
Urology Coding and Reimbursement Podcast
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, collections, patient information collection, pre-authorization, prior approval, charge capture, office communications, claim entry review, appeals, audits and billing, that we have tested and proven so you can adapt and incorporate.
Episodes
245 episodes
UCR 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 ca...
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Episode 246
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55:05

UCR 245: Prostate Biopsy Code Overhaul, E/M with 51798 Modifier Recommendations, and Coding Robotic Vasectomies
May 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 ser...
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Episode 245
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20:39

UCR 244: Remote Uroflow Billing, High MDM Clarity, and Medicare Advantage Contract Challenges
May 23, 2025 Scott, Mark, and Ray answer listener questions on coding for remote uroflowmetry, defining high-complexity MDM, and dealing with low Medicare Advantage reimbursements. They discuss CPT code options, provi...
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Episode 244
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27:04

UCR 243: Introducing the PRS Coding and Reimbursement Hub: Featuring Jelmyto as the Example
May 16, 2025 Scott and Mark switch roles to introduce the new PRS Coding and Reimbursement Hub, featuring Jelmyto as an example. The Hub helps practices simplify workflow, coding, and reimbursement processes. Scott ex...
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Episode 243
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21:38

UCR 242: Pediatric penile torsion repair, MA scope of practice, and incident to billing for a hospital-employed urologist
May 9, 2025 In this episode, Scott, Mark, and Ray answer questions that came into the PRS Helpdesk.One of my specialties is pedsurology and there is just not much guidance for surgery coding.Is it appr...
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Episode 242
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19:29

UCR 241: Recap of AUA 2025 – Exciting New Tech, Reimbursement Challenges, and Community Connections
May 2, 2025 In this episode, Scott, Mark, and Ray share highlights from the AUA 2025 Annual Meeting in Las Vegas, discussing exciting new technologies, reimbursement challenges, key conversations, and updates from the...
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Episode 241
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19:29

UCR 240: 2025 Practice Pressures - PE Slow-Down, Staffing Gaps, Physician Shortages, & Efficiency Planning
April 25, 2025 Scott, Mark, and Ray discuss the pressures of Urology practice in 2025. They talk about what you need to be aware of and why you need to plan for the future.Free Kidney Stone Coding Calculator...
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Episode 240
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31:03

UCR 239: Incident To billing for a hospital-employed urologist at a freestanding clinic, Incident To Target Probe and Educate (TPE) Audit, and correct coding for ASC stent removal without cystoscope
April 18, 2025 Scott, Mark, and Ray discuss questions that came into the PRS Helpdesk:For the past 8 months, I have been in an employed position with a county hospital system that provides inpatient and am...
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Episode 239
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39:55

UCR 238: Current Urocuff coding, how to code for the Revi, can 91122 be done in the office, and prostate cancer "active surveillance" E/M problem level
April 11, 2025 Scott and Mark discuss questions that came into the PRS Helpdesk:Hello, Some years ago we were using the SRS urocuff. Can you tell me what the current codes are? I know this has been mention...
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Episode 238
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25:08

UCR 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...
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Episode 237
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16:50

UCR 236: NGS Updates on G0463 & G2211, APP Billing for Neuromodulation, and Bilateral Ureteral Stent [52332] Denials
March 28, 2025 Scott, Mark, and Dr. Ray Painter discuss questions that came into the PRS Helpdesk. NGS sent a newsletter about the use of: cpt code G0463 as a primary code for G2211. Need more i...
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Episode 236
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12:33

UCR 235: Telehealth Updates, Conversion Factor Disappointment, Medicaid Possible Cuts, and a Surge in RAC Audits
March 21, 2025 Scott, Mark, and Dr. Ray Painter break down the latest developments in telehealth policy and Medicare reimbursement. Mark shares the good news about the extension of telehealth flexibilities and the bad...
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Episode 235
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24:52

