Shows
Urology Coding and Reimbursement PodcastUCR 248: Coding for BPH and Bladder Stones in One Surgery, Tips for New Urology Coders, and a Telehealth Legislative UpdateJune 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 stands.Patient with BPH and bladder stones. When treating both the BPH (N40.0) and bladder stones (N21.0) during the same surgery, is it appropriate to bill both 52649 {Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete…….)} & 52317 and/or 52318 [Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; …..]. There are no CCI edits in Coding today, so it appears...2025-06-2028 minUrology Coding and Reimbursement PodcastUCR 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)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 revisit a question covered in Episode #234: billing for amniotic tissue grafts during prostatectomy procedures, outlining strategies to address denials effectively.PRS Coding and Reimbursement HubAccess the HubJelmyto Coding and Reimbursement PageUpper Track Urothelial Cancer (UTUC) Coding and Reimbursement PageFree Kidney Stone Coding Calculator2025-06-1230 minUrology Coding and Reimbursement PodcastUCR 246: ER Consult for ED, Increasing Upfront Patient Collections, Billing for PAE Conscious Sedation, and Can You Bill Extra If It Sucks?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 Group.1) Just got a call from ER. 19 year-old cannot get an erection...2) This notice came from the hospital last week regarding change in financial protocol about scheduled / elective surgical procedures.Increased Patient Responsibility:As is customary in the Phoenix market and in-line with other providers, we will move the down payment requirement to 50%. We will be increasing the required patient payment for d...2025-06-0655 minUrology Coding and Reimbursement PodcastUCR 245: Prostate Biopsy Code Overhaul, E/M with 51798 Modifier Recommendations, and Coding Robotic VasectomiesMay 30, 2025 In this episode, Mark and Scott address upcoming significant changes to the prostate biopsy codes and provide guidance on correctly applying modifiers 25 and 59 when billing procedure 51798 and an E/M service. They also discuss coding considerations for the emerging practice of robotic-assisted vasectomies.PRS Coding and Reimbursement HubAccess the HubJelmyto Coding and Reimbursement PageUpper Track Urothelial Cancer (UTUC) Coding and Reimbursement PageFree Kidney Stone Coding Calculator2025-05-3020 minUrology Coding and Reimbursement PodcastUCR 237: Who Can Provide Billable Biofeedback Services, and Can These Services Be Billed Under Incident-to Rules?April 4, 2025 Scott and Mark discuss who can perform biofeedback services, clarify billing requirements, and explore practical scenarios involving incident-to billing. Mark and Scott break down key Medicare guidelines, share best practices for documentation, and offer tips for optimizing biofeedback delivery within your urology practice.Free Kidney Stone Coding CalculatorDownload NowPRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a Quote...2025-04-0416 minUrology Coding and Reimbursement PodcastUCR 224: End-of-Year Update: the American Relief Act - Conversion Factor Not Addressed, Telehealth ExtendedDecember 27, 2024 Mark and Scott discuss the American Relief Act and the impact it will have on urology practices. Urology Advanced Coding and Reimbursement Seminar - New Orleans, LARegister Now for the Urology Advanced Coding and Reimbursement SeminarClick Here for Information and RegistrationEvent DetailsLocation:New Orleans: January 31-February 1, 2025, at Harrah'sTime: Friday 8 am - 4 pm, Saturday 8 am - 3:30 pmIncludes: Breakfast and Lunch on...2024-12-2710 minUrology Coding and Reimbursement PodcastUCR 223: United Healthcare Had an Issue with our Episode 212 - Why and a Recap of What We CoveredDecember 20, 2024 Ray, Mark, and Scott welcome back Dr. John Lin to discuss Episode 212 which United Healthcare asked us to take down. Urology Advanced Coding and Reimbursement Seminar - New Orleans, LARegister Now for the Urology Advanced Coding and Reimbursement SeminarClick Here for Information and RegistrationEvent DetailsLocation:New Orleans: January 31-February 1, 2025, at Harrah'sTime: Friday 8 am - 4 pm, Saturday 8 am - 3:30 pmIncludes: Br...2024-12-2046 minUrology Coding and Reimbursement PodcastUCR 222: Top Takeaways from the Urology Advanced Coding and Reimbursement Seminar - Dec 6-7, 2024December 13, 2024 Ray, Mark, and Scott discuss the top takeaways from the Urology Advanced Coding and Reimbursement Seminar in Las Vegas, Dec 6-7, 2024Urology Advanced Coding and Reimbursement Seminar - New Orleans, LARegister Now for the Urology Advanced Coding and Reimbursement SeminarClick Here for Information and RegistrationEvent DetailsLocation:New Orleans: January 31-February 1, 2025, at Harrah'sTime: Friday 8 am - 4 pm, Saturday 8 am - 3:30 pmIncludes2024-12-1317 minUrology Coding and Reimbursement PodcastUCR 221: FAQs - Bladder stone fragment, and basket coding; can you substitute 52601 for 0421T?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 was fragmented by basket and removed, can we bill CPT 52317 or 52310.Thank you so much!Is it ok to bill CPT 52601 if CPT 0421T denied (for example, Experimental)The provider performed the procedure, what is your suggestion?I really appreciate your help and clarification! PRS Billing and Other Services - Book a Call with Mark Painter or 2024-11-2217 minUrology Coding and Reimbursement PodcastUCR 220: 2025 CMS Final Rule Part 2 - TelehealthNovember 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 - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a QuoteUrology Advanced Coding and Reimbursement Seminars - In-Person SeminarsRegister Now for the Urology Advanced Coding and Reimbursement SeminarClick Here for Information and RegistrationEvent Details...2024-11-1532 minUrology Coding and Reimbursement PodcastUCR 219: 2025 CMS Final Rule Part 1 - Conversion factor, negatively impacted procedures, and the post-operative globalNovember 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 - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a QuoteUrology Advanced Coding and Reimbursement Seminars - In-Person SeminarsRegister Now for the Urology Advanced Coding and Reimbursement SeminarClick Here for Information and RegistrationEvent Details...2024-11-0836 minUrology Coding and Reimbursement PodcastUCR 217: Understanding split shared visits and incident to billingUCR 217: Split shared and incident to visitsOctober 25, 2024 Ray, Mark, and Scott talk about split shared and incident to visits.PRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a QuoteUrology Advanced Coding and Reimbursement Seminars - In-Person SeminarsRegister Now for the Urology Advanced Coding and Reimbursement SeminarClick Here for In...2024-10-2624 minUrology Coding and Reimbursement PodcastUCR 216: Breaking Down the Top 3 ICD-10 Challenges of 2024October 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 or Marianne DescioseClick Here to Get More Information and Request a QuoteUrology Advanced Coding and Reimbursement Seminars - In-Person SeminarsRegister Now for the Urology Advanced Coding and Reimbursement SeminarClick Here for Information and RegistrationEvent DetailsLocation:La...2024-10-2026 minUrology Coding and Reimbursement PodcastUCR 215: Preparing for 2025 - Urology Advanced Coding and Reimbursement Seminar Discussion and AgendaOctober 11, 2024 Ray, Mark, and Scott discuss the upcoming Urology Advanced Coding and Reimbursement Seminar, why you should attend, and the agenda for the upcoming seminars.PRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a QuoteUrology Advanced Coding and Reimbursement Seminars - In-Person SeminarsRegister Now for the Urology Advanced Coding and Reimbursement SeminarClick Here for Information and Registration...2024-10-1128 minUrology Coding and Reimbursement PodcastUCR 214: Telehealth update, downcoding of claims, and level 5 E/M services in urologyOctober 4, 2024 Ray, Mark, and Scott talk about the Telehealth status, payer down coding, and level 5 E/M services in urologyUrology Coding and Billing Certification Course for Coders, Billers, and AdminsUse code: DCBSE24 for a special price through October 7th, 2024. Now is the best time to invest in training.Click to RegisterPRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Info...2024-10-0426 min
The Industrial Talk Podcast NetworkMark Kraeling with Wabtec CorporationIndustrial Talk is onsite at IoT Solutions World Congress and talking to Mark Kraeling, Solutions Architect at Wabtec Corporation about "Achieving sustainable solutions in transportation with data!".
