Mark Painter, Scott Painter and Dr. Ray Painter

Urology Coding and Reimbursement Podcast

Health EN ↓ 294 episodes

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, collection...

Author

Mark Painter, Scott Painter and Dr. Ray Painter

Episodes

UCR 144: Observations from the 2023 AUA Annual Meeting and a quick update on the implications of the PHE ending 05.05.2023 30:36

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 update on the implications of the PHE ending. PRS Network Monthly Webinar Series Recordings: Maximizing Income and Efficiencies for Urology Practices Register for Entire Webinar Series - Free* Registration Now Open: Urology Advanced Coding and Reimbur...

UCR 143: Coding for Urology Drug Instillation: Jelmyto, Mitomycin, BCG 27.04.2023 24:50

April 28, 2023 Mark, Ray, and Scott talk about coding for urology drug installation. They use coding for Jelmyto, Mitomycin, BCG as examples. Jelmyto Billing and Coding Guide Click here to download Registration Now Open: Urology Advanced Coding and Reimbursement Seminar Click Here to Register Now Las Vegas, December 1&2, 2023 8 am - 4:30 pm Friday, 8 am - 3:30 pm Saturday Reserve your sp...

UCR 142: Adopting New Technology and Getting Reimbursed 21.04.2023 24:49

April 21, 2023 Mark, Ray, and Scott talk about Reimbursement for New technology. With the 2023 AUA Annual meeting in Chicago coming up they thought it would be a good time to discuss this topic. Companies often use the AUA meeting to introduce new medical devices, new drugs, and other new medical technology. Registration Now Open: Urology Advanced Coding and Reimbursement Seminar Click Here t...

UCR 141: Optilume coding update; robotic prostatectomy questions: can bill with urethral suspension? If performing with 38571 (BPLND) should you bill the S2900? 14.04.2023 20:27

April 14, 2023 Mark, Ray, and Scott revisit coding for Optilume and provide an update, and also discuss two questions about robotic prostatectomy coding. Can you share your thoughts on billing 51990 & 55866? I saw your post in 2018 however wanted to see if you have the same stance in regards to not billing 51990 when performed without incontinence. When coding a robotic radical prostatectom...

UCR 140: Integrated Practice Wide RCM - Part 1: Pre-service work 07.04.2023 33:15

April 7, 2023 Larry 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 series. In the episode, Larry offers his expert insights on what you need to do to make your Pre-service Work effective and efficient. Schedule a Call with Mark and/or Larry Click the link to select the date and time below: https://calendly.com/prsnetwo...

UCR 139: FAQs - Coding for OPTILUME, antegrade ureteroscopy code, and correct coding for torsion/orchiopexy with laterality modifiers 31.03.2023 29:09

Available March 31, 2023 Mark, Ray, and Scott discuss FAQs: What codes should we capture for OPTILUME? 52276 w/0499T? Or should we be looking at something else? For an antegrade ureteroscopy done via an established nephrostomy- would you recommend coding 50951 or an unlisted 53899? When coding for torsion, is the proper coding of px captured with cpt code 54600, if torsion is repaired? Late...

UCR 138: FAQs - Interposition of peritoneal flaps code, HIPAA compliant telehealth platform PHE deadline, and coding for PVR with no bladder scan 24.03.2023 22:04

March 24, 2023 Mark, Ray, and Scott discuss FAQs: Would you consider interposition of peritoneal flaps separately billable with a Prostatectomy/lymphadenectomy? “The peritoneum at the dome of the bladder was folded over itself and anchored to the front sides of the bladder”. There is no guidance out there that I can find for coding, other than studies that show it is more of a prophylactic pro...

UCR 137: When your coder and EMR disagree, what do you do? 17.03.2023 23:14

March 17, 2023 Ray and Scott discuss a question that came into the PRS Community: When your coder and EMR disagree, what do you do? Join The Urology Coding Compliance and Education Network and get started today! Pricing and More Information The Thriving Urology Practice Facebook Group https://www.facebook.com/groups/ThrivingPractice Join the discussion: Urology Coding and Reimbursement G...

