Urology Coding and Reimbursement Podcast
Episodes
UCR 080: Urology Advanced Coding and Reimbursement Seminar - Now Virtual, QPP New Reporting Change, and PRS 2022 Event Calendar Preview
07 Jan 2022
Contributed by Lukas
January 6, 2022 Mark, Ray, and Scott discuss the change of the Urology Advanced Coding and Reimbursement Seminar from in-person to online. Mark pro...
UCR 079: FAQs - Disease v. personal history; modifier -24; data ordered prior to 1st visit - new or established
21 Dec 2021
Contributed by Lukas
December 21, 2021Ray and Scott discuss and answer questions from the PRS Communities.1) I have a question regarding BPH w/LUTS; if a patient is treate...
UCR 078: Highlights Day 2- Urology Advanced Coding and Reimbursement Seminar - Las Vegas, Dec 2021
13 Dec 2021
Contributed by Lukas
December 13, 2021Ray and Scott discuss the highlights of the Seminar and share some of the takeaways for each session.Urology Advanced Coding and Reim...
UCR 077: Highlights Day 1- Urology Advanced Coding and Reimbursement Seminar - Las Vegas, Dec 2021
09 Dec 2021
Contributed by Lukas
December 9, 2021Ray and Scott discuss the highlights of the Seminar and share some of the takeaways for each session.Urology Advanced Coding and Reimb...
UCR 076: Urolift ASC Payment Correction; Agenda Overview - 2022 Urology Advanced Coding and Reimbursement Seminar
01 Dec 2021
Contributed by Lukas
December 1, 2021Mark, Ray, and Scott discuss a correction to the preliminary analysis of the 2022 payment changes to the ASC payment for Urolift. Th...
UCR 075: E&M 2021 - Common Questions and Clarifications
15 Nov 2021
Contributed by Lukas
November 15, 2021Mark, 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 ...
UCR 074: CMS Final Rule 2022 - Preliminary Analysis and Summary
05 Nov 2021
Contributed by Lukas
October 22, 2021Mark presents the preliminary summary of the newly released CMS 2022 Final RuleUrology Advanced Coding and Reimbursement SeminarREGIST...
UCR 073: PHE Extension; Telehealth Update and Urology Coding Month
22 Oct 2021
Contributed by Lukas
October 22, 2021Mark, Ray, and Scott discuss the PHE, telehealth place of service update, and urology Coding Month finale.Free E&M Training - 4 Se...
UCR 072: Implantable Penile Prosthesis Questions; "Incident To" (PTNS example)
15 Oct 2021
Contributed by Lukas
October 15, 2021Mark, Ray, and Scott revisit a question from Episode 068 about an Implantable Penile Prosthesis. Also, they discuss several additional...
UCR 071: 2022 New and Revised CPT and ICD-10 Codes for Urology
12 Oct 2021
Contributed by Lukas
October 12, 2021Mark, Ray, and Scott discuss the new Urology CPT and ICD-10 Codes.Urology ResidentsCoding and Documentation for Urology ResidentsMore ...
UCR 070: Global Surgical Package and Global Days Explained
01 Oct 2021
Contributed by Lukas
October 1, 2021Ray, Mark, and Scott discuss the global surgical package and the global days. Understanding these concepts is critical to understanding...
UCR 069: Should Urologists/APPs do their own coding?
28 Sep 2021
Contributed by Lukas
September 28, 2021Ray, Mark, and Scott discuss the question: Should Urologists/APPs do their own coding? This was a recent topic in the monthly webi...
UCR 068: FAQs; Staged Procedure, IPP codes, Chordee/Hypospadias codes; QW;
21 Sep 2021
Contributed by Lukas
September 21, 2021Mark and Scott discuss questions from the Urology Coding and Reimbursement Group Question 1 (:55)I received a denial from local HMO...
UCR 067: What is your Urology Coding Score? The average denial rate of Urology claims is 17% - we can do better!
07 Sep 2021
Contributed by Lukas
September 7, 2021Ray, Mark, and Scott discuss Ray's quest of helping Urology be the best coding specialty. They discuss the free Urology Coding...
UCR 066: FAQs - Code for Renal Pelvic Washings CORRECTION; Physical Exam: necessity and documentation; Vasectomy initial visit E&M level in 2021
27 Aug 2021
Contributed by Lukas
August 27, 2021Mark, Ray, and Scott discuss questions from the Urology Coding and Reimbursement Group Question 1: 55 SecondsCORRECTION - Renal Pe...