Scott MacKenzie and Mark Kraeling discuss the evolution of the IoT Solutions World Congress, highlighting its shift towards sustainability and environmental impact. Mark, a solutions architect at Wabtech, emphasizes the company's role in optimizing rail transportation, which moves 40% of U.S. freight while accounting for less than 2% of transportation-related greenhouse gases. Wabtech's products, like Port Optimizer, enhance logistics by coordinating ship and train schedules. The conversation underscores the efficiency of rail over truck t...2024-08-2317 minUrology Coding and Reimbursement PodcastUCR 206: 2025 Proposed CMS Rules - What Urologists Need to KnowAugust 9, 2024Mark and Scott discuss the 2025 Proposed CMS Rules. PRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a QuoteUrology Advanced Coding and Reimbursement Seminars - In-Person SeminarsRegister Now for the Urology Advanced Coding and Reimbursement SeminarSpecial Early Bird code: 25UACRS732 Click Here for Information and RegistrationEvent Deta...2024-08-0925 minUrology Coding and Reimbursement PodcastUCR 198: FAQs - Penile shockwave therapy billing; cystoscopy risk MDM, post-vasectomy semen analysis, and Trimix codingJune 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 shockwave therapy, which we currently provide as a cash service? Specifically, do we have to use the Category 3 code when billing Medicare patients, even though there is no payment associated with it, and can we continue collecting cash without making it a Medicare billable service?Is cystoscopy a moderate risk (level 4) procedure for medical decision making purposes absent other risk factors? Does it matter for MDM risk what d...2024-06-0731 minUrology Coding and Reimbursement PodcastUCR 197: Current Urology RCM Challenges (June 2024) -A Conversation with Marianne DesoiseMay 31, 2024Mark and Scott welcome Marianne Desciose to discuss what are the biggest issues right now in RCM. Urology Advanced Coding and Reimbursement VIRTUAL SEMINARRegister Now for the Urology Advanced Codingand Reimbursement Virtual SeminarJoin us on July 27th, 2024, for a live Zoom meeting from 9:30 am to 1:30 pm EST, and master the latest in urology coding and reimbursement with ease.Special Early Bird Discount Code: 24UACRVE7Click Here for In...2024-05-3142 minUrology Coding and Reimbursement PodcastUCR 194: FAQs - MRI fusion biopsy update; physician onsite for pessary, urodynamics, biofeedback; and NCCI bundle, can you bill higher wRVU?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 with the below questions. Pessary Insertion – does it require a physician to be onsite? What about Pessary cleaning?Urodynamics – we know that Medicare requires a physician to be onsite, does this also apply to commercial payers?Biofeedback - we know that Medicare requires a physician to be onsite, does this also apply to commercial payers?Hi, a question regarding NCCI edit pls. When unbundling is not allowed between two C...2024-05-1024 minUrology Coding and Reimbursement PodcastUCR 193: PRS and the AUA Annual MeetingApril 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 Urologists and Urology APPsDocumentation for Reimbursement Challenge for Urologists Use Special Discount Code:DRC5624 and Save 36% Documentation for Coding and Reimbursement for APPs Use Special Discount Code: DCRA5624 and Save 36%Certification for Urology CodersDocumentation, Coding, and Billing Certification Course for Uro...2024-04-3023 minUrology Coding and Reimbursement PodcastUCR 192: Payer Communication - reporting services that are not payable during a global periodApril 19, 2024Ray, Mark, and Scott discuss the nuances of communicating with payers and clearinghouses during the post-operative global period. New Courses Available for Urologists and Urology APPsDocumentation for Reimbursement Challenge for Urologists Use Special Discount Code:DRC5624 and Save 36% Documentation for Coding and Reimbursement for APPs Use Special Discount Code: DCRA5624 and Save 36%Certification for Urology CodersDocumentation, Coding, and Billing Certification Course for Urology C...2024-04-2216 minUrology Coding and Reimbursement PodcastUCR 191: FAQs - G2211 age restrictions; void trial fail coding; gemcitabine instillation coding; and scrotoplasty simple v. complicatedApril 12, 2024Mark and Scott discuss questions that have come into the PRS communities:Hi is there any documentation, regarding the age limit for G2211 or 99459?Our MD think that they only apply to patients over 65 years old. Is this true or is there documentation stating we can use them on patients under 65 years old. If a patient fails a Trial of void, and a catheter is placed, would the 51700 be coded or just 51702? Should it matter if pass its fail? The service was still performed. And the 51702 is a component of...2024-04-1223 minUrology Coding and Reimbursement PodcastUCR 182: Clarifying Split or Shared Visits February 9, 2024Ray, Mark, and Scott discuss questions that came in about split or shared Visits.Our questions are: When our doctors cover hospital patients, we often have Physician Assistants in the hospital rounding on new and follow up patients. Recently there is an Incident-to policy change, but I don’t think that applies to the hospital PAs since hospital charges cannot be billed incident-to. Regardless, what do you think of the following:Are our physicians able to bill for those visits at 100 percent?If yes, could they still bill...2024-02-0926 minUrology Coding and Reimbursement PodcastUCR 181: FAQs - Hospital E/M Codes, Ureteroneocystostomy coding, and Pelvis Exam ClarificationFebruary 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 during the seminar but still not sure of the correct answer. For an initial hospital consultation, I have been using 99223 and generally 99232 for follow up visits. Is this correct.Seeking clarification for the best way to code:Ureteroneocystostomy; anastomosis of single ureter to bladder with vesico-psoas hitch--Robotic approachis it an unlisted code or 50948? Thank you in advance :)I've received several questions recently on whether or not certain...2024-02-0126 min
