Claim OwnershipUrology Coding and Reimbursement Podcast
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© 2026 Urology Coding and Reimbursement Podcast
Description
The Urology Coding and Reimbursement Podcast is for Urologists and urology practice staff: Administrators, APPs, Billers and Coders. We help urologists and staff achieve peak economic and practice efficiency so there is time and energy to focus on patient care and a happy life. Your cohosts, Mark, Scott and Dr. Ray Painter discuss urology coding and share best practices for the urology office. We will answer submitted urology coding questions so that you can learn the concepts and apply in your practice. Learn the best practices: urology coding, revenue cycle management, scheduling, collections, patient information collection, pre-authorization, prior approval, charge capture, office communications, claim entry review, appeals, audits and billing, that we have tested and proven so you can adapt and incorporate.
309 Episodes
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October 30, 2026 In this episode, Scott, Mark, and Dr. Ray Painter break down the AI discussion from the AUA Western Section meeting, where Mark updated attendees on Medicare changes and joined a panel on artificial intelligence in urology. Practices are already using ambient scribes, patient education tools, document consolidation, scheduling, and revenue cycle applications—but Mark cautions that standard consumer AI tools like ChatGPT and Claude are not HIPAA compliant, so practices