Urology Coding and Reimbursement Podcast
Urology Coding and Reimbursement Podcast
UCR 279: LCDs, NCDs, LCAs, and Audits — Understanding Medicare’s Coverage Landscape
Use Left/Right to seek, Home/End to jump to start or end. Hold shift to jump forward or backward.
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 explain how they work together to shape reimbursement policy. Prompted by a new multi-state LCD affecting Botox coverage, the discussion walks through how coverage determinations are created, how Medicare contractors enforce them, and why documentation requirements continue to expand. The panel also explores how practices can adapt by building workflows, intake forms, and clinical documentation processes that capture the data Medicare expects—helping physicians navigate audits while still delivering appropriate patient care.
PRS Coding and Reimbursement Hub
Botox LCD Alert
Free In-Office Prostate Biopsy Calculator (Suppoted by UC-Care)
PRS Coding Courses
For Coders, Billers, and Admins
Join the Urology Pharma and Tech Pioneer Group
Empowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.
https://www.prsnetwork.com/joinuptp
Click Here to Start Your Free Trial of AUACodingToday.com
The Thriving Urology Practice Facebook group.
The Thriving Urology Practice Facebook Group link to join:
https://www.facebook.com/groups/ThrivingPractice/