Urology Coding and Reimbursement Podcast

August 27, 2021

Mark,  Ray, and Scott discuss questions from the Urology Coding and Reimbursement Group 

Question 1:  55 Seconds

CORRECTION - Renal Pelvic Washings CPT Code - 52005

Question 2 - minute 5:26

I need something in writing from Dr. Ray painter for my Urologist.  I have this info from the AMA and Noridian both, but they want to hear it from you.  We are told by Noridian and also the AMA who is the author of the CPT book that an Exam is still needed.

Question 3 - 22:56

What level E/M are you using for the new 2021 codes?  Previously they did not have 4 HPI to meet a level 3 E/M, so we coded them to a 2.  Now, they do not need to have 4 HPI.  It is a major procedure, which is one of the two needed for a level 4.  Do you consider a vasectomy consultation/permanent birth control a stable chronic (level 3 E/M) or a minor problem (level 2 E/M)?  I listened to the podcast twice and didn't get a clear answer.

Adapting Practice Compensation Plans Workshop

Fair and Balanced Compensation Models for the Practicing Urologist

Includes:

Live Online Workshop! - September 1st, 6:00 - 7:30pm EDT

One-on-One 15 Minute Concept Review of YOUR Compensation Model

Register Now

Urology Advanced Coding and Reimbursement Seminar

REGISTRATION OPEN

Live In-Person Events

Information and Registration

Las Vegas, December 3-4, 2021
New Orleans, January 28-29, 2022

Monthly Webinar Recording

Recording of the 2022 CMS Proposed Rules and the Impact on Urology Practices webinar is now available.

Go here to view the recording and slides now...

Recording/Slides

Join the discussion:

Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.

 Click Here to Start Your Free Trial of AUACodingToday.com 

August 20, 2021

Mark, and Scott discuss questions from the Urology Coding and Reimbursement Group 

Question 1:  55 Seconds

Is Rezum (53854) reimbursement dropping in 2022?

Question 2 - minute 9:26

CPT 55866 was denied when billed with C67.9 and C67.2. It has an LCD/NCD that only lists dx codes related to gender identity. Surely those are not the only conditions that support medical necessity! Does anyone know how to appeal to a payer that denies for a more specific condition? Thanks for your help!

Question 3 - minute 13:50

I have received denials from Medicare on the CPT 74425 when it's not billed with 50690. They claim it's an add-on code even though it's not listed as such in any CPT book or website that I've found. I've also not been able to find an LCD or NCD for it. Does anyone else have this issue and if so, how did you proceed?  Thanks for your help!

Question 4 - minute 18:22

Is there a cpt code for Renal Pelvic Washings?  

Adapting Practice Compensation Plans Workshop

Fair and Balanced Compensation Models for the Practicing Urologist

Includes:

Live Online Workshop! - September 1st, 6:00 - 7:30pm EDT

One-on-One 15 Minute Concept Review of YOUR Compensation Model

Register Now

Urology Advanced Coding and Reimbursement Seminar

REGISTRATION OPEN

Live In-Person Events

Information and Registration

Las Vegas, December 3-4, 2021
New Orleans, January 28-29, 2022

Monthly Webinar Recording

Recording of the 2022 CMS Proposed Rules and the Impact on Urology Practices webinar is now available.

Go here to view the recording and slides now...

Recording/Slides

Join the discussion:

Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.

 Click Here to Start Your Free Trial of AUACodingToday.com 

August 9, 2021

August 3, 2021

Ray, Mark, and Scott welcome Larry Kemp to discuss urologist compensation and key concerns we see working directly with physician groups nationwide.

Change is needed and not easy, communicating concerns softly, using practice data as keystone aligned
with key goals and sustainability.

Webinar Recording

Recording of the 2022 CMS Proposed Rules and the Impact on Urology Practices webinar is now available.

Go here to view the recording and slides now...

Recording/Slides

Urology Advanced Coding and Reimbursement Seminar

REGISTRATION OPEN

Live In-Person Events

Information and Registration

Las Vegas, December 3-4, 2021
New Orleans, January 28-29, 2022

Join the discussion:

Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.

 Click Here to Start Your Free Trial of AUACodingToday.com 

July 23, 2021

Ray, Mark, and Scott discuss the Advanced Practice Provider (APP) and their increasing role. Also, they discuss how the 2022 CMS Proposed Rule has a change that will impact PAs.

Webinar Recording

Recording of the 2022 CMS Proposed Rules and the Impact on Urology Practices webinar is now available.

Go here to view the recording and slides now...

Recording/Slides

Urology Advanced Coding and Reimbursement Seminar

REGISTRATION OPEN

Live In-Person Events

Information and Registration

Las Vegas, December 3-4, 2021
New Orleans, January 28-29, 2022

Join the discussion:

Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.

 Click Here to Start Your Free Trial of AUACodingToday.com 

July 16, 2021

Ray, Mark, and Scott discuss the 2022 CMS Proposed Rules and how they impact the Urology Practices.   Mark breaks down the proposed changes and how they will impact urology practices.

FREE Webinar - July 22, 2021
2022 CMS Proposed Rules and how they impact the Urology Practices

Urology Advanced Coding and Reimbursement Seminar
REGISTRATION OPEN
Live In-Person Events
Information and Registration
Las Vegas, December 3-4, 2021
New Orleans, January 28-29, 2022


Join the discussion:
Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.


 Click Here to Start Your Free Trial of AUACodingToday.com 

 

July 9, 2021

Ray, Mark, and Scott try to answer the question "why bother with QPP?".   Mark shares the reasons why the implementation of value-based medicine is important.  In the discussion, they share the 4 main reasons why you should bother with QPP.

Read more about QPP at:
https://qpp.cms.gov/

Need help with implementing QPP? 

Mark and his consultants can guide you:
Schedule a call today!

 REGISTRATION OPEN

Urology Advanced Coding and Reimbursement Seminar - Live In-Person Events

Information and Registration

Las Vegas, December 3-4, 2021
New Orleans, January 28-29, 2022

Join the discussion:

Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.

 Click Here to Start Your Free Trial of AUACodingToday.com 

July 2, 2021

Ray, Mark, and Scott welcome back Dr. John Lin to clarify PCNL coding and answer some questions from the Thriving Urology Practice facebook group.  Mark corrects information provided on a previous podcast.

Dr. Lin is the administrator of The Thriving Urology Practice Facebook group.

The Thriving Urology Practice Facebook Group link to join:

https://www.facebook.com/groups/ThrivingPractice/ 

REGISTRATION OPEN

Urology Advanced Coding and Reimbursement Seminar - Live In-Person Events

Information and Registration

Las Vegas, December 3-4, 2021
New Orleans, January 28-29, 2022

Join the discussion:

Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.

 Click Here to Start Your Free Trial of AUACodingToday.com 

June 29, 2021

Ray, Mark, and Scott discuss some highlight statistics and metrics presented in the online course: "Important Revenue Cycle Management (RCM) Metrics;  How to use them to identify and fix issues".  What metrics should you be reviewing and how do you compare to others.

Optimizer Series

Important Revenue Cycle Management (RCM) Metrics;  

How to use them to identify and fix issues

Information and Order Form

REGISTRATION OPEN

Urology Advanced Coding and Reimbursement Seminar - Live In-Person Events

Information and Registration

Las Vegas, December 3-4, 2021
New Orleans, January 28-29, 2022

Join the discussion:

Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.

 Click Here to Start Your Free Trial of AUACodingToday.com