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
281 episodes
UCR 282: Playing the Surgical Lottery – Medicare Advantage and Out-of-Network Strategy
March 27, 2026 In this episode, Scott, Mark, and Dr. John Lin dive into the challenges of navigating Medicare Advantage (Part C) plans—what happens when you’re out of network, why reimbursement can feel like a “surgic...
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Episode 282
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35:38
UCR 281: UnitedHealthcare’s New Documentation Rule and MDM Data Clarifications
March 20, 2026 In this episode, Scott, Mark, and Dr. Ray Painter break down a new UnitedHealthcare policy that could impact payment for professional components of diagnostic services—including urodynamics and other PC...
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Episode 281
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33:53
UCR 280: Testosterone Pellet Denials, Secondary Payer Prior Auths, and Urology Risk Assessments
March 13, 2026 In this episode, Scott, Mark, and Dr. Ray Painter tackle three emerging reimbursement challenges affecting urology practices: widespread denials for testosterone pellet (Testopel®) therapy, the growing ...
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Episode 280
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28:42
UCR 279: LCDs, NCDs, LCAs, and Audits — Understanding Medicare’s Coverage Landscape
March 6, 2026 In this episode, Scott, Mark, and Dr. Ray Painter break down the complex “alphabet soup” of Medicare coverage and auditing tools—including NCDs, LCDs, LCAs, RAC audits, and the emerging WISER program—and...
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Episode 279
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30:26
UCR 278: E/M Leveling — It’s as Clear as Mud
February 27, 2026 In this episode, Scott, Mark, and special guest Dr. John Lin tackle real-world evaluation and management (E/M) scenarios submitted by members of the Thriving Urology Practice Facebook Group. Th...
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Episode 278
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48:46
UCR 277: The New Economics of In-Office Prostate Biopsies
February 20, 2026 In this episode, Scott, Mark, and Dr. Ray Painter break down the financial realities of the new prostate biopsy CPT codes and what they mean for urology practices. Moving beyond coding mechanics, the...
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Episode 277
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33:42
UCR 276: Live from New Orleans – Modifier 25, Cystoscopy Denials, and How to Win the Appeal
February 13, 2026 In this special live episode recorded at the Urology Advanced Coding and Reimbursement Seminar in New Orleans on January 31st, 2026, Scott, Mark, Dr. John Lin, and Marianne DeSciose dive into one of ...
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Episode 276
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38:13
UCR 275: Telehealth Extended Through 2027, Proper Instillation Coding, and Medically Impossible Days
February 5, 2026 In this episode, Scott, Mark, and Dr. John Lin break down the latest telehealth news—Congress has officially extended Medicare telehealth coverage through the end of 2027, offering long-term stability...
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Episode 275
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37:04
UCR 274: Reducing Physician Burnout with AI – The docology Story
January 30, 2026 On this episode, Scott and Mark Painter sit down with Dr. Sida Niu and Tyler Hamik, co-founders of docology, an AI-driven clinical intake and workflow automation platform. Dr. Niu explains how docolog...
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Episode 274
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31:21
UCR 273: Telehealth Coverage in 2026 and the PRS Coding & Reimbursement Hub
January 23 , 2026 In this episode, Scott and Mark Painter discuss what the upcoming January 31 deadline means for telehealth coverage under Medicare, including expectations around funding extensions, potential payment...
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Episode 273
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19:28
UCR 272: ProMaxo Coding Update + Deductible Season Logistics
January 16, 2026 In this episode, Scott, Mark, and Ray Painter revisit the new prostate biopsy CPT codes and provide a key update on the use of ProMaxo for MRI-guided biopsies. Mark shares recent insights confirming t...
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Episode 272
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24:22
UCR 271: The Downcoding Dilemma – How to Fight Back and Get Paid What You Deserve
January 9, 2026 In this episode, Scott, Mark, and Ray Painter tackle the growing issue of automated downcoding by commercial payers—where level 4 and 5 E/M visits are silently paid at lower levels without a formal den...