UCR 065: FAQs - Rezum (53854) reimbursement; CPT 55866 denial; CPT 74425 when it's not billed with 50690; code for Renal Pelvic Washings
20 Aug 2021
Contributed by Lukas
August 20, 2021Mark, and Scott discuss questions from the Urology Coding and Reimbursement Group Question 1: 55 SecondsIs Rezum (53854) reimburseme...
UCR 064: RAC Audits (Recovery Audits) - What happens and how to handle it when you get an audit request
17 Aug 2021
Contributed by Lukas
August 17, 2021Ray, Mark, and Scott discuss Recovery Audits. Mark shares what you need to look for and how you need to react. He also shares some ...
UCR 063: FAQs; 51728 and 51729 differentiation, Criteria for 45990, F/U visit and provider did a PVR can use -25
09 Aug 2021
Contributed by Lukas
August 9, 2021Ray, Mark, and Scott discuss questions from the Urology Coding and Reimbursement Group Question 1: 49 SecondsWhat documentation could...
UCR 062: Physician Compensation Overview: Private Practice and Hospital System
03 Aug 2021
Contributed by Lukas
August 3, 2021Ray, Mark, and Scott welcome Larry Kemp to discuss urologist compensation and key concerns we see working directly with physician groups...
UCR 061: The Increasing Role and Billing Issues of Advanced Practice Provider (APP)
23 Jul 2021
Contributed by Lukas
July 23, 2021Ray, Mark, and Scott discuss the Advanced Practice Provider (APP) and their increasing role. Also, they discuss how the 2022 CMS Proposed...
UCR 060: 2022 CMS Proposed Rules and how they impact the Urology Practices
16 Jul 2021
Contributed by Lukas
July 16, 2021Ray, Mark, and Scott discuss the 2022 CMS Proposed Rules and how they impact the Urology Practices. Mark breaks down the proposed chan...
UCR 059: Why Bother with QPP (Quality Payment Program)?
09 Jul 2021
Contributed by Lukas
July 9, 2021Ray, Mark, and Scott try to answer the question "why bother with QPP?". Mark shares the reasons why the implementation of val...
UCR 058: PCNL Revisited; Modifier -25 and LHRH injections; Billing for Multiple Bladder Biopsies
02 Jul 2021
Contributed by Lukas
July 2, 2021Ray, Mark, and Scott welcome back Dr. John Lin to clarify PCNL coding and answer some questions from the Thriving Urology Practice faceboo...
UCR 057: Statistics and Target Metrics for Urology Practices
29 Jun 2021
Contributed by Lukas
June 29, 2021Ray, Mark, and Scott discuss some highlight statistics and metrics presented in the online course: "Important Revenue Cycle Manageme...
UCR 056: PCNL (Percutaneous Nephrolithonomy) coding; How to approach stone coding.
18 Jun 2021
Contributed by Lukas
June 18, 2021Ray, Mark, and Scott discuss PCNL coding. We have been getting more questions about PCNL coding. Mark explains PCNL coding and how yo...
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?
11 Jun 2021
Contributed by Lukas
June 11, 2021Ray, 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...
UCR 054: How to deal with providers that will not provide the documentation needed to get reimbursed
08 Jun 2021
Contributed by Lukas
June 8, 2021Ray, Mark, and Scott discuss the importance of physicians and other QHPs providing accurate documentation to communicate what they have do...
UCR 053: TURBT vs. Bladder fulguration and biopsy codes; AUACodingToday.com Bundling Matrix; Upcoming Seminars
28 May 2021
Contributed by Lukas
May 28, 2021Ray, Mark, and Scott welcome Dr. John Lin and discuss TURBT vs. Bladder fulguration and biopsy codes (52204 and 52224). The discussion i...
UCR 052: How to deal with payer's letters to physicians about E&M billing levels relative to "peers".
21 May 2021
Contributed by Lukas
May 21, 2021Ray, Mark, and Scott welcome Dr. John Lin to discuss payer's letters to physicians regarding their E&M billing levels relative to...
UCR 051: Is patient care better with clinical pathways and good coding? Why and how the pathways are impacted by coding.
17 May 2021
Contributed by Lukas
May 17, 2021Ray, Mark, and Scott discuss clinical pathways and coding and how they impact patient care. They also discuss why accurate coding and d...
