integrated Practice Wide RCM.  In part 2 of this 4...

UCR 149: Coding for prostatic artery embolization (PAE); Urocuff payment coverage, reports of diagnosis denials

16 Jun 2023

Contributed by Lukas

June 16, 2023 Mark, Ray, and Scott discuss questions that came up during a May monthly training webinar: Coding for prostatic artery embolization (PA...

UCR 148: Coding for MRI fusion biopsy of the prostate; correcting a death date error

08 Jun 2023

Contributed by Lukas

June 9, 2023 Mark, Ray, and Scott welcome back Dr. John Lin to discuss 2 questions that came into the Thriving Urology Practice Facebook Group [click...

UCR 147: Coding for 2 E/M services on the same date/patient; coding for services provided to a patient from an SNF in the office

02 Jun 2023

Contributed by Lukas

June 2, 2023 Mark, Ray, and Scott discuss coding for 2 E/M services on the same date/patient; coding for services provided to a patient from an SNF i...

UCR 146: FAQs - OPPS/ASC multiple procedures; discontinued procedure denial; No Surprises Act - new patient visit; stent placement for promoting healing billable?

25 May 2023

Contributed by Lukas

 May 26, 2023 Mark, Ray, and Scott discuss 4 questions that came into the Urology Coding and Reimbursement Group.I'm trying to understand the M...

UCR 145: Complication modifier (-78) POS discussion; FAQs - laparoscopic evaluation ureter, E/M and therapeutic injection (ADT) in the same visit, code for stone removal using forceps - no cysto

19 May 2023

Contributed by Lukas

 May 19, 2023 Mark, Ray, and Scott talk about a question Dr. John Lin asked on a recent Noridian Mac Call about billing a Modifier -78 with POS 11 (...

UCR 144: Observations from the 2023 AUA Annual Meeting and a quick update on the implications of the PHE ending

05 May 2023

Contributed by Lukas

 May 5, 2023 Mark, Ray, and Scott share some general observations from last week's 2023 AUA Annual Meeting in Chicago and Mark gives a quick up...

UCR 143: Coding for Urology Drug Instillation: Jelmyto, Mitomycin, BCG

27 Apr 2023

Contributed by Lukas

April 28, 2023 Mark, Ray, and Scott talk about coding for urology drug installation.  They use coding for Jelmyto, Mitomycin, BCG as examples.Jelmyt...

UCR 142: Adopting New Technology and Getting Reimbursed

21 Apr 2023

Contributed by Lukas

 April 21, 2023 Mark, Ray, and Scott talk about Reimbursement for New technology.  With the 2023 AUA Annual meeting in Chicago coming up they thoug...

UCR 141: Optilume coding update; robotic prostatectomy questions: can bill with urethral suspension? If performing with 38571 (BPLND) should you bill the S2900?

14 Apr 2023

Contributed by Lukas

April 14, 2023Mark, Ray, and Scott revisit coding for Optilume and provide an update, and also discuss two questions about robotic prostatectomy codin...

UCR 140: Integrated Practice Wide RCM - Part 1: Pre-service work

07 Apr 2023

Contributed by Lukas

April 7, 2023Larry Kemp joins Mark, Ray, and Scott as a special guest to delve into Integrated Practice Wide RCM in this first part of a two-part seri...

UCR 139: FAQs - Coding for OPTILUME, antegrade ureteroscopy code, and correct coding for torsion/orchiopexy with laterality modifiers

31 Mar 2023

Contributed by Lukas

Available March 31, 2023Mark, Ray, and Scott discuss FAQs:  What codes should we capture for OPTILUME?  52276 w/0499T?  Or should we be looking at...

UCR 138: FAQs - Interposition of peritoneal flaps code, HIPAA compliant telehealth platform PHE deadline, and coding for PVR with no bladder scan

24 Mar 2023

Contributed by Lukas

 March 24, 2023Mark, Ray, and Scott discuss FAQs:  Would you consider interposition of peritoneal flaps separately billable with a Prostatectomy/ly...

UCR 137: When your coder and EMR disagree, what do you do?

17 Mar 2023

Contributed by Lukas

March 17, 2023Ray and Scott discuss a question that came into the PRS Community: When your coder and EMR disagree, what do you do?   Join The Urolo...

UCR 136: Prehab clinic coding (PT/Dietician before surgery), straight catheter billing - 51701 v P9612?

10 Mar 2023

Contributed by Lukas

March 10, 2023Mark, Ray, and Scott discuss questions that came into the PRS Community.   We want to do a prehab clinic for patients to improve condi...

UCR 135: Crosswalk comparisons when billing unlisted codes, group visit coding

03 Mar 2023

Contributed by Lukas

March 3, 2023Mark, Ray, and Scott discuss questions that came into the PRS Community.  Do you have any suggestions for CPT code for the penis stuck i...

