UCR 262: Government shutdown update, and how to stop paying processing fees on payer payments. Artwork

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.

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Urology Coding and Reimbursement Podcast

UCR 262: Government shutdown update, and how to stop paying processing fees on payer payments.

October 11, 2025 • Episode 262

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 processing, and the timeline for when the CMS-mandated 10-day hold may be lifted. They also clarify that Medicare funding is not in jeopardy—this is purely an administrative delay related to expiring telehealth and COVID-era waivers.

Next, they tackle a listener-submitted question about hidden processing fees on payer payments—specifically, credit card reimbursements that reduce practice income by 3% or more. Mark shares practical recommendations, including switching to ACH/direct deposit to reduce costs, proactively managing PECOS and credentialing, and negotiating cost-of-living increases in payer contracts. They also explain the risks of neglecting PECOS updates and why contract management should be a routine business process—not a reactionary one.

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