Empowered AFClient Journey: How to Kick Ass, Take Responsibility and Own Your Shit with Scott SuazoGet the Rules of Engagement For When She’s Cheating, Says She Doesn’t Love You, or Filed for Divorce - https://training.empoweredman.co/30dvslyt?el=podcastJoin the Empowered Man 5-Day Challenge! - https://www.empoweredman.co/5d-challenge?el=podcastIn this episode, Mark is joined by Scott Suazo and they discuss the powerful concept of kicking ass, taking responsibility, and owning your actions. Scott, a military officer, shares his journey in understanding and implementing responsibility in his life. The conversation highlights the importance of communication, the impact of past experiences on relationships, and...2023-11-0727 minUrology Coding and Reimbursement PodcastUCR 169: Integrated Practice Wide RCM, Part - 3: Key Practice Indicators, Data, Analytics, Trends and ImplementingNovember 3, 2023 Mark and Scott welcome back Larry Kemp, FACHE to continue the discussion on Integrated Practice Wide RCM. Mark Painter and PRS ConsultingSchedule a call with Mark Painter or Larry Kemp / PRS ConsultingUrology Documentation, Coding, and Billing CertificationFor Urologists and APPs (Click Here for Pricing, More Information, and Registration)Documentation, Coding, and Billing Fellowship - Urology (DCB-FS) For Coders, Billers, and Adm...2023-11-0235 minUrology Coding and Reimbursement PodcastUCR 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?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 I bill for a modifier- 25 if the E&M service was provided in the procedure room where the patient had a cystoscopy?BCBS is not paying N52.9 for office visit E&M. What is the replacement code? Mark Painter and PRS ConsultingSchedule a call with Mark Painter / PRS ConsultingUrology Doc...2023-10-2650 minUrology Coding and Reimbursement PodcastUCR 167: Incident To - additional clarification; Not prescribed by a physician denialOctober 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.A. that I hired. What is the modifier for billing "incident to" or what is the mechanism for billing "incident to?" thank you This is in regards to Optilume, cat III code 0499T. I know there will be a cat I code of 52284 that will take effect 1/1/2024, so we sent one claim in with the cat III code of 0499T. Medicare denied it and the claim adjustment code give...2023-10-2023 minUrology Coding and Reimbursement PodcastUCR 166: Incident To - billing injections; Coding debridement of Fournier's gangreneOctober 13, 2023 Ray, Mark, and Scott discuss questions from the Urology Coding and Reimbursement Group.Are injections like Lupron and Prolia and the administration given by an advanced practice provider subject to the 85% reimbursement or are these reimbursed at 100% even if given by a nurse practitioner?Are 11006 and 97606 appropriate here for wound vac?OPERATION: Debridement of Fournier's gangrene.DRAINS: Wound VAC, 16-French Foley catheter.OPERATIVE TECHNIQUE: The patient was brought into the operating room, placed in supine position on the operating room table. After administration of IV a...2023-10-1326 minUrology Coding and Reimbursement PodcastUCR 165: Takeaways from recent national and regional Urology meetingsOctober 6, 2023 Ray, Mark, and Scott discuss important topics from recently attended national and regional Urology meetings.Mark Painter and PRS ConsultingSchedule a call with Mark Painter / PRS ConsultingUrology Documentation, Coding, and Billing CertificationFor Urologists and APPs (Click Here for Pricing, More Information, and Registration)Documentation, Coding, and Billing Fellowship - Urology (DCB-FS) For Coders, Billers, and Admins (Click Here for Pr...2023-10-0620 minUrology Coding and Reimbursement PodcastUCR 164: FAQs - Coding for insertion of an Estring; Trimix billing, what codes should you use?September 29, 2023 Ray, Mark, and Scott discuss questions that came into the Urology Coding and Reimbursement Group:I'm trying to verify the correct CPT code for insertion of an Estring to treat vaginal chagnes in menopause. AAPC has two different answers, but they are almost 20 years apart! I'm looking at CPT 57160 and 57170. 57160 is insertion of pessary OR other intravaginal support device. 57170 is diaphragm or cervical cap fitting with instruction. In the AAPC post that is most recent (9/10/21) they said to use 57170 for the Estring. If 57170 is mostly to prevent pregnancy, I can't see h...2023-10-0521 minUrology Coding and Reimbursement PodcastUCR 163: FAQs - Hiring Certified Coders; Removal of foley, nurse visit or bladder irrigation? "Modifier Required"; Assistant Surgeon - preop / interop consult?September 22, 2023 Ray, Mark, and Scott discuss questions that came into the Urology Coding and Reimbursement Group:We are looking to hire a certified coder. We are open to the position being remote if the candidate has urology experience. If you know anyone interested, please send them my way. Also, feel free to email me your resume or if you have any questions.Patient has a nurse visit for removal of a foley catheter that was placed during a procedure with a 00-day global (i.e TURBT). Visit was 2 days after surgery. Documentation b...2023-09-2227 minUrology Coding and Reimbursement PodcastUCR 162: Targeted Probe and Educate (TPE) and Recovery Audit Contractor (RAC) AuditsSeptember 15, 2023 Ray, Mark, and Scott discuss what Targeted Probe and Educate (TPE) and Recovery Audit Contractor (RAC) Audits are and how they are different.Mark Painter and PRS ConsultingSchedule a call with Mark Painter / PRS ConsultingUrology Documentation, Coding, and Billing CertificationFor Urologists and APPs (Click Here for Pricing, More Information, and Registration)Documentation, Coding, and Billing Fellowship - Urology (DCB-FS) For Co...2023-09-1537 minUrology Coding and Reimbursement PodcastUCR 161: Shared split visit clarification and new rules; "Procedure to Provider" edits, PCR code denialsSeptember 8, 2023 Ray, Mark, and Scott discuss questions that came into the Urology Coding and Reimbursement Group:We use shared visits to facilitate our inpatient consultations. Typically our APP will perform history and exam, and the physician will perform the elements of the MDM. Our coders are having a controversy as to if this is acceptable for using FS modifier stating shared visits have to be based on time and feel should be billed as the APP doing the substantive work. Our understanding is that those changes (time based only) were delayed until 2024, s...2023-09-0830 minUrology Coding and Reimbursement PodcastUCR 160: Exploring the Impact of ModMed: A Conversation with Dr. Eric TygenhofSeptember 1, 2023 Ray, Mark, and Scott welcome special guest Dr. Eric Tygenhof to talk about his experience switching to and using ModMed in