November 22, 2024  Mark and Scott answer two questions that came in through the coding course: Can you help me to clarify, if the stone in the bladder was fragmented by basket and removed, can we bill CPT 52317 or 52310. Thank you so much! Is it ok to bill CPT 52601 if CPT 0421T denied (for example, Experimental) The provider performed the procedure, what is your suggestion? I really appreciate your help and clarification!   PRS Billing and Other Services - Book a Call with Mark Painter or  Marianne Desciose Click Here to Get More Information and Request a Quote Urology Advan ..read more

November 15, 2024  Ray, Mark, and Scott talk about the CMS Final Rule for 2025 in part 2 of this two-episode discussion. PRS Billing and Other Services - Book a Call with Mark Painter or  Marianne Desciose Click Here to Get More Information and Request a Quote Urology Advanced Coding and Reimbursement Seminars - In-Person Seminars Register Now for the Urology Advanced Coding and Reimbursement Seminar Click Here for Information and Registration Event Details Location: Las Vegas: December 6-7, 2024, at Horseshoe New Orleans: January 31-February 1, 2025, at Harrah's Time: Friday 8 am ..read more

November 1, 2024  Ray and Scott talk PRS MS Director of Operation, Marianne Desciose about Revenue Cycle Management (RCM) current and sometimes hidden issues. PRS Billing and Other Services - Book a Call with Mark Painter or  Marianne Desciose Click Here to Get More Information and Request a Quote Urology Advanced Coding and Reimbursement Seminars - In-Person Seminars Register Now for the Urology Advanced Coding and Reimbursement Seminar Click Here for Information and Registration Event Details Location: Las Vegas: December 6-7, 2024, at Horseshoe New Orleans: January 31-February 1 ..read more

UCR 217: Split shared and incident to visits October 25, 2024  Ray, Mark, and Scott talk about split shared and incident to visits. PRS Billing and Other Services - Book a Call with Mark Painter or  Marianne Desciose Click Here to Get More Information and Request a Quote Urology Advanced Coding and Reimbursement Seminars - In-Person Seminars Register Now for the Urology Advanced Coding and Reimbursement Seminar Click Here for Information and Registration Event Details Location: Las Vegas: December 6-7, 2024, at Horseshoe New Orleans: January 31-February 1, 2025, at Harrah's Time: F ..read more

October 18, 2024  Ray, Mark, and Scott talk about the top 3 ICD-10 Challenges of 2024. PRS Billing and Other Services - Book a Call with Mark Painter or  Marianne Desciose Click Here to Get More Information and Request a Quote Urology Advanced Coding and Reimbursement Seminars - In-Person Seminars Register Now for the Urology Advanced Coding and Reimbursement Seminar Click Here for Information and Registration Event Details Location: Las Vegas: December 6-7, 2024, at Horseshoe New Orleans: January 31-February 1, 2025, at Harrah's Time: Friday 8 am - 4 pm, Saturday 8 am - 3:30 pm Incl ..read more

October 11, 2024  Ray, Mark, and Scott discuss the upcoming Urology Advanced Coding and Reimbursement Seminar, why you should attend, and the agenda for the upcoming seminars. PRS Billing and Other Services - Book a Call with Mark Painter or  Marianne Desciose Click Here to Get More Information and Request a Quote Urology Advanced Coding and Reimbursement Seminars - In-Person Seminars Register Now for the Urology Advanced Coding and Reimbursement Seminar Click Here for Information and Registration Event Details Location: Las Vegas: December 6-7, 2024, at Horseshoe New Orleans: Januar ..read more

May 24, 2024 Mark, Ray, and Scott welcome Dr. Una Lee and Dr. John Lin to share their thoughts about their AUA IBL presentation "The Business of Urology – What I have Learned on How to be Clinically Productive"    Urology Advanced Coding and Reimbursement VIRTUAL SEMINAR Register Now for the Urology Advanced Coding and Reimbursement Virtual Seminar Join us on July 27th, 2024, for a live Zoom meeting from 9:30 am to 1:30 pm EST, and master the latest in urology coding and reimbursement with ease. Special Early Bird Discount Code: 24UACRVE7 Click Here for Information and Registration P ..read more

February 23, 2024 Mark, Scott, and Ray discuss questions that came into the PRS Network:  Regarding the most recent podcast episode on shard/split visits: Medicare's policy states that only one practitioner must have face-to-face time with the patient. In our practice the physician documents an addendum on the APP's note with the medical decision making portion of the visit. Per the episode, the physician must demonstrate involvement during the visit (not afterwards) in order to bill under the physician's NPI. Is there a guideline that states the physician must document their portion in ..read more

September 29, 2023  Ray, Mark, and Scott discuss questions that came into the Urology Coding and Reimbursement Group: I'm trying to verify the correct CPT code for insertion of an Estring to treat vaginal chagnes in menopause. AAPC has two different answers, but they are almost 20 years apart! I'm looking at CPT 57160 and 57170. 57160 is insertion of pessary OR other intravaginal support device. 57170 is diaphragm or cervical cap fitting with instruction. In the AAPC post that is most recent (9/10/21) they said to use 57170 for the Estring. If 57170 is mostly to prevent pregnancy, I can ..read more

October 4, 2024  Ray, Mark, and Scott talk about the Telehealth status, payer down coding, and level 5 E/M services in urology Urology Coding and Billing Certification Course for Coders, Billers, and Admins Use code: DCBSE24 for a special price through October 7th, 2024. Now is the best time to invest in training. ​Click to Register PRS Billing and Other Services - Book a Call with Mark Painter or  Marianne Desciose Click Here to Get More Information and Request a Quote Urology Advanced Coding and Reimbursement Seminars - In-Person Seminars Register Now for the Urology Advanced Codin ..read more