Urology Coding and Reimbursement Podcast
Episodes
287 episodes
UCR 288: New Technology in Urology – Don’t Let Reimbursement Be an Afterthought
May 8, 2026In this episode, Scott, Mark, and Dr. Ray Painter discuss the growing wave of innovation in urology and why reimbursement strategy must be part of the conversation from day one. Ahead of the AUA Innovation Nexus...
UCR 287: Stent Removal & Replacement Codes and Bladder Cancer Maintenance ICD-10 Codes
May 1, 2026In this episode, Scott, Mark, and Dr. Ray Painter break down key differences between ureteral stent removal and replacement codes—50385, 50387, and 50688—highlighting how anatomy, access (internal vs. external),...
UCR 286: C9761 Clarified – What Actually Qualifies and What’s at Risk
April 24, 2026In this episode, Scott, Mark, and Dr. Ray Painter break down the latest guidance on HCPCS code C9761 and the growing confusion around what qualifies for payment under this new technology APC. They walk throug...
UCR 285: Bringing More Complex Procedures Into the Office – Is It Worth It?
April 17, 2026In this episode, Scott, Mark, and Dr. John Lin tackle a deceptively simple question: does it make sense to perform more complex procedures—like Optilume and other minimally invasive treatments—in the office s...
UCR 284: UTI PCR Under Fire – OIG Scrutiny, Denials, and What to Do Next
April 10, 2026 In this episode, Scott and Mark Painter break down the rapidly evolving and increasingly uncertain landscape surrounding UTI PCR testing, following heightened scrutiny from the OIG and a surge in payer denials—particu...
UCR 283: Saturation Biopsy Confusion and Cystoscopy Risk—Where Interpretation Matters
April 3, 2026 In this episode, Scott, Mark, and Dr. Ray Painter tackle two areas where interpretation is driving real-world coding challenges: when a prostate biopsy truly qualifies as a stereotactic template-guided s...
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...
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...
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 ...
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...
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...
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...
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 ...
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...
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...
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...
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...
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...
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 ...
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...
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...
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...
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-...
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...
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...