April 12, 2024 Mark and Scott discuss questions that have come into the PRS communities: Hi is there any documentation, regarding the age limit for G2211 or 99459? Our MD think that they only apply to patients over 65 years old.  Is this true or is there documentation stating we can use them on patients under 65 years old.   If a patient fails a Trial of void, and a catheter is placed, would the 51700 be coded or just 51702? Should it matter if pass its fail? The service was still performed. And the 51702 is a component of the 51700. What are the codes that I use for gemcitibine bl ..read more

March 28, 2024 Mark, Scott, and Ray welcome Dr. David J. Ellis to discuss the evolution of urology practice, leadership strategies, the role of organizations like LUGPA, AUA, and AACU, and the importance of communication and education in the field. PRS Billing and Other Services Click Here to Get More Information and Request a Quote    The Thriving Urology Practice Facebook group. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/     Join the discussion: Urology Coding and Reimbursement Group - Join for fre ..read more

March 15, 2024 Mark, Scott, and Ray discuss questions that came into the PRS Network. Hello, What is the recommendation on documentation for new code 99459? Our practice is wanting to create a template for this procedure code. I know documenting a chaperon is key. Thank you Hello, I need help. I am having issues with multiple insurance companies denying diagnosis code N30.10 stating it is an invalid code. Anyone else experiencing this issue? Any indication on what the issue is? I looked in the ICD10 code book and it states it is a billable code. Thank you Hi I have a coding question for peds ..read more

March 8, 2024 Mark, Scott, and Ray discuss questions that came into the PRS Network. Hello all, I have a CPT coding question, Indications = Urinary Obstruction // Post-Op DX = Obstruction of neck of Urinary Bladder  Resectoscope per urethra into the bladder under direct vision. There was moderate trabeculations with no evidence of mass or stones. The bladder neck was noted to be elevated as seen on prior clinic cystoscopy. This was causing obstruction of the bladder outlet without significant prostatic hypertrophy. The bipolar resectoscope was used with the plasma button attachment to pe ..read more

March 1, 2024 Hosts Scott, Mark, and Ray discuss the upcoming MIPS submission deadline of April 1st and address common questions about MIPS submissions.   Registration is open for the Documentation for Coding and Reimbursement for APPs Course - Starts 3/11/24 Click Here for Information and to Join PRS Billing and Other Services Click Here to Get More Information and Request a Quote    The Thriving Urology Practice Facebook group. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/     Join the discussion ..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

February 16, 2024 Ray and Scott discuss the importance of documentation for reimbursement. They emphasize the need to communicate effectively through documentation with billers, computers, and AI systems to ensure accurate coding and payment for services provided. They also mention the significance of using the right words in documentation to justify the level of service, multiple procedures, and modifier usage in order to obtain appropriate reimbursement. Additionally, they talk about the upcoming "Documentation for Reimbursement Challenge" that aims to help urologists and APPs improve their ..read more

February 2, 2024 Ray, Mark, and Scott answer and discuss the following questions: The seminar this past week was great. I have one question that I asked during the seminar but still not sure of the correct answer. For an initial hospital consultation, I have been using 99223 and generally 99232 for follow up visits. Is this correct. Seeking clarification for the best way to code: Ureteroneocystostomy; anastomosis of single ureter to bladder with vesico-psoas hitch --Robotic approach is it an unlisted code or 50948? Thank you in advance :) I've received several questions recently on whether or ..read more

January 19, 2024 Scott and Mark discuss the topics of G2211 and code 99459. They clarify some common questions and confusion surrounding these codes, provide guidance on their appropriate use, and share updates on their experience with Medicare, Medicare Advantage plans, and private payers. They also talk about code 99459 and the importance of documenting the presence or absence of a chaperone during a female pelvic exam.   G2211 Guidance Document [free download] Click Here for the Link to Download the Guidance Document  ___ The Thriving Urology Practice Facebook group. The Thriving ..read more

January 12, 2024 Scott and Dr. Ray Painter discuss the top issues impacting urologists and their practices.   G2211 Guidance Document [free download] Click Here for the Link to Download the Guidance Document  Urology Advanced Coding and Reimbursement Seminar (Click Here for More information and Registration)  New Orleans, January 26 & 27, 20248 am - 4:30 pm Friday, 8 am - 3:30 pm Saturday Reserve your spot and save!  Get signed up today and get peace of mind knowing you will be prepared for all the upcoming changes. The Thriving Urology Practice Facebook group. The Thr ..read more