his practice. Dr. Eric Tygenhof is a partner in Southland Urology a 3 Urolgist group. Eric is also the urology team lead at Modmed.Urology Documentation, Coding, and Billing CertificationFor Urologists and APPs (Click Here for Pricing, More Information, and Registration)Documentation, Coding, and Billing Fellowship - Urology (DCB-FS) For Coders, Billers, and Admins 2023-09-0135 minUrology Coding and Reimbursement PodcastUCR 159: Agenda of the 2024 Urology Advanced Coding and Reimbursement SeminarAugust 25, 2023 Ray, Mark, and Scott discuss the 2024 Urology Advanced Coding and Reimbursement Seminar Agenda. What topics were chosen and why they were chosen.AGENDADAY 1Optimizing Urolgy E/&M CodingExploring Urology Revenue OpportunitiesUnlocking Urology Telehealth SuccessElevating Urology Front Office EfficiencyUrology AR Follow-Up and Appeals StrategiesBreakout Session A1 - Bridging the GapBreakout Session A2 - Navigating Urologist Compensation and Practice OptionsDAY 2Annual Update - Urology Coding and ReimbursementMastering Modifiers and the Global PackageJourney of a UrologistEnsuring Urology Coding ComplianceUrology Coding WorkshopUrology ICD-10 Co...2023-08-2524 minUrology Coding and Reimbursement PodcastUCR 158: Coding retrograde pyelogram w/ stent (52332 & 52005); remote physiologic monitoring coding (99457 & 99458); documentation for urodynamics code - 51729August 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 free):Hello, I still need more clarification on billing CPT 52332 and CPT 52005 if in the description states that retrograde pyelogram was used/performed. Its correct to bill for both codes?Hello, I have a question regarding CPT code 99457 & 99458. I have a provider who is working with Starling pilot and wanted to start billing these codes. Can you please advise what are the guidelines for these codes? Thank you so m...2023-08-1834 minUrology Coding and Reimbursement PodcastUCR 157: Chronic Care Management reimbursement; coding for scrotal lesion excisionsAugust 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 free):Good Evening Our office is looking into Chronic Care Management. We know that CCM requires the patient to have 2 chronic conditions. Most of these patients have prostate cancer and diabetes, and or hypertension. Which brings me to my question our providers will be treating and managing the cancer but as for as the diabetes goes they are not treating this or managing it in any wa...2023-08-1133 minUrology Coding and Reimbursement PodcastUCR 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 hospitalAugust 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).Thank you for your recent podcast 147 with attention to updated Urocuff billing. The recent change from our MAC NGS was helpful as this went into effect June 1, 2023 and they are now recommending billing 55899 as opposed to 51728-52. My question specifically relates to how to bill Medicare Advantage plans. Do we follow the private payor rules that manage the plan or the MAC recommendation. For example, commercial payor A pre...2023-08-0426 minUrology Coding and Reimbursement PodcastUCR 155: Staff shortages, what can you do?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 Documentation, Coding, and Billing CertificationFor Urologists and APPs (Click Here for Pricing, More Information, and Registration)Documentation, Coding, and Billing Fellowship - Urology (DCB-FS) For Coders, Billers, and Admins (Click Here for Pricing, More Information, and Registration)Documentation, Coding, and Billing Specialist Certification (DCB-SC)Documentation, Coding, and Billing Master Cert...2023-07-2832 min
GradCast#JarringQuestions1: Scott, Amalie, and ElizabethToday, join hosts Amalie Hutchinson and Elizabeth Mohler, along with your producer Scott Walters, as they begin a new mini-series that has them answering unexpected questions. Some may be slightly controversial, most only light-heated, but all will help you get to know your GradCast team better as they tackle questions pulled from the studio jar!
This week we talk food, life mottos, pet peeves, and a lot more during a jovial discussion that kept us laughing over the radio waves.
Recorded on July 11, 2023
Produced by Scott Walters
Theme song p...2023-07-1828 min
The Shuttlepod(cast)Episode ten - This is it, the final in the season, It's been a long road, but how did it all end up? Let's Dicuss!Star Trek Picard Season Three Episode Ten! Here we are! This is the end my friend! What an epic season, Mark and Scott discuss and are once again joined by our guest host Sylvia for this weeks quiz.
00:02 - Discussion Part 1
16:54 - Quiz Section
26:48 - Dicusion Part 2
2023-05-1342 minThe Shuttlepod(cast)Episode nine - Star Trek Picard Season Three, the penultimate episode - let's talk about it!Mark and Scott review the first of the last two episodes of Star Trek Picard, Season 3, with differing opinions and yet more trivia! Join the conversation and let us know what you think!
Episode timings
00:01 - Discussion Part 1
10:50 - Trivia Questions
15:54 - Discussion Part 2
17:52 - Trivia Answers
2023-05-0534 minThe Shuttlepod(cast)Episode eight - Star Trek Picard, season 3 episode 8. The plot thickens! there's a lot to discuss.With spoilers from the get go, Mark and Scott once again discuss season three of Star Trek Picard so far, at episode eight, only two more to go, a lot has happened but there seems to be just as much to wrap up.2023-04-2936 minThe Shuttlepod(cast)Episode six - Star Trek Picard - Into the second half of the season and plenty of new plot points to talk about in Episode six of season threeThis week Mark and Scott continue their conversation on Picard season 3 with episode six. Scott takes on Marks trivia questions.2023-04-0742 minThe Shuttlepod(cast)Episode five - Star Trek Picard hits the season halfway mark! Has this week's episode kept up the standard? let's discuss!The conversation continues, five episodes in and the show introduces some new plot considerations and story lines. Mark and Scott share their thoughts and Scott leverages Chat-GPT for the trivia questions this week as he couldn't be bothered to make his own.2023-04-0444 minThe Shuttlepod(cast)Episode four - Star Trek Picard Season Three Episode FourMark and Scott are back this week to talk about Picard Season Three Episode Four, We are well into the season and the show just keeps getting better. Mark tests Scotts trek knowledge with this week's trivia section.