UCR 136: Prehab clinic coding (PT/Dietician before surgery), straight catheter billing - 51701 v P9612? 10.03.2023 26:25

March 10, 2023 Mark, Ray, and Scott discuss questions that came into the PRS Community. We want to do a prehab clinic for patients to improve conditions before surgery. They would be using a PT/Dietician to help improve post op complications. The reason we are contacting you is we are trying to find out the best coding scenario for this. What would you suggest regarding CPT/DX? Would we be able...

UCR 135: Crosswalk comparisons when billing unlisted codes, group visit coding 03.03.2023 21:24

March 3, 2023 Mark, Ray, and Scott discuss questions that came into the PRS Community. Do you have any suggestions for CPT code for the penis stuck in the foreign object /plastic bottle on penis/per op repor "tonge depressor w KY jelly placed under mouth of the botle dorsal aspect of penis, cast cutter utilized to make two adjacentcuts in mouth of bottle" Should I bill for unlisted 558...

UCR 134: PCNL clarification - revisited, coding laparoscopic nephrectomy with bladder cuff, and retrograde pyelogram with stent exchanges/ureteroscopic coding 24.02.2023 31:06

February 24, 2023 Mark, Ray, and Scott discuss questions that came into the PRS Community. I listened to the most recent podcast episode regarding the updated PCNL codes and I'm still confused on why we can't bill 50436 or 50437 with 50080/50081? Dilation was deleted from the code description and I attended an AUA webinar in Dec 2022 that said the dilation could be reported separately...

UCR 133: Telehealth in 2023 - Best Practices and Lessons Learned with Dr. John Lin 17.02.2023 52:58

February 17, 2023 Mark, Ray, and Scott welcome back Dr. John Lin to discuss telehealth in 2023 and learn about the new changes. Dr. John Lin shares his best practices based learned from over 4000 audio and video telehealth encounters. The telehealth platform that Dr. John Lin uses: https://doxy.me/ Get The Urology Plan - Documentation, Coding, and Billing Compliance and start today! Pricing and...

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? 10.02.2023 35:38

February 10, 2023 Mark, Ray, and Scott discuss questions and current topics. "Good afternoon, Our practice has a lot of mid-level physicians. The question has arose about “direct' supervision and provider being immediately available. I provided the below- How does Medicare define direct physician supervision? Direct supervision: The physician or AP providing supervision must be “imm...

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 03.02.2023 24:10

February 3, 2023 Mark, Ray, and Scott discuss questions and current topics. CODE 50081 - Our providers are interpreting the use of imaging guidance i.e. fluoroscopy to create the tract and imaging guidance to remove the stones. Not for the imaging to position of the neph tube at the end of the case - Can you confirm? Establishing access with PCNL procedure was discussed and CPT codes 50436/504...

UCR 130: What should a Urology Documentation, Coding, and Billing Plan include, and how to implement a plan efficiently and cost-effectively [Part 2] 19.01.2023 36:33

January 20, 2023 Ray, Mark, and Scott discuss what a Urology Documentation, Coding, and Billing Plan should include and what PRS has put together for you to efficiently and cost-effectively implement a plan. Purchase the PRS Urology Documentation, Coding, and Billing Plan and start implementing it today! Pricing and More Information The Thriving Urology Practice Facebook Group https://www.face...

UCR 129: Why Having a Urology Documentation, Coding, and Billing Plan is so important 13.01.2023 34:30

January 13, 2023 Ray and Scott discuss the top 3 reasons why you should have a good documentation, coding, and billing plan: 1) money 2) time 3) peace of mind The Thriving Urology Practice Facebook Group https://www.facebook.com/groups/ThrivingPractice Dr. John Lin's interview with Dr. Sarabeth Martin https://youtu.be/_N2NfWBiAqA Urology Advanced Coding and Reimbursement Semin...

UCR 128: How the new law impacts urology reimbursement in 2023; Modifier 25 - "unrelated to the decision to perform procedure" discussion 06.01.2023 23:57

January 6, 2023 Mark, Ray, and Scott discuss the new law's impact on urology. CMS released updated national Medicare physician payment files that incorporate the changes in the Consolidated Appropriations Act of 2023. Specifically, Congress reduced the 4.5% cut to Medicare physician payment by increasing the 2023 conversion factor by 2.5%. The updated 2023 Medicare physician payment schedul...

