Urology Coding and Reimbursement Podcast

July 18, 2025  In this episode, Scott, Mark, and Ray Painter break down their first impressions of the 2026 proposed Medicare physician fee schedule. From conversion factor changes and telehealth updates to significant RVU and facility payment shifts, they explore what’s in store for urology and what it all means for your bottom line. PRS Coding and Reimbursement Hub Access the Hub [https://www.prsnetwork.com/urologyhub]   Free Kidney Stone Coding Calculator Download Now [https://www.prsnetwork.com/stonesheet] PRS Coding Courses For Urologist [https://partner.prsnetwork.com/drchallenge-urology] For APPs [https://partner.prsnetwork.com/dcr-app-course] For Coders, Billers, and Admins [https://join.prsnetwork.com/dcb-urology-certification-info] PRS Billing and Other Services - Book a Call with Mark Painter or  Marianne Desciose Click Here to Get More Information and Request a Quote [https://www.prsnetwork.com/outsourced_billing]   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 [https://www.prsnetwork.com/joinuptp]   http://aua.codingtoday.com/try Click Here to Start Your Free Trial of AUACodingToday.com [http://aua.codingtoday.com/try]    The Thriving Urology Practice Facebook group. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/ [https://www.facebook.com/groups/ThrivingPractice/]

July 11, 2025  In this special episode, Dr. Peter Bretan—president of the AACU—joins Scott, Mark, and Ray to share his journey from transplant surgeon to national urology advocate. He highlights the power of grassroots advocacy, the importance of local engagement, and AACU’s evolving mission to support all urology professionals. PRS Coding and Reimbursement Hub Access the Hub [https://www.prsnetwork.com/urologyhub]   Free Kidney Stone Coding Calculator Download Now [https://www.prsnetwork.com/stonesheet] PRS Coding Courses For Urologist [https://partner.prsnetwork.com/drchallenge-urology] For APPs [https://partner.prsnetwork.com/dcr-app-course] For Coders, Billers, and Admins [https://join.prsnetwork.com/dcb-urology-certification-info] PRS Billing and Other Services - Book a Call with Mark Painter or  Marianne Desciose Click Here to Get More Information and Request a Quote [https://www.prsnetwork.com/outsourced_billing]   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 [https://www.prsnetwork.com/joinuptp]   http://aua.codingtoday.com/try Click Here to Start Your Free Trial of AUACodingToday.com [http://aua.codingtoday.com/try]    The Thriving Urology Practice Facebook group. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/ [https://www.facebook.com/groups/ThrivingPractice/]

June 27, 2025  Scott, Mark, and Ray discuss how new FDA rulings—like the recent update for Rezūm—impact coverage, coding, and reimbursement. They walk through the layers of medical necessity, CPT codes, payer policies, and documentation strategies needed to ensure payment. PRS Coding and Reimbursement Hub Access the Hub [https://www.prsnetwork.com/urologyhub]   Free Kidney Stone Coding Calculator Download Now [https://www.prsnetwork.com/stonesheet] PRS Coding Courses For Urologist [https://partner.prsnetwork.com/drchallenge-urology] For APPs [https://partner.prsnetwork.com/dcr-app-course] For Coders, Billers, and Admins [https://join.prsnetwork.com/dcb-urology-certification-info] PRS Billing and Other Services - Book a Call with Mark Painter or  Marianne Desciose Click Here to Get More Information and Request a Quote [https://www.prsnetwork.com/outsourced_billing]   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 [https://www.prsnetwork.com/joinuptp]   http://aua.codingtoday.com/try Click Here to Start Your Free Trial of AUACodingToday.com [http://aua.codingtoday.com/try]    The Thriving Urology Practice Facebook group. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/ [https://www.facebook.com/groups/ThrivingPractice/]

June 20, 2025  In this episode, Ray, Mark, and Scott answer questions that came into the PRS Helpdesk and give an update on Telehealth and where it stands. 1. Patient with BPH and bladder stones.  When treating both the BPH (N40.0) and bladder stones (N21.0) during the same surgery, is it appropriate to bill both 52649 {Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete…….)} & 52317 and/or 52318 [Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; …..]. There are no CCI edits in Coding today, so it appears they can be billed together.   Please explain why or why not?   2. New to urology and would appreciate some knowledge in male fertility and general urology PRS Coding and Reimbursement Hub Access the Hub [https://www.prsnetwork.com/urologyhub]   Free Kidney Stone Coding Calculator Download Now [https://www.prsnetwork.com/stonesheet] PRS Coding Courses For Urologist [https://partner.prsnetwork.com/drchallenge-urology] For APPs [https://partner.prsnetwork.com/dcr-app-course] For Coders, Billers, and Admins [https://join.prsnetwork.com/dcb-urology-certification-info] PRS Billing and Other Services - Book a Call with Mark Painter or  Marianne Desciose Click Here to Get More Information and Request a Quote [https://www.prsnetwork.com/outsourced_billing]   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 [https://www.prsnetwork.com/joinuptp]   http://aua.codingtoday.com/try Click Here to Start Your Free Trial of AUACodingToday.com [http://aua.codingtoday.com/try]    The Thriving Urology Practice Facebook group. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/ [https://www.facebook.com/groups/ThrivingPractice/]  © 2025 Physician Reimbursement Systems, Inc.

June 13, 2025  In this episode, Ray, Mark, and Scott discuss recent denial issues from Aetna and Humana and offer some possible solutions. They also revisit a question covered in Episode #234: billing for amniotic tissue grafts during prostatectomy procedures, outlining strategies to address denials effectively. PRS Coding and Reimbursement Hub Access the Hub [https://www.prsnetwork.com/urologyhub] Jelmyto Coding and Reimbursement Page [https://prsnetwork.com/jelmyto] Upper Track Urothelial Cancer (UTUC) Coding and Reimbursement Page [https://www.prsnetwork.com/hub-urology-utuc] Free Kidney Stone Coding Calculator Download Now [https://www.prsnetwork.com/stonesheet] PRS Billing and Other Services - Book a Call with Mark Painter or  Marianne Desciose Click Here to Get More Information and Request a Quote [https://www.prsnetwork.com/outsourced_billing]   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 [https://www.prsnetwork.com/joinuptp]   http://aua.codingtoday.com/try Click Here to Start Your Free Trial of AUACodingToday.com [http://aua.codingtoday.com/try]    The Thriving Urology Practice Facebook group. The Thriving Urology Practice Facebook Group link to join: https://www.facebook.com/groups/ThrivingPractice/ [https://www.facebook.com/groups/ThrivingPractice/]