Urology Coding and Reimbursement Podcast

UCR 254: Downcoding on the Rise – What to Watch For, and is United Healthcare getting out of Medicare Advantage plans?


Listen Later

August 8, 2025 

In this episode, Scott, Mark, and Ray discuss the troubling expansion of automatic E/M downcoding by payers—and what your practice can do about it. Mark explains which payers are leading this trend, how to identify if your claims are being affected, and practical steps to reverse these denials and protect revenue. Then, the team unpacks the recent news about UnitedHealthcare dropping certain Medicare Advantage plans, what it really means, and how to prepare your front desk and billing staff for potential patient coverage changes. Stay informed, stay proactive!


PRS Coding and Reimbursement Hub

Access the Hub


Free Kidney Stone Coding Calculator

Download Now


PRS Coding Courses

For Urologist

For APPs

For Coders, Billers, and Admins

PRS Billing and Other Services - Book a Call with Mark Painter or 
Marianne Desciose

Click Here to Get More Information and Request a Quote

 


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/ 

...more
View all episodesView all episodes
Download on the App Store

Urology Coding and Reimbursement PodcastBy Mark Painter, Scott Painter and Dr. Ray Painter

  • 4.8
  • 4.8
  • 4.8
  • 4.8
  • 4.8

4.8

14 ratings


More shows like Urology Coding and Reimbursement Podcast

View all
Freakonomics Radio by Freakonomics Radio + Stitcher

Freakonomics Radio

32,152 Listeners

Real Time with Bill Maher by HBO Podcasts

Real Time with Bill Maher

16,392 Listeners

Adam Carolla Show by PodcastOne / Carolla Digital

Adam Carolla Show

37,180 Listeners

NPR News Now by NPR

NPR News Now

14,372 Listeners

AUAUniversity by American Urological Association

AUAUniversity

39 Listeners

White Coat Investor Podcast by Dr. Jim Dahle of the White Coat Investor

White Coat Investor Podcast

2,445 Listeners

The Daily by The New York Times

The Daily

112,683 Listeners

Up First from NPR by NPR

Up First from NPR

56,469 Listeners

The Indicator from Planet Money by NPR

The Indicator from Planet Money

9,514 Listeners

The Peter Attia Drive by Peter Attia, MD

The Peter Attia Drive

9,124 Listeners

Money Meets Medicine by Doctor Podcast Network, Jimmy Turner MD

Money Meets Medicine

217 Listeners

The Passive Income MD Podcast by Peter Kim, MD

The Passive Income MD Podcast

281 Listeners

All-In with Chamath, Jason, Sacks & Friedberg by All-In Podcast, LLC

All-In with Chamath, Jason, Sacks & Friedberg

9,902 Listeners

BackTable Urology by BackTable

BackTable Urology

54 Listeners

Morning Wire by The Daily Wire

Morning Wire

26,639 Listeners