2023-04-0148 minThe Shuttlepod(cast)Episode one - Picards back, Star Trek is back, so let's talk about it!Picards back, Mark and Scott have some opinions and want you to hear them! discussing their thoughts on the episode and testing each others knowledge in the trivia round, why not play along at home :-)
Discussion about episode one
Quiz time
Concluding episode discussion
Quiz answers
2023-03-1050 minUrology Coding and Reimbursement PodcastUCR 130: What should a Urology Documentation, Coding, and Billing Plan include, and how to implement a plan efficiently and cost-effectively [Part 2] January 20, 2023Ray, 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 Grouphttps://www.facebook.com/groups/ThrivingPracticeDr. John Lin's interview with Dr. Sarabeth Martin https://youtu.be/_N2NfWBiAqA2023-01-2036 minUrology Coding and Reimbursement PodcastUCR 124: Live from the Urology Advanced Coding and Reimbursement Seminar, what we are excited about the two-day eventDecember 1, 2022Mark, 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 OpenNew Orleans, LA - January 27-28, 2023Register Now Please submit scenarios you would like us to cover to info@prsnetwork.comCompliance PlansQuestions or need help, pl...2022-12-0223 minUrology Coding and Reimbursement PodcastUCR 120: What's important in urology coding and reimbursement right now [Part 2] - the Day 2 agenda of the Urology Advanced Coding and Reimbursement SeminarNovember 4, 2022Mark 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 Agenda8:00 AM – Urology Coding Workshop: real-world scenarios, common complicated coding examples10:15 AM – Urology Coding Workshop: E/M, Telehealth and New Technology scenarios, examples discussion12:00 PM – Lunch (provided by PRS): Interactive Practice Management Q&A Open Discussion1:00 PM – Getting Paid, No Takebacks: Documentation, Appeals, Team Communication ...2022-11-0424 minUrology Coding and Reimbursement PodcastUCR 119: What's important in urology coding and reimbursement right now [Part 1] - the Day 1 agenda of the Urology Advanced Coding and Reimbursement SeminarOctober 28, 2022Mark and Scott discuss the Day 1 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 1 Agenda8:00 PreService/Front Office: Strategies to promote, maintain, and enhance optimal front office workflow - How to make the Front Office work for you.10:15 E/M 2023 Interactive Session: Making sense of the new rules to maximize efficiency and productivity.12:00 Lunch - Optimizing patient place of service-clinic, ASC and inpatient1:00 Annual Update - Medicare Policy:2022-10-2826 minUrology Coding and Reimbursement PodcastUCR 107: Questions - Coding for TURBT with the removal of half a tumor; does medicare pay for repeat Urolift procedures?August 5, 2022Ray, Mark, and Scott discuss two questions that came into the Urology Coding and Reimbursement Gropou about billing a TURBT even though the whole tumor was not removed also they discuss coverage of repeat Urolift procedures.PRS Education Foundationhttps://www.prseducationfoundation.orgUrology Advanced Coding and Reimbursement Seminar - Registration OpenLas Vegas, NV - December 2-3, 2022New Orleans, LA - January 27-28, 2023Register N...2022-08-0521 minUrology Coding and Reimbursement PodcastUCR 106: Injections codes, why you may want to bill even if you know it's probably going to be deniedJuly 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 though you know it will probably be denied. Compliance PlansQuestions or need help, please send us an email: info@prsnetwork.com Join the discussion:Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wis...2022-07-2928 minUrology Coding and Reimbursement PodcastUCR 105: Laser ureteral stone through nephrostomy tube; Compliance plansJuly 22, 2022Ray, Mark, and Scott discuss a question regarding antegrade ureteroscopy with laser lithotripsy to treat a ureteral stone and compliance plans. Compliance PlansQuestions or need help, please send us an email: info@prsnetwork.com Join the discussion:Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.Click Her...2022-07-2233 minUrology Coding and Reimbursement PodcastUCR 104: 2023 CMS Proposed Rules and how they will impact the Urology PracticesJuly 15, 2022Ray, Mark, and Scott discuss the 2023 CMS Proposed Rules and how they will impact Urology Practices. Mark breaks down what's important to urology in the new proposed rules. Urologists’ Coding WorkshopJuly 23, 2022 - 10 am - 3 pm ESTRegister NowSpecial 5-hour Zoom Workshop: intensive and interactive workshop for practicing urologists and APPs (coders, billers, and admins are welcome to participate)."Beef Up" On your Urology Coding Knowledge2022-07-1540 minUrology Coding and Reimbursement PodcastUCR 103: Clarifications - 99211 in addition to office procedure; when can you bill an E&M in the post-op period, Modifier -24July 8, 2022Mark, Scott, and Ray clarify some concept nuances that may have been misinterpreted or misunderstood. Urologists’ Coding WorkshopJuly 23, 2022 - 10 am - 3 pm ESTRegister NowSpecial 5-hour Zoom Workshop: intensive and interactive workshop for practicing urologists and APPs (coders, billers, and admins are welcome to participate)."Beef Up" On your Urology Coding KnowledgePRS Network Presentation TeamDr. John LinMark Pai...2022-07-0828 minUrology Coding and Reimbursement PodcastUCR 102: "Unspecified" ICD-10 Code DenialsJuly 1, 2022Mark, Scott, and Ray discuss ICD-10 "Unspecified" codes and the increase in denials. Urologists’ Coding WorkshopJuly 23, 2022 - 10 am - 3 pm ESTRegister NowSpecial 5-hour Zoom Workshop: intensive and interactive workshop for practicing urologists and APPs (coders, billers, and admins are welcome to participate)."Beef Up" On your Urology Coding KnowledgePRS Network Presentation TeamDr. John LinMark PainterScott PainterDr. Ray...2022-07-0123 minUrology Coding and Reimbursement PodcastUCR 101: Modifier 25 - deep diveJune 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 Act Allegations of Medicare Overbilling https://www.justice.gov/opa/pr/skyline-urology-pay-185-million-settle-false-claims-act-allegations-medicare-overbilling Also Corporate Integrity Agreement OIG Audit Modifier 25https://oig.hhs.gov/oei/reports/oei-07-03-00470.pdf NCCI Policy Manual: https://www.cms.gov/medicare/national-correct-coding-initiative-edits/ncci-policy-manual-medicare Chapter 7: GU SystemThe decision to pe...2022-06-2356 minUrology Coding and Reimbursement PodcastUCR 100: Some of the most popular topics in the first 100 episodes and why they were popularJune 17, 2022Mark and Scott discuss the most popular topics of the first 100 episodes and why they were popular. NEW ONLINE WORKSHOP - Urologists’ Coding WorkshopSpecial 5-hour virtual, intensive, and interactive workshop for practicing urologists and APPs (coders, billers and admins are welcome to participate)."Beef Up" On General Coding KnowledgePRS Network Presentation TeamDr. John LinMark PainterScott PainterFrom the perspective of a practicing Urologist and experts In Urology Coding....2022-06-1718 minUrology Coding and Reimbursement PodcastUCR 099: Can urologists bill MRI fusion biopsy; billing pathology during the pathologist's absence; and biofeedback and pelvic floor therapy billing?