UCR 127: Physician Compensation Plan - 2023 Overview with Larry Kemp 22.12.2022 40:41

December 23, 2022 Mark, Ray, and Scott welcome Larry Kemp, FACHE to discuss compensation plans and how to approach in 2023. Want to talk with Larry Kemp, FACHE? Please email us at info@prsnetwork.com Urology Advanced Coding and Reimbursement Seminar - Registration Open New Orleans, LA - January 27-28, 2023 Register Now Please submit scenarios you would like us to cover to info@prsnetwork.com...

UCR 126: Important takeaways from the Las Vegas Seminar - December 2022 16.12.2022 21:19

December 16, 2022 Ray and Scott discuss some highlights from the Urology Advanced Coding and Reimbursement Seminar. They revisit the 2023 changes impacting urology, talk about the importance of coding and billing being a "team sport", and why the attendee interaction is so important. Urology Advanced Coding and Reimbursement Seminar - Registration Open New Orleans, LA - January 27-28,...

UCR 125: Ambulatory Surgery Centers in Urology - Discussion with ASC expert Chris Setzler 09.12.2022 32:24

December 1, 2022 Mark, Ray, and Scott welcome Ambulatory Surgery Center expert Chris Setzler and discuss ASCs in Urology. Chris shares insights from lessons learned in Urology ASC build-outs. Want to contact Chris Setzler? Please send us an email: info@prsnetwork.com Urology Advanced Coding and Reimbursement Seminar - Registration Open New Orleans, LA - January 27-28, 2023 Register Now Ple...

UCR 124: Live from the Urology Advanced Coding and Reimbursement Seminar, what we are excited about the two-day event 02.12.2022 23:28

December 1, 2022 Mark, Ray, Scott, and Dr. John Lin discuss why they are excited about the Urology Advanced Coding and Reimbursement Seminar in Las Vegas - December 2 and 3, 2022. Urology Advanced Coding and Reimbursement Seminar - Registration Open New Orleans, LA - January 27-28, 2023 Register Now Please submit scenarios you would like us to cover to info@prsnetwork.com Compliance Plans Questi...

UCR 123: Thanksgiving episode; can you get paid for E&M for groin dissection counseling during penectomy global? 25.11.2022 13:19

Available November 25, 2022 Mark, Ray, and Scott wish all a Happy Thanksgiving and answer a question about getting paid for E&M for groin dissection counseling during a penectomy global. How does one code this: I performed a penectomy now the patient is in the global period but I would like to counsel and set up for a groin dissection. Is the counseling for the groin dissection within the glo...

UCR 122: PCNL coding question; how to code it today and how it will change in 2023 18.11.2022 23:45

November 18, 2022 Mark, Ray, and Scott discuss a PCNL question and how it should be coded under today's rules, and how this will change based on the new description revisions of the PCNL codes for 2023. Urology Advanced Coding and Reimbursement Seminar - Registration Open Las Vegas, NV - December 2-3, 2022 New Orleans, LA - January 27-28, 2023 Register Now Please submit scenarios you would...

UCR 121: CMS Final Rule 2023 - Analysis and Summary 10.11.2022 25:34

November 11, 2022 Mark presents the summary of the newly released CMS 2023 Final Rule. Urology Advanced Coding and Reimbursement Seminar - Registration Open Las Vegas, NV - December 2-3, 2022 New Orleans, LA - January 27-28, 2023 Register Now Please submit scenarios you would like us to cover to info@prsnetwork.com Compliance Plans Questions or need help, please send us an email: info@prsnetwork...

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 04.11.2022 24:24

November 4, 2022 Mark and Scott discuss the Day 2 agenda for the Urology Coding and Reimbursement Seminar what we included and why it's important right now. Urology Advanced Coding and Reimbursement Seminar Day 2 Agenda 8:00 AM – Urology Coding Workshop: real-world scenarios, common complicated coding examples 10:15 AM – Urology Coding Workshop: E/M, Telehealth and New Technology scenarios,...