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
11 May 2021
Contributed by Lukas
May 11, 2021Ray, Mark, and Scott discuss physician supervision, incident to, and IDTF (Independent Diagnostic Testing Facility), also answer questions...
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?
03 May 2021
Contributed by Lukas
May 3, 2021Ray, Mark and Scott discuss questions from the Urology Coding and Reimbursement Group FAQs [40 Seconds] Our patients bring in there own t...
UCR 048: Documentation Support for Lab Tests; Coding for Laparoscopic and Robotic Procedures
23 Apr 2021
Contributed by Lukas
April 23, 2021Ray and Scott discuss why you need to provide complete documentation for lab tests. Payers are starting to focus audits and takebacks ...
UCR 047: How Much Coding Does a Urologist Really Need to Know, and Why?
20 Apr 2021
Contributed by Lukas
April 20, 2021Ray and Scott discuss the common question from urologists "Why do I need to learn to code? I have a team that does that". Ov...
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"
12 Apr 2021
Contributed by Lukas
April 12, 2021Mark, Ray, and Scott discuss the new PRS Network series: The Optimizer. Why they decided to develop the Optimizer Series and what they...
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
03 Apr 2021
Contributed by Lukas
April 3, 2021Mark, Ray, and Scott had a question this week on whether or not you could use the bilateral modifier (-50) for code:54351 - Cystourethros...
UCR 044: Payers - using hassle factor to delay payments, what you can do
26 Mar 2021
Contributed by Lukas
March 26, 2021Mark, Ray, and Scott discuss a problem with United Health Care and payment delays for higher-priced claims (ie Provenge, Urolift). Wha...
UCR 043: FAQs - Bilateral Ureteroscopy Laser lithotripsy with stent; Urodynamics and Catheter; Cysto w/ sp Tube; Family history and risk; Documenting what was reviewed
19 Mar 2021
Contributed by Lukas
March 19, 2021Mark, Ray, and Scott discuss several questions about the new 2021 E&M rules from the Urology Coding and Reimbursement Group:Question...
UCR 042: How the New Technical Revisions to E&M 2021 Guidelines Impact Urology
12 Mar 2021
Contributed by Lukas
March 12, 2021Ray, Mark and Scott discuss technical revisions that the AMA released March 9th, 2021. The team breaks down what's different and ...
UCR 041: Deductible Season: Impacts and How to Ensure Your Practice is Prepared
08 Mar 2021
Contributed by Lukas
March 7, 2021Ray, Mark, and Scott discuss deductibles and the impact they have on urology practices. The importance of previsit planning and trainin...
UCR 040: "Incident to" billing; When to bill the 99211- Nurse Visit
27 Feb 2021
Contributed by Lukas
UCR 040: "Incident to" billing; When to bill the 99211- Nurse VisitFebruary 26, 2021Ray, Mark and Scott discuss incident to billing and when...
UCR 039: FAQs, Multiple ESWLs, 55700 with 96372, vital sign collection requirements, 99441-99443 usage, 51702 and A4344
19 Feb 2021
Contributed by Lukas
February 19, 2021Ray, Mark and Scott discuss questions from the Urology Coding and Reimbursement Group Question 1: 40 SecondsHello, one of our ph...
UCR 038: What is the Urology QHPs Role in Coding and Billing
15 Feb 2021
Contributed by Lukas
February 16, 2021Ray 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 t...
UCR 037: E&M 2021 Risk - is prostate cancer with watchful waiting a level 2,3,4 or 5?
05 Feb 2021
Contributed by Lukas
February 5, 2021Mark, 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,...
UCR 036: Why Modifier -25 is so important and how it works with the EM 2021 Rules
29 Jan 2021
Contributed by Lukas
UCR 036: Why Modifier -25 is so important and how it works with the EM 2021 RulesJanuary 29, 2021Mark, Ray, and Scott discuss Modifier -25 and how it ...
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.
15 Jan 2021
Contributed by Lukas
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? I...
UCR 034: 2021 last-minute changes, G2211 update, MRI fusion biopsy of prostate coding, and initial vs subsequent dilations
08 Jan 2021
Contributed by Lukas
UCR 034: 2021 last-minute changes, G2211 update, MRI fusion biopsy of prostate coding, and initial vs subsequent dilationsJanuary 8, 2020Mark, Ray, an...
UCR 033: Lessons Learned from the First 33 Episodes; 2021 Biggest Challenges / Opportunities
21 Dec 2020
Contributed by Lukas
Mark, Ray, and Scott talk about lessons learned from the first 33 episodes. Also, they answer the question "what do you see as the biggest chal...