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 Radiology procedure. My doctors want some direction if we can bill for this during prostate biopsy. Do you have any advice on this? Thank you so much!2) We have a small path lab and pathologist will be out of town for a week and we are trying to figure out how to bill these charges while she is on vacation.2022-06-0929 minUrology Coding and Reimbursement PodcastUCR 098: E&M Level 3 with a Vasectomy on the same dayAvailable 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 Vasectomy on the same day. NEW ONLINE WORKSHOP - Urologists’ Coding WorkshopSpecial 5-hour virtual, intensive, and interactive workshop for practicing urologists and APPs (coders, billers and admins are welcome to participate)."Beef Up" On General Coding KnowledgePRS Network Presentation TeamDr. John LinMark PainterScott PainterFrom...2022-06-0235 minUrology Coding and Reimbursement PodcastUCR 096: AUA Annual Meeting Recap; E/M 2021 Data ClarificationMay 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 in medical decision making in two different encounters. Can you count the same category 1 data twice? NEW ONLINE WORKSHOP - Urologists’ Coding WorkshopSpecial 5-hour virtual, intensive, and interactive workshop for practicing urologists and APPs (coders, billers and admins are welcome to participate)."Beef Up" On General Coding Knowledge2022-05-2128 minUrology Coding and Reimbursement PodcastUCR 095: Correct Coding - Cystectomy, with continent diversion, bilateral pelvic lymphadenectomy, and prostatectomy; AUA Annual Meeting May 2022May 6, 2022Mark, Scott, and Ray discuss a question about a scenario regarding coding the most comprehensive code:Scenario 6 module 9, Cystectomy, with continent diversion, bilateral pelvic lymphadenectomy and prostatectomy. I captured both 55845 and 51596 and I also looked at the possibility of 51575 (Cystectomy with bilat lymphadenectomy, 50825 continent diversion including intestine anastomosis, and 55840 proctectomy. Do I not choose the 50825 (along with other codes) because of the intestine anastomosis? I tend to overthink px coding, am I over coding or under coding? What would y'all suggest to help, when I get lost in the "forest"...2022-05-0628 minUrology Coding and Reimbursement PodcastUCR 094: Prepayment claim review request and a new proposal from United Health Care to urology practicesApril 29, 2022Mark, Scott, and Ray discuss two current topics:1) Letter of notification from CMS/Qlarant, a provider was selected for prepayment claim review. We have received two record requests from them on urine PCR code 87798. 2) United Health Care proposing a plan to encourage e-consults for urology providers. NEW ONLINE WORKSHOP - Urologists’ Coding WorkshopSpecial 5-hour virtual, intensive, and interactive workshop for practicing urologists and APPs (coders, billers and admins are welcome to participate)."Beef Up" On G...2022-04-2933 minUrology Coding and Reimbursement PodcastUCR 093: FAQs - Billing for misfired Urolift implant and chief complaint documentationAvailable April 22, 2022Mark, Scott, and Ray answer questions1)I have been asked if it is appropriate to bill for "misfired" Urolift implants?2) I know Jon's opinion on this, but was wondering what the Painters think....chief complaint--do you have to be more detailed than stating "follow up"? NEW ONLINE WORKSHOP - Urologists’ Coding WorkshopSpecial 5-hour virtual, intensive, and interactive workshop for practicing urologists and APPs (coders, billers and admins are welcome to participate)."Beef Up" On...2022-04-2221 minUrology Coding and Reimbursement PodcastUCR 092: FAQs - Telemedicine POS, Bladder Interstitial Fiducial Marker, and Botox injection to pelvic floor.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 secondary clinic and the MD is in his/her primary clinic. Do we bill under the primary clinic with a place of service 02? Also, should documentation support where the patient is located?2) How should I code for Bladder Interstitial Fiducial Marker placements in a female patient? The markers are placed cystoscopically and are used to guide radiation therapy for bladder cancer. For male patients we...2022-04-1522 minUrology Coding and Reimbursement PodcastUCR 089: New MolDx guidelines for PCR billing - Part 1March 25, 2022Mark and Scott discuss the new MolDx guidelines for PCR billing set to take effect on April 17th, 2022. Urology Coding Course Spring Registration Is Open!Urology Coding Course for Urologists/QHPs [Register Now] Urology Coding Course for Coders/Billers/Admins [Register Now]Join the discussion:Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.2022-03-2529 minUrology Coding and Reimbursement PodcastUCR 070: Global Surgical Package and Global Days ExplainedOctober 1, 2021Ray, Mark, and Scott discuss the global surgical package and the global days. Understanding these concepts is critical to understanding the basics of coding.Urology ResidentsCoding and Documentation for Urology ResidentsMore Information and RegistrationUrology Advanced Coding and Reimbursement SeminarREGISTRATION OPENLive In-Person EventsInformation and RegistrationLas Vegas, December 3-4, 2021New Orleans, January 28-29, 2022 2021-10-0121 minUrology Coding and Reimbursement PodcastUCR 069: Should Urologists/APPs do their own coding?September 28, 2021Ray, Mark, and Scott discuss the question: Should Urologists/APPs do their own coding? This was a recent topic in the monthly webinar for PRS Network customers that we also wanted to share with the podcast listeners.50% discount on all Urology Coding CoursesRegister nowUrology Coding Course for Urologists and APPs Urology Coding Course for Coders / Billers and Admins.Special Offer Ends 10/1/21Urology R...2021-09-2822 minUrology Coding and Reimbursement PodcastUCR 068: FAQs; Staged Procedure, IPP codes, Chordee/Hypospadias codes; QW;September 21, 2021Mark and Scott discuss questions from the Urology Coding and Reimbursement Group Question 1 (:55)I received a denial from local HMO insurance company for 52310-58 stating the benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated. The patient on 8/11 had an obstructing ureteral stone and was stented pushing the stone back into the kidney billed 52330 and 52332.On 8/19 the patient had ESWL billed 50590.8/24 billed 52310-58 in office.I contacted the insurance company and this wa...2021-09-2126 minUrology Coding and Reimbursement PodcastUCR 067: What is your Urology Coding Score? The average denial rate of Urology claims is 17% - we can do better!September 7, 2021Ray, Mark, and Scott discuss Ray's quest of helping Urology be the best coding specialty. They discuss the free Urology Coding Score Quiz and how it can help identify your coding needs.Click Here to Take the Free Quiz NowPRS Network has declared October as "Urology Coding Month" and is offering a 50% discount to the Urology Coding Course for Urologists and APPs and the Urology Coding Course for Coders / Billers and Admins. Urology Advanced Coding and Reimbursement Seminar...2021-09-0725 minUrology Coding and Reimbursement PodcastUCR 065: FAQs - Rezum (53854) reimbursement; CPT 55866 denial; CPT 74425 when it's not billed with 50690; code for Renal Pelvic WashingsAugust 20, 2021Mark, and Scott discuss questions from the Urology Coding and Reimbursement Group Question 1: 55 SecondsIs Rezum (53854) reimbursement dropping in 2022?Question 2 - minute 9:26CPT 55866 was denied when billed with C67.9 and C67.2. It has an LCD/NCD that only lists dx codes related to gender identity. Surely those are not the only conditions that support medical necessity! Does anyone know how to appeal to a payer that denies for a more specific condition? Thanks for your help!...2021-08-2122 minUrology Coding and Reimbursement PodcastUCR 064: RAC Audits (Recovery Audits) - What