UCR 234: G2211 Follow-up time frame, coding for graft around the urethral anastomosis during prostatectomy, and radical nephrectomy coding - 50545 and 50548
March 14, 2025 Scott, Mark, and Ray discuss three coding questions from the PRS Community and the Thriving Urology Practice Facebook group. My question is regarding G2211. Is there a time frame ...
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Episode 234
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24:07

UCR 233: Telehealth Uncertainty and Specialty Designations in Urology Practices
March 7, 2025 Scott, Mark, and Ray discuss the latest updates (or lack thereof) on telehealth policies as the current extension nears expiration. They break down what practices should consider when scheduling teleheal...
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Episode 233
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22:04

UCR 232: Work RVUs and Modifier 22, Unlisted Codes, Category III Codes - Navigating Payer Reporting and Administrator Discussions
February 28, 2025 Scott, Mark, and Dr. Ray Painter break down the challenges of securing fair compensation for extra work performed in urology procedures when using modifier 22, unlisted codes, or Category III codes. ...
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Episode 232
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25:33

UCR 231: FAQs - Billing Romoval of Testicular Appendix, G2211 Modifier Confusion, and Leveraging Provider Portals
February 21, 2025 Scott and Mark discuss questions from the PRS Network Community and the Thriving Urology Practice Facebook group.Does anyone bill out a removal of testicular appendix separately from the ...
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Episode 231
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25:29

UCR 230: FAQs - ESWL Bladder Stone Coding; Remote Incident To; and Coding Challenging Stone Cases with Single-Use Ureteroscopes
February 14, 2025 Scott, Mark, and Ray discuss questions that came into the PRS Network Community.Our doctor's occasionally use the ESWL (Extracorporeal Shock Wave Lithotripsy) for bladder stones. In...
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Episode 230
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36:24

UCR 229: Takeaways from the Urology Advanced Coding and Reimbursement Seminar in New Orleans
February 7, 2025 Scott and Mark welcome back Dr. John Lin and Marianne Descoise to discuss some key takeaways from the Urology Advanced Coding and Reimbursement Seminar, which took place in New Orleans from Janu...
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Episode 229
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34:53

UCR 228: G0559 Clarification, GC Modifier Explained, and G2211 Documentation Suggestion
UCR 228: G0559 clarification, GC Modifier Explained, and G2211 documentation suggestion.January 24, 2025 Scott, Mark, and Dr. Ray Painter address questions submitted to the PRS Network.
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Episode 228
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23:54

UCR 227: Understanding Recoupments – How to Protect Your Practice’s Revenue
January 17, 2025 Scott, Mark, and Dr. Ray Painter are joined by special guest Marianne Desois, COO of PRS Managed Services, to dive into the growing issue of payer recoupments. They discuss the tactics payers use, com...
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Episode 227
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30:59

UCR 226: Simplifying Kidney Stone Coding – Introducing the Free Coding Calculator
January 13, 2025Mark, Scott, and Ray discuss how the new free Kidney Stone Coding Calculator, supported by Calyxo is a great tool for double-checking, teaching, discussing, and calculating kidney stone coding scenarios.
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Episode 226
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17:23

UCR 225: Navigating Urology Coding and Reimbursement in 2025: Predictions, Updates, and Telehealth Insights
January 8, 2025 Mark, Scott, and Ray discuss new rule changes and what is ahead in 2025Urology Advanced Coding and Reimbursement Seminar - New Orleans, LARegister Now for the Urology Advanced Codi...
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Episode 225
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22:04

UCR 224: End-of-Year Update: the American Relief Act - Conversion Factor Not Addressed, Telehealth Extended
December 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 ...
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Episode 224
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10:39

UCR 223: United Healthcare Had an Issue with our Episode 212 - Why and a Recap of What We Covered
December 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, LA...
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Episode 223
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46:59

UCR 222: Top Takeaways from the Urology Advanced Coding and Reimbursement Seminar - Dec 6-7, 2024
December 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 ...
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Episode 222
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17:58