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
15 Dec 2020
Contributed by Lukas
Part 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 a...
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
11 Dec 2020
Contributed by Lukas
Part 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 a...
UCR 030: Happy Thanksgiving! What we included in the agenda of the Urology Advanced Coding and Reimbursement Seminar and Why
24 Nov 2020
Contributed by Lukas
November 24, 2020Happy Thanksgiving!Mark, Ray, and Scott discuss the Urology Advanced Coding and Reimbursement Seminar Agenda. Mark explains what we...
UCR 029: As the 2nd wave of pandemic looms, what can you do in your practice if there is another shutdown or slowdown
17 Nov 2020
Contributed by Lukas
November 17, 2020Mark, Ray, and Scott discuss the 2nd wave of the pandemic and what that means to the urology practice. The first wave was dedicated ...
UCR 028: Defining Poor Business Practices and Implementing Solutions
10 Nov 2020
Contributed by Lukas
Mark, Ray, and Scott talk with Larry Kemp, FACHE about assessing your business practices, digging deep to identify the core problem, developing a road...
UCR 027: Lessons Learned from Our Workshops About the New E&M 2021 Guidelines; Vasectomy Consult - Level 2, 3, or 4? Prostate Cancer?
31 Oct 2020
Contributed by Lukas
Mark, Ray, and Scott discuss some lessons and nuances that they learned during the discussion at the recent E&M 2021 workshops. Mark shares the ...
UCR 026: PHE Extension; FAQs - Urology Coding and Reimbursement Group
21 Oct 2020
Contributed by Lukas
Mark gives an update on the status of the Public Health Emergency (PHE). Mark, Ray, and Scott discuss FAQs:Coding for a stent removal using a snare wi...
UCR 025: How the Urology Advanced Coding and Reimbursement Seminar came to be and how it looks different this year
17 Oct 2020
Contributed by Lukas
Scott and Ray discuss the Urology Advanced Coding and Reimbursement Seminar. Ray shares how it all began and why. They discuss how the Urology Advan...
UCR 024: Answers to questions asked on the PRS Community; News about advanced payment paybacks
02 Oct 2020
Contributed by Lukas
Mark, Ray, and Scott answer questions from the Urology Coding and Reimbursement group. Mark gives 1) Can urologist bill for Covid intake screenings...
UCR 023 - New ICD-10 Codes for Urology - Active October 1st, 2020
28 Sep 2020
Contributed by Lukas
Mark, Ray, and Scott discuss the new ICD-10 codes that go into effect 10/1/20. Make sure your Electronic Health Record and Practice Management Syste...
UCR 22: 3 Secrets PRS Uses to Develop Educational Products
18 Sep 2020
Contributed by Lukas
September 18, 2020Scott shares the 3 simple steps PRS uses to create the PRS education projects.We have, over the last 30 years, developed a system fo...
UCR 21: 3 ways to consider incorporating telehealth in your practice now and after the Public Health Emergency
04 Sep 2020
Contributed by Lukas
Mark provides an overview of Telehealth utility now and post Public Health Emergency. He shares 3 opportunities to explore using Telehealth, if you ...
UCR 20: FAQs - Question about D40.0, Neoplasm uncertain behavior of prostate? Modifier -57 v Modifier -25?
01 Sep 2020
Contributed by Lukas
Mark, Ray and Scott answer 3 questions from the Urology Coding and Reimbursement GroupScenario:New patient being seen via telemedicine for the first v...
UCR 19: FAQs - Can CPT code 50386 be done in the office? Can I bill CPT 55700 with 76872, 76942, 96372 & J1580?
24 Aug 2020
Contributed by Lukas
Mark, Ray and Scott answer 3 questions from the Urology Coding and Reimbursement GroupCan CPT code 50386 be done in the office? The provider wants t...
UCR 18: E&M 2021 Preparation Checklist - The 7 steps you need to take to ensure a smooth transition
14 Aug 2020
Contributed by Lukas
Mark, Ray and Scott discuss the 7 steps your practice needs to take to ensure a smooth transition to the new E&M rules in 2021.Choose a transition...
UCR 017: 2021 CMS Proposed Rules and how they impact the Urology Practices
06 Aug 2020
Contributed by Lukas
Mark outlines the proposed rule and the 8 items that will have the most impact on the Urology practice.Final rule posting late this yearConversion fac...