happens and how to handle it when you get an audit requestAugust 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 current common audit requests. Urology Advanced Coding and Reimbursement SeminarREGISTRATION OPENLive In-Person EventsInformation and RegistrationLas Vegas, December 3-4, 2021New Orleans, January 28-29, 2022Join the discussion:Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.2021-08-1720 minUrology Coding and Reimbursement PodcastUCR 063: FAQs; 51728 and 51729 differentiation, Criteria for 45990, F/U visit and provider did a PVR can use -25August 9, 2021Ray, Mark, and Scott discuss questions from the Urology Coding and Reimbursement Group Question 1: 49 SecondsWhat documentation could I look for to differentiate 51728 and 51729. There is no clear mention of “urethral pressure profile study” in UDS documentation.Question 2 - minute 10:22What are the criteria for billing 45990 - the CPT book lists "requiring" anesthesia. Can I bill 45990 since the DRE was done under anesthesia after a cystoureteroscopy Question 3 - 15:19If patient came in for f/u visit and provider did a p...2021-08-1027 minUrology Coding and Reimbursement PodcastUCR 062: Physician Compensation Overview: Private Practice and Hospital SystemAugust 3, 2021Ray, Mark, and Scott welcome Larry Kemp to discuss urologist compensation and key concerns we see working directly with physician groups nationwide.Change is needed and not easy, communicating concerns softly, using practice data as keystone alignedwith key goals and sustainability.Webinar RecordingRecording of the 2022 CMS Proposed Rules and the Impact on Urology Practices webinar is now available.Go here to view the recording and slides now...Recording/Slides2021-08-0426 minUrology Coding and Reimbursement PodcastUCR 061: The Increasing Role and Billing Issues of Advanced Practice Provider (APP)July 23, 2021Ray, Mark, and Scott discuss the Advanced Practice Provider (APP) and their increasing role. Also, they discuss how the 2022 CMS Proposed Rule has a change that will impact PAs.Webinar RecordingRecording of the 2022 CMS Proposed Rules and the Impact on Urology Practices webinar is now available.Go here to view the recording and slides now...Recording/Slides Urology Advanced Coding and Reimbursement Seminar2021-07-2329 minUrology Coding and Reimbursement PodcastUCR 060: 2022 CMS Proposed Rules and how they impact the Urology PracticesJuly 16, 2021Ray, Mark, and Scott discuss the 2022 CMS Proposed Rules and how they impact the Urology Practices. Mark breaks down the proposed changes and how they will impact urology practices. FREE Webinar - July 22, 20212022 CMS Proposed Rules and how they impact the Urology PracticesUrology Advanced Coding and Reimbursement SeminarREGISTRATION OPENLive In-Person EventsInformation and RegistrationLas Vegas, December 3-4, 2021New Orleans, January 28-29, 20222021-07-1635 minUrology Coding and Reimbursement PodcastUCR 059: Why Bother with QPP (Quality Payment Program)?July 9, 2021Ray, Mark, and Scott try to answer the question "why bother with QPP?". Mark shares the reasons why the implementation of value-based medicine is important. In the discussion, they share the 4 main reasons why you should bother with QPP. Read more about QPP at:https://qpp.cms.gov/ Need help with implementing QPP? Mark and his consultants can guide you:Schedule a call today! REGISTRATION OPENUrology Advanced Coding and Reimbursement Semina...2021-07-0936 minUrology Coding and Reimbursement PodcastUCR 058: PCNL Revisited; Modifier -25 and LHRH injections; Billing for Multiple Bladder BiopsiesJuly 2, 2021Ray, Mark, and Scott welcome back Dr. John Lin to clarify PCNL coding and answer some questions from the Thriving Urology Practice facebook group. Mark corrects information provided on a previous podcast. Dr. Lin is the administrator of The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ REGISTRATION OPENUrology Advanced Coding and Reimbursement Seminar - Live In-Person Events...2021-07-0344 minUrology Coding and Reimbursement PodcastUCR 057: Statistics and Target Metrics for Urology PracticesJune 29, 2021Ray, Mark, and Scott discuss some highlight statistics and metrics presented in the online course: "Important Revenue Cycle Management (RCM) Metrics; How to use them to identify and fix issues". What metrics should you be reviewing and how do you compare to others.Optimizer Series Important Revenue Cycle Management (RCM) Metrics; How to use them to identify and fix issues Information and Order Form REGISTRATION OPEN2021-06-2925 minUrology Coding and Reimbursement PodcastUCR 056: PCNL (Percutaneous Nephrolithonomy) coding; How to approach stone coding.June 18, 2021Ray, Mark, and Scott discuss PCNL coding. We have been getting more questions about PCNL coding. Mark explains PCNL coding and how you should code and bill. Also, they have a discussion about stone coding in general and Mark gives his approach to coding stones. What do you start with Location? Approach? Number of Stones? what's next? OPTIMIZER SERIES PART 2 Online Course from PRS Consulting - June 24th!Important Revenue Cycle Management (RCM) Metrics; How t...2021-06-1923 minUrology Coding and Reimbursement PodcastUCR 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?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 a level 3, what can you do?Question from Michael:I'm still having a hard time with less straight forward #MDM. I had a patient with left testicular pain x 3 mos. He fell from a ladder and had back pain with radicalar pain down into his leg and likely testis. GU exam is unremarkable. UA is normal. I have ordered an M...2021-06-1139 minUrology Coding and Reimbursement PodcastUCR 054: How to deal with providers that will not provide the documentation needed to get reimbursedJune 8, 2021Ray, Mark, and Scott discuss the importance of physicians and other QHPs providing accurate documentation to communicate what they have done. Since the QHP is the only one able to communicate what services were provided during the encounter. REGISTRATION OPENUrology Advanced Coding and Reimbursement Seminar - Live In-Person EventsInformation and RegistrationLas Vegas, December 3-4, 2021New Orleans, January 28-29, 2022Join the discussion:...2021-06-0930 minUrology Coding and Reimbursement PodcastUCR 053: TURBT vs. Bladder fulguration and biopsy codes; AUACodingToday.com Bundling Matrix; Upcoming SeminarsMay 28, 2021Ray, Mark, and Scott welcome Dr. John Lin and discuss TURBT vs. Bladder fulguration and biopsy codes (52204 and 52224). The discussion is a deep dive into what circumstances the codes are used and how to differentiate in the documentation.They also share information about the "Bundling Matrix" on AUACodingToday.com (click for free trial)Finally, they discuss the Urology Advanced Coding and Reimbursement Seminar - Live In-Person Events (Information and Registration)Dr. Lin runs The Thriving Urology Practice Facebook group and this topic has generated a lot o...2021-05-2843 minUrology Coding and Reimbursement PodcastUCR 052: How to deal with payer's letters to physicians about E&M billing levels relative to "peers".