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Episode 271
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23:54
UCR 270: The G2211 Payment Problem – Coding Mistakes That Hurt More Than You Think
January 2, 2026 In this episode, Scott, Mark, and Dr. John Lin dive into the complexities of billing G2211, the Medicare add-on code for complex E/M visits, which now pays nearly $18 per use. They unpack a real-world ...
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Episode 270
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29:27
UCR 269: New Prostate Biopsy Codes for 2026 – Answers to Your Questions
December 26, 2025 In this episode, Scott, Mark, and Ray Painter answer listener questions about the new 2026 prostate biopsy CPT codes. They clarify global periods, explain the differences between transrectal and tran...
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Episode 269
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32:01
UCR 268: Urology Advanced Coding Seminar Highlights and CPT’s Early Framework for AI Reimbursement
December 12, 2025 In this episode, Scott, Mark, and Ray Painter share highlights from the recent Urology Advanced Coding and Reimbursement Seminar in Las Vegas, including robust discussions on E/M coding, prostate bio...
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Episode 268
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21:44
UCR 267: Covered vs. Non-Covered Procedures – Getting Reimbursed
November 21, 2025 In this episode, Scott, Mark, and Ray Painter explore the reimbursement challenges surrounding procedures that may not be covered by insurance, including those considered cosmetic, elective, or medic...
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Episode 267
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22:10
UCR 266: Government Reopens—What It Means for Telehealth Coverage and Medicare Claims
November 14, 2025 In this episode, Scott, Mark, and Ray Painter discuss the impact of the government’s recent reopening on telehealth services for Medicare patients. With the new continuing resolution extending COVID-...
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17:33
UCR 265: The Curse of Insufficient Documentation – What It’s Costing Your Practice
October 31, 2025 In this Halloween-themed episode, Scott, Mark, Ray, and special guest Dr. John Lin explore the “curse” of poor documentation and its real-world consequences, including payer audits, downcoding, and re...
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Episode 265
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41:20
UCR 264: The Future of Urology: Addressing Workforce Challenges and APP Utilization with Ken Mitchell, PA-C
October 24, 2025 In episode 264 of the Urology Coding and Reimbursement Podcast, Scott and Mark Painter sit down with Ken Mitchell, PA-C, a nationally recognized expert in men’s health and a champion for advanced prac...
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Episode 264
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30:24
UCR 263: Government shutdown update, coding for bladder stone removal during prostatectomy, and Urocuff coding revisited
October 17, 2025 In this episode, Scott, Mark, and Ray Painter clarify the latest on the Medicare claims hold during the government shutdown, explaining that it applies only to services affected by expired COVID-era p...
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Episode 263
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26:00
UCR 262: Government shutdown update, and how to stop paying processing fees on payer payments.
October 10, 2025 In this episode, Scott, Mark, and Ray Painter address two pressing topics for urology practices. First, they provide the latest update on the government shutdown, its impact on Medicare claims process...
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Episode 262
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31:48
UCR 261: Government Shutdown Impact and a Human Perspective on AI in Urology
October 3, 2025 In this episode, Scott, Mark, and Ray Painter discuss two timely and important topics. First, they break down the current government shutdown and its effects on Medicare claims processing, including th...
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Episode 261
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22:57
UCR 260: Potential Government Shutdown and Telehealth – What Urology Practices Need to Know Now
September 26, 2025 In this episode, Scott, Mark, and Ray discuss the looming federal government shutdown and how it could impact urology practices—especially telehealth services. They explain the latest developments i...
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Episode 260
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22:57
UCR 259: Bladder Cancer Reimbursement Strategies – Using Unlisted J Codes and the New Zusduri Hub Tools
UCR 259: Bladder Cancer Reimbursement Strategies – Using Unlisted J Codes and the New Zusduri Hub ToolsSeptember 19, 2025 In this episode, Scott, Mark, and Ray Painter dive into bladder cance...
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Episode 259
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26:15
UCR 258: Telehealth in Limbo — What’s Next as the Deadline Looms?
September 17, 2025 In this episode, Scott, Mark, and Ray Painter break down the latest updates on the future of Medicare telehealth coverage as the September 30, 2025, deadline approaches. Mark shares insights into re...
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Episode 258
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16:35