UCR 134: PCNL clarification - revisited, coding laparoscopic nephrectomy with bladder cuff, and retrograde pyelogram with stent exchanges/ureteroscopic coding

24 Feb 2023

Contributed by Lukas

February 24, 2023Mark, Ray, and Scott discuss questions that came into the PRS Community.   I listened to the most recent podcast episode regarding ...

UCR 133: Telehealth in 2023 - Best Practices and Lessons Learned with Dr. John Lin

17 Feb 2023

Contributed by Lukas

February 17, 2023Mark, Ray, and Scott welcome back Dr. John Lin to discuss telehealth in 2023 and learn about the new changes.  Dr. John Lin shares h...

UCR 132: Direct supervision / incident to, independent interpretation when own CT / US, billing creatinine if own equipment, and can MA or Tech sign PVR or EMG?

10 Feb 2023

Contributed by Lukas

 February 10, 2023Mark, Ray, and Scott discuss questions and current topics."Good afternoon,Our practice has a lot of mid-level physicians.  Th...

UCR 131: FAQs: New PCNL code clarification, urodynamics clinical denial, 0421T (Transurethral waterjet ablation of prostate) valuation and -22 usage, and outside CT and Category 2 E/M Data

03 Feb 2023

Contributed by Lukas

  February 3, 2023Mark, Ray, and Scott discuss questions and current topics. CODE 50081 - Our providers are interpreting the use of imaging guidance...

UCR 130: What should a Urology Documentation, Coding, and Billing Plan include, and how to implement a plan efficiently and cost-effectively [Part 2]

19 Jan 2023

Contributed by Lukas

 January 20, 2023Ray, Mark, and Scott discuss what a Urology Documentation, Coding, and Billing Plan should include and what PRS has put together for...

UCR 129: Why Having a Urology Documentation, Coding, and Billing Plan is so important

13 Jan 2023

Contributed by Lukas

 January 13, 2023Ray and Scott discuss the top 3 reasons why you should have a good documentation, coding, and billing plan:   1) money   2) time...

UCR 128: How the new law impacts urology reimbursement in 2023; Modifier 25 - "unrelated to the decision to perform procedure" discussion

06 Jan 2023

Contributed by Lukas

January 6, 2023Mark, Ray, and Scott discuss the new law's impact on urology.   CMS released updated national Medicare physician payment files th...

UCR 127: Physician Compensation Plan - 2023 Overview with Larry Kemp

22 Dec 2022

Contributed by Lukas

December 23, 2022Mark, Ray, and Scott welcome Larry Kemp, FACHE to discuss compensation plans and how to approach in 2023. Want to talk with Larry Ke...

UCR 126: Important takeaways from the Las Vegas Seminar - December 2022

16 Dec 2022

Contributed by Lukas

December 16, 2022Ray and Scott discuss some highlights from the Urology Advanced Coding and Reimbursement Seminar.  They revisit the 2023 changes imp...

UCR 125: Ambulatory Surgery Centers in Urology - Discussion with ASC expert Chris Setzler

09 Dec 2022

Contributed by Lukas

December 1, 2022Mark, Ray, and Scott welcome Ambulatory Surgery Center expert Chris Setzler and discuss ASCs in Urology.  Chris shares insights from ...

UCR 124: Live from the Urology Advanced Coding and Reimbursement Seminar, what we are excited about the two-day event

02 Dec 2022

Contributed by Lukas

December 1, 2022Mark, Ray, Scott, and Dr. John Lin discuss why they are excited about the Urology Advanced Coding and Reimbursement Seminar in Las Veg...

UCR 123: Thanksgiving episode; can you get paid for E&M for groin dissection counseling during penectomy global?

25 Nov 2022

Contributed by Lukas

Available November 25, 2022Mark, Ray, and Scott wish all a Happy Thanksgiving and answer a question about getting paid for E&M for groin dissectio...

UCR 122: PCNL coding question; how to code it today and how it will change in 2023

18 Nov 2022

Contributed by Lukas

November 18, 2022Mark, Ray, and Scott discuss a PCNL question and how it should be coded under today's rules, and how this will change based on t...

UCR 121: CMS Final Rule 2023 - Analysis and Summary

10 Nov 2022

Contributed by Lukas

November 11, 2022Mark presents the summary of the newly released CMS 2023 Final Rule.Urology Advanced Coding and Reimbursement Seminar  - Registratio...

UCR 120: What's important in urology coding and reimbursement right now [Part 2] - the Day 2 agenda of the Urology Advanced Coding and Reimbursement Seminar

04 Nov 2022

Contributed by Lukas

November 4, 2022Mark and Scott discuss the Day 2 agenda for the Urology Coding and Reimbursement Seminar what we included and why it's important ...