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 their "peers". Dr. Lin runs The Thriving Urology Practice facebook group and this topic has generated a lot of discussion. What does it mean if you are not withing the average range. The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ _____________________________________________________________________REGISTRATION OPENUrol...2021-05-2132 minUrology Coding and Reimbursement PodcastUCR 051: Is patient care better with clinical pathways and good coding? Why and how the pathways are impacted by coding.May 17, 2021Ray, Mark, and Scott discuss clinical pathways and coding and how they impact patient care. They also discuss why accurate coding and documentation are important parts of clinical pathways and patient care._____________________________________________________________________Join the discussion:Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom._____________________________________________________________________ Click Here to Start Your Free Trial of AUACodingToday.com _____________________________________________________________________2021-05-1725 minUrology Coding and Reimbursement PodcastUCR 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 ScottMay 11, 2021Ray, Mark, and Scott discuss physician supervision, incident to, and IDTF (Independent Diagnostic Testing Facility), also answer questions from the PRS Community and the Urology Coding and Reimbursement GroupFAQs[14 minutes and 01 Seconds] Our Urology group bills inpatient hospital codes when we get called in for initial visit (99221-99223). We have always been paid without issues and I have read Medicare guidelines stating this can be billed by each specialty. In the past few months Aetna started denying these codes stating only one doctor, regardless of sp...2021-05-1133 minUrology Coding and Reimbursement PodcastUCR 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?May 3, 2021Ray, Mark and Scott discuss questions from the Urology Coding and Reimbursement Group FAQs [40 Seconds] Our patients bring in there own testosterone and we bill out the administration code 96372.. Is the NDC # required to be documented? (We do document j code, dx , patient provided,amount given, Lot# and expiration.)[8 minutes and 57 Seconds] One of my physicians completed a TURBT of multiple bladder tumors but he never listed any size. Instead, he says "aggregate greater than 5cm." My understanding was that we cannot use...2021-05-0416 minUrology Coding and Reimbursement PodcastUCR 042: How the New Technical Revisions to E&M 2021 Guidelines Impact UrologyMarch 12, 2021Ray, Mark and Scott discuss technical revisions that the AMA released March 9th, 2021. The team breaks down what's different and what urology practices need to understand. In addition to the details, they will also give urology examples so you understand the concepts.Link to the CPT® Evaluation and Management (E/M) Office or Other Outpatient (99202-99215) and Prolonged Services (99354, 99355, 99356, 99417) Code and Guideline Changes:EM 2021 Guidelines Technical Corrections 3-9-21March Edition of the Monthly Webinar Series, live March 18th, 2021 at 1 pm...2021-03-1249 minUrology Coding and Reimbursement PodcastUCR 041: Deductible Season: Impacts and How to Ensure Your Practice is PreparedMarch 7, 2021Ray, Mark, and Scott discuss deductibles and the impact they have on urology practices. The importance of previsit planning and training to ensure a healthy practice.Take the 30 Day Urology Coding and Billing Challenge and learn what a coder, biller, admin, and other non-QHPs should know and nothing more.Learn MoreJoin the discussion:Urology Coding and Reimbursement Group - Join for free and ask y...2021-03-0830 minUrology Coding and Reimbursement PodcastUCR 040: "Incident to" billing; When to bill the 99211- Nurse VisitUCR 040: "Incident to" billing; When to bill the 99211- Nurse VisitFebruary 26, 2021Ray, Mark and Scott discuss incident to billing and when to bill the 99211 nurse visit. Take the 30 Day Urology Coding Challenge and learn what a QHP should know and nothing more.Learn MoreJoin the discussion:Urology Coding and Reimbursement Group - Join for fr...2021-02-2728 minUrology Coding and Reimbursement PodcastUCR 039: FAQs, Multiple ESWLs, 55700 with 96372, vital sign collection requirements, 99441-99443 usage, 51702 and A4344February 19, 2021Ray, Mark and Scott discuss questions from the Urology Coding and Reimbursement Group Question 1: 40 SecondsHello, one of our physicians has been doing multiple ESWL's (cpt 50590) on the same dos for treating more than one stone..i.e one kidney stone, one ureteral stone or bilateral stones..i have found info that says only one 50590 per dos and also to unbundle with an X modifierany clarification much appreciatedthanksQuestion 2 - minute 5:03We are seeing denials from Cigna Medicare plans where they are denying 96372 as...2021-02-1930 minUrology Coding and Reimbursement PodcastUCR 006: How Dr. John Lin is "reopening" his urology practice as the pandemic restrictions are easingUCR 006: How Dr. John Lin is "reopening" his urology practice as the pandemic restrictions are easingMark 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 efficiencies to be gained from what he has learned.2020-04-2924 min
Mark MastersMark Masters - Scott SchnurrScott Schnurr
In this episode Mark Masters talks to Scott Schnurr, a 7 year comedian based in Los Angeles, CA.
Mark drives Scott from Comedy Works South to an open mic at Scruffy Murphy's in Denver, CO and they talk comedy, comedians, and stand up comics.
They discuss:
- Derek Walton host of Scruffy's Open Mic
- Scott's first terrible open mic experience in Philadelphia
- You don't deserve anything in comedy until you get it
- Scott moved to L.A. at 25 and has been doing comedy for 7 years since
- Comedy in Philadelphia
- Comedy in NYC
- Comedy...2020-02-1721 minGradCast114 | Class and Teeth with Mark GeraThis week we meet with Mark Gera. From the public health program, he discusses with us the relationship between distance from a dentist office, and oral health.
Hosts: Tristan Johnson & Alex Moszczynski
Producer: Susan Anthony
2017-05-0327 minGradCast48 | Interviewpunk with Mark FilipowichThis week we talk to Mark Filipowich and his research into cyberpunk and steampunk literature. He looks into how these sub-genres of science fiction reflect ideas about our relationship with machines.
Mark's blog: bigtallwords
Mark's twitter: @thecybersteam
and Critical Distance, a thing he does some curating, editing, etc. for.
Host: Yimin Chen and Taniya Nagpal
2016-02-1022 min
The Best Passive Income Model PodcastListen in as Mark and Scott talk about HUGE goals and making LOTS of deals in 2016In this episode of the Best Passive Income Model Podcast, Mark chats with Land Geek Coach Scott Todd from LandModo.com.
Listen in as Mark and Scott talk about HUGE goals and making LOTS of deals in 2016!
Thank you for listening to The Best Passive Income Model podcast. Your support helps me attract great guests who share knowledge that you can use to grow your business.
If you'd like to help out the Land Geek Community, please rate, review, and subscribe to the podcast on iTunes.
Tip of the wee...2016-01-0536 min
The Best Passive Income Model PodcastListen in as Mark and Scott talk about land investing marketing ideas to take your business to the next levelIn this episode of the Best Passive Income Model Podcast, Mark chats with Land Geek Coach Scott Todd from LandModo.com.
Listen in as Mark and Scott talk about land investing marketing ideas.
Thank you for listening to The Best Passive Income Model podcast. Your support helps me attract great guests who share knowledge that you can use to grow your business.
If you'd like to help out the Land Geek Community, please rate, review, and subscribe to the podcast on iTunes.
Tip of the week:
S...2015-12-2433 min