Urology Coding and Reimbursement Podcast

May 23, 2025  Scott, Mark, and Ray answer listener questions on coding for remote uroflowmetry, defining high-complexity MDM, and dealing with low Medicare Advantage reimbursements. They discuss CPT code options, provide examples of immediate-risk diagnoses, and offer strategies for contract negotiations.  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/]

May 16, 2025  Scott and Mark switch roles to introduce the new PRS Coding and Reimbursement Hub, featuring Jelmyto as an example. The Hub helps practices simplify workflow, coding, and reimbursement processes. Scott explains how the Hub provides clear, trusted guidance, enabling urology practices to streamline reimbursement, reduce confusion, and accelerate patient access. 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/]

May 9, 2025  In this episode, Scott, Mark, and Ray answer questions that came into the PRS Helpdesk. 1. One of my specialties is pedsurology and there is just not much guidance for surgery coding. Is it appropriate to use 54360 (plastic operation on penis to correct angulation) for correction of penile torsion? I found an article from AAPC dated 2005 that stated to use 14040 for penile torsion repair when performed with a MAGPI hypospadias repair (54322). What if the penile torsion repair is not performed with another procedure or at least without a hypospadias repair? 2. If Medical technologists (Medical assistants trained to perform Urodynamics) can perform this test why are Medical assistants not permitted by CMS to perform catheter insertion and removal in non regulated sites of services? (I have seen MAs in non regulated spaces perform catheter changes, bladder instillations--etc---how are practices able to get away with having MAs incorporated in their work flow as such?) 3. In regulated sites of service (Hospital based clinics) what documentation should be used to ensure proper billing when an MA performs 51798 (bladder scan) (incident to billing for a hospital-employed physician). 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/]

May 2, 2025  In this episode, Scott, Mark, and Ray share highlights from the AUA 2025 Annual Meeting in Las Vegas, discussing exciting new technologies, reimbursement challenges, key conversations, and updates from the urology community. 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/]

April 25, 2025  Scott, Mark, and Ray discuss the pressures of Urology practice in 2025. They talk about what you need to be aware of and why you need to plan for the future. 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/]