UCR 119: What's important in urology coding and reimbursement right now [Part 1] - the Day 1 agenda of the Urology Advanced Coding and Reimbursement Seminar

28 Oct 2022

Contributed by Lukas

October 28, 2022Mark and Scott discuss the Day 1 agenda for the Urology Coding and Reimbursement Seminar what we included and why it's important ...

UCR 118: Billing for a Pre-Op clinic visit; Use of a snare to remove a stent, what about code 50386?; PHE Extended

21 Oct 2022

Contributed by Lukas

October 21, 2022Mark, Ray, and Scott welcome back special guest Dr. John Lin.  They discuss two questions that came into the Thriving Urology Faceboo...

UCR 117: How Dr. Lin almost lost over $8k due to documentation/appeal snafu

14 Oct 2022

Contributed by Lukas

October 14, 2022Mark, Ray, and Scott welcome special guest Dr. John Lin.  Dr. Lin shares he almost lost over $8k due to documentation/appeal snafu an...

UCR 116: Urology Coding Month Week 2 - ICD-10: urology review, payer denials based on diagnosis code notes and instructions, and other tips

07 Oct 2022

Contributed by Lukas

October 7, 2022Mark, Ray, and Scott discuss ICD-10 in week 2 of Urology Coding Month (October).  Mark gives the ICD-10 overview as it pertains to uro...

UCR 115: Urology Coding Month Kickoff; why knowing rules and learning new rules is so important; new 2023 CPT codes in urology

30 Sep 2022

Contributed by Lukas

September 30, 2022Mark, Ray, and Scott kickoff the Urology Coding Month (October) with a discussion of rules and why its so important to know what the...

UCR 114: FAQs - New vs established patient; What services can nurses/MAs provide with no QHP present; Provenge billing clarification

23 Sep 2022

Contributed by Lukas

Available September 23, 2022Mark, Ray, and Scott discuss Pediatric Urology Coding and some of its nuances.  Also, they answer 2 pediatric urology cod...

UCR 113: Pediatric Urology Coding - non-palpable testis(UDT); surgery for possible chordee in boy.

16 Sep 2022

Contributed by Lukas

September 16, 2022Mark, Ray, and Scott discuss Pediatric Urology Coding and some of its nuances.  Also, they answer 2 pediatric urology coding questi...

UCR 112: Why it's so hard to get paid correctly for all services provided

09 Sep 2022

Contributed by Lukas

September 9, 2022Ray and Scott discuss why it is so hard to get paid accurately for all the services provided.Test Your Knowledge - What is your urolo...

UCR 111: How to code, when surgery includes open and laparoscopic; Unspecified diagnoses denial recap

02 Sep 2022

Contributed by Lukas

September 2, 2022Mark, Ray, and Scott discuss what you should do when you have a surgery that includes both open and laparoscopic approaches.  Also, ...

UCR 110: Coding guidance from manufacturers; CMS 2023 proposed rule: Discarded Drug Rebate

26 Aug 2022

Contributed by Lukas

August 26, 2022Mark, Ray, and Scott discuss the reliability of a manufacturer's coding guidance and the Discarded Drug Rebate in the CMS proposed...

UCR 109: FAQs - Modifier Sequencing follow-up; Unbundling never allowed, but should be paid; Trimix injection training; and Bladder neck contracture codes

19 Aug 2022

Contributed by Lukas

August 19, 2022Mark, Ray, and Scott discuss questions that came into the PRS community:I just listened to the podcast on Order of modifiers on a claim...

UCR 108: Modifier Sequencing: the orders in which you should order modifiers on a claim

12 Aug 2022

Contributed by Lukas

August 12, 2022Mark, Ray, and Scott discuss how modifiers should be ordered.  Mark shares what modifier sequencing is, why modifier sequencing is imp...

UCR 107: Questions - Coding for TURBT with the removal of half a tumor; does medicare pay for repeat Urolift procedures?

05 Aug 2022

Contributed by Lukas

August 5, 2022Ray, Mark, and Scott discuss two questions that came into the Urology Coding and Reimbursement Gropou about billing a TURBT even though ...

UCR 106: Injections codes, why you may want to bill even if you know it's probably going to be denied

29 Jul 2022

Contributed by Lukas

July 29, 2022Ray, Mark, and Scott discuss a question regarding injection codes and why it may be an excellent decision to bill the injection code even...

UCR 105: Laser ureteral stone through nephrostomy tube; Compliance plans

22 Jul 2022

Contributed by Lukas

July 22, 2022Ray, Mark, and Scott discuss a question regarding antegrade ureteroscopy with laser lithotripsy to treat a ureteral stone and compliance ...