UCR 016: FAQs - Consultation billing? Can you bill catheters and leg bags with 51702? Auditing rules for telehealth? PCNL - 50080/81 and -52?
31 Jul 2020
Contributed by Lukas
Mark, Ray and Scott discuss answer and discuss questions asked on the Urology Coding and Reimbursement Group.Can you bill a consultation (99245) when ...
UCR 015: How do you ask the right questions to find the right solution / code?
17 Jul 2020
Contributed by Lukas
Mark, Ray and Scott discuss how to find the right codes or solutions by asking questions. The problem is that if you don't ask the right questi...
UCR 014: FAQs - Telehealth Codes for PA/NP phone only visit? 52281 and 52601 during global, bundling question.
10 Jul 2020
Contributed by Lukas
For PA and NP phone call only visits, what codes should be used? Additionally, can phone only codes be billed as incident to for established patient...
UCR 013: Kidney Stone Coding - a discussion about the CPT® and CMS rules and how they impact multiple stone billing in different locations.
01 Jul 2020
Contributed by Lukas
Mark and Ray present the current CMS and CPT rules and how those rules affect coding for multiple stones. As most are well aware, the rules are not...
UCR 012: Maximizing income and efficiency begins with the front office, learn what to look for and how to adjust. Interview with Larry Kemp, FACHE
26 Jun 2020
Contributed by Lukas
Larry talks about how teamwork is one of the most important aspects of an efficient office. Learn about one of the best ways to train your office. ...
UCR 011: The 5 most important things for Urologists to include on the home page of their website. Interview with Marketing Expert Brent Stutzman
15 Jun 2020
Contributed by Lukas
Brent shares what most Urologists are missing on their website. Do you explain what you do? Have pictures related to your practice? Have a clear c...
UCR 010: Cybersecurity: Working from home/remotely? How to protect your network and your practice from cyber attacks and breaches
02 Jun 2020
Contributed by Lukas
In this episode, Mark interviews cybersecurity expert Jeffery Daigrepont, from the Coker Group.Jeffery shares some items you should consider to protec...
UCR 009: Modifier -25
21 May 2020
Contributed by Lukas
Mark, Scott, and Ray talk modifier -25. In addition to a general overview of the definition, they give several urology specific examples.Modifier -2...
UCR 008: RVUs - Overview and How They Can Help You
14 May 2020
Contributed by Lukas
UCR 008: RVUs - Overview and How They Can Help YouMark discusses RVUs and why they are important to the urology practice. Not only are they importan...
UCR 007: Voice Recognition in Today's Practice with Brad Sclar
06 May 2020
Contributed by Lukas
UCR 007: Voice Recognition in Today's Practice with Brad SclarScott talks with voice recognition expert Brad Sclar. Learn how Brad, who has a D...
UCR 006: How Dr. John Lin is "reopening" his urology practice as the pandemic restrictions are easing
29 Apr 2020
Contributed by Lukas
UCR 006: How Dr. John Lin is "reopening" his urology practice as the pandemic restrictions are easingMark and Scott talk with Dr. John Lin, ...
UCR 005: Do you know what you are not billing?
18 Apr 2020
Contributed by Lukas
UCR 005: Do you know what you are not billing?We hope you and your families are safe and healthy.In this episode, Scott and Ray discuss two commonly o...
UCR 004: Telehealth/Telemedicine Shared Visits Clarification
13 Apr 2020
Contributed by Lukas
UCR 004: Telehealth/Telemedicine Shared Visits ClarificationWe hope you and your families are safe and healthy.In this episode, Mark clarifies the rul...
UCR 003: How to Document Telehealth/Telemedicine Visits and Comply with the New Rules
10 Apr 2020
Contributed by Lukas
UCR 003: How to Document Telehealth/Telemedicine Visits and Comply with the New RulesWe hope you and your families are safe and healthy.This crisis ...
UCR 002: Telehealth/Telemedicine: New Rules in the Wake of the Coronavirus
02 Apr 2020
Contributed by Lukas
UCR 002: Telehealth/Telemedicine: New Rules in the Wake of the CoronavirusThis episode focuses on the new Telemedicine / Telehealth rules. With the ...
UCR 001: Welcome to the Urology Coding and Reimbursement Podcast!
25 Mar 2020
Contributed by Lukas
UCR 001: Welcome to the Urology Coding and Reimbursement Podcast!Urologists and urology practice staff: Administrators, APPs, Billers and Coders Unite...