Urology Coding and Reimbursement Podcast

Mark, Ray and Scott answer 3 questions from the Urology Coding and Reimbursement Group Can CPT code 50386 be done in the office?  The provider wants to remove the stents without cysto  whenever possible as he says it is more comfortable for the pt and less risk of infection.   Does this still need ultrasound guidance to do in the office?  Haven't done one of these before in the office.    Ple...

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 captain  Update Compliance Plan  Train the team Update Processes  EHR Template Update, Testing and Training  Estimate Financial Impact  Schedule Ongoing Training and Review Upcoming E&M 2021 Live Online Workshops Learn More Dates (all times Eas...

Mark outlines the proposed rule and the 8 items that will have the most impact on the Urology practice. Final rule posting late this year Conversion factor decreasing by 10.6% E&M 2021 changes being adopted and will include increased RVUs for the E&M codes RVUs for non-facility codes increasing enough to offset conversion factor decrease RVUs for facility procedures are all decreasing ASC...

Mark, Ray and Scott discuss answer and discuss questions asked on the Urology Coding and Reimbursement Group. Can you bill a consultation (99245) when one of our providers is sending his pt to another provider in the same group to discuss doing a RALP.  Ins  plan UMR/UHC.   I don't think you can since they are under the same Tax ID #.   The provider that did the consult says you can for a non...

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 questions you may get the wrong solution.   Often times in coding and reimbursement the answers are not clear.  There is a lot of "gray" and involves finding the right solution based on all the information you have.

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 patients? Good morning!  Can 52281 needing to be performed during global period of 52601 because of developed N35.811 meatal stenosis and increased self- catherizations be billed with a modifier? I am looking and the EncoderPro.com service I have through my...

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 always black and white and in this instance, the rules leave plenty of room for interpretation.  Mark and Ray present the current rules and lay out a case for a fair interpretation based on work performed.

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.  Larry has helped many urology practices and over the years developed and tested systems and strategies to help practices of all sizes. 

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 call to action?  Learn some simple changes you can make to your website to help attract your ideal patient. Should you have video on your website?  How important are testimonials?  Get the answers to all these questions and more as Brent discusses what&...

In this episode, Mark interviews cybersecurity expert Jeffery Daigrepont, from the Coker Group . Jeffery shares some items you should consider to protect your practice.  Did you realize that one of the most important tools is cybersecurity insurance and most out of the box policies don't cover a common cyber breach potential? Also, most practices don't know that many breaches occur becau...

Mark, Scott, and Ray talk modifier -25.  In addition to a general overview of the definition, they give several urology specific examples. Modifier -25 definition: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service: It may be necessary to indicate that on the day a procedure or service identified by a CPT c...

UCR 008: RVUs - Overview and How They Can Help You Mark discusses RVUs and why they are important to the urology practice.  Not only are they important for reimbursement but they can also be used as a tool to assess practice productivity and efficiency. Learn why not understanding the RVU basics could be costing you in many aspects of your practice.  

UCR 007: Voice Recognition in Today's Practice with Brad Sclar Scott talks with voice recognition expert Brad Sclar.  Learn how Brad, who has a Doctorate of Musical Arts, got involved with healthcare. Find out if voice recognition belongs in today's practice.  Why the dictation software and algorithms on your phone and computer just don't cut it in the medical profession. Questions...

UCR 006: How Dr. John Lin is "reopening" his urology practice as the pandemic restrictions are easing Mark and Scott talk with Dr. John Lin, a solo practitioner from Gilbert, AZ in the Phoenix metropolitan area.  Dr. Lin shares his strategies and the steps he is taking to "reopen" his practice. Find out if he sees telehealth in his practice moving forward and if there are any e...

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 overlooked billing mistakes that cost urology practices money.  You can't find this on any report but yet it occurs in all practices unless you have the right system. Ray outlines the simple but effective way to identify procedures performed, t...

UCR 004: Telehealth/Telemedicine Shared Visits Clarification We hope you and your families are safe and healthy. In this episode, Mark clarifies the rules associated with Telehealth/Telemedicine shared visits.  We have been getting questions regarding shared visits.  Mark answered a question on the recent webinar and his answer sparked additional discussions on this topic. Join the discussion: Uro...

UCR 003:   How to Document Telehealth/Telemedicine Visits and Comply with the New Rules We hope you and your families are safe and healthy. This crisis has impacted us all in many ways. We are all in this together and we want to help. Are you overwhelmed with all the new Telehealth/Telemedicine changes? This is a replay of a webinar that aired Thursday, April 10th, 2020.  Mark outlined how to prop...

UCR 002: Telehealth/Telemedicine: New Rules in the Wake of the Coronavirus This episode focuses on the new Telemedicine / Telehealth rules.  With the quickly changing Telemedicine / Telehealth rules, due to the coronavirus pandemic, it is hard to keep up with the changes.  Mark Painter breaks down the latest guidelines and rules and explains what urology practices need to know. Telemedicine techno...

UCR 001: Welcome to the Urology Coding and Reimbursement Podcast! Urologists and urology practice staff: Administrators, APPs, Billers and Coders Unite!  Your cohosts, Mark, Scott and Dr. Ray Painter are on a mission to 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.  Get your questions answered and lear...