UCR 104: 2023 CMS Proposed Rules and how they will impact the Urology Practices

15 Jul 2022

Contributed by Lukas

July 15, 2022Ray, Mark, and Scott discuss the 2023 CMS Proposed Rules and how they will impact Urology Practices.  Mark breaks down what's impor...

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

08 Jul 2022

Contributed by Lukas

July 8, 2022Mark, Scott, and Ray clarify some concept nuances that may have been misinterpreted or misunderstood. Urologists’ Coding WorkshopJuly 2...

UCR 102: "Unspecified" ICD-10 Code Denials

01 Jul 2022

Contributed by Lukas

July 1, 2022Mark, Scott, and Ray discuss ICD-10 "Unspecified" codes and the increase in denials. Urologists’ Coding WorkshopJuly 23, 2022...

UCR 101: Modifier 25 - deep dive

23 Jun 2022

Contributed by Lukas

June 24, 2022Mark 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 ...

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

17 Jun 2022

Contributed by Lukas

June 17, 2022Mark and Scott discuss the most popular topics of the first 100 episodes and why they were popular. ​NEW ONLINE WORKSHOP - Urologists’...

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

09 Jun 2022

Contributed by Lukas

June 10, 2022Mark, Scott, and Ray discuss questions that came into the PRS Community Forum 1) Can we bill for cpt 76377 or it is considered a Radiolo...

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

02 Jun 2022

Contributed by Lukas

Available June 3, 2022Mark, Scott, and Ray discuss Mark's call with a payer making the argument that an E&M service can be billed with a Vase...

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

27 May 2022

Contributed by Lukas

May 27, 2022Mark, Scott, and Ray discuss questions that came into the PRS Community Forum.1. Independent historian. For pediatric visits, I'm a l...

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

20 May 2022

Contributed by Lukas

May 20, 2022Mark, 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 i...

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

06 May 2022

Contributed by Lukas

May 6, 2022Mark, Scott, and Ray discuss a question about a scenario regarding coding the most comprehensive code:Scenario 6 module 9, Cystectomy, with...

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

29 Apr 2022

Contributed by Lukas

April 29, 2022Mark, Scott, and Ray discuss two current topics:1)  Letter of notification from CMS/Qlarant, a provider was selected for prepayment cla...

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

22 Apr 2022

Contributed by Lukas

Available April 22, 2022Mark, Scott, and Ray answer questions1)I have been asked if it is appropriate to bill for "misfired" Urolift implant...

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

15 Apr 2022

Contributed by Lukas

Available April 14, 2022Mark, Scott, and Ray answer questions1) If a patient is being set up for a telemedicine visit with an MD in the MD's seco...

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

08 Apr 2022

Contributed by Lukas

Available April 8, 2022Mark, Scott, and Ray answer questions1) My clinic is trying out the app through Emano Flow that tracks a patients urine flow fo...

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

01 Apr 2022

Contributed by Lukas

April 1, 2022Mark, Scott, and Ray discuss an update on the MolDx guidelines for PCR billing set to take effect on April 17th, 2022.  They also talk a...

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

25 Mar 2022

Contributed by Lukas

March 25, 2022Mark and Scott discuss the new MolDx guidelines for PCR billing set to take effect on April 17th, 2022. Urology Coding Course Spring Re...

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

18 Mar 2022

Contributed by Lukas

Mark, Ray, and Scott discuss comments and questions from PRS Forums: PRS Community and Urology Coding and Reimbursement Group:1)  Re: RE: New Podcast...

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

11 Mar 2022

Contributed by Lukas

March 11, 2022Mark, Ray, and Scott discuss -TC and -26 billing for urodynamics.  There was a rule change in 2019 that updated how urodynamics should ...

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

03 Mar 2022

Contributed by Lukas

March 3, 2022Scott 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...

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

22 Feb 2022

Contributed by Lukas

February 22, 2022Mark, Scott, and Ray discuss how to answer the question below and how to approach answering similar questions: What would be the app...

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

11 Feb 2022

Contributed by Lukas

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 an...

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

04 Feb 2022

Contributed by Lukas

February 4, 2022 Mark, Scott, and Ray discuss contracts and answer questions about the No Surprises Act.   Urology Advanced Coding and Reimbursemen...

UCR 082: No Surprises Act

21 Jan 2022

Contributed by Lukas

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 disc...

UCR 081: New Modifiers 2022 and Urodynamics Coding

14 Jan 2022

Contributed by Lukas

January 14, 2022 Mark, Ray, and Scott discuss the new modifiers and urodynamics coding  Urology Advanced Coding and Reimbursement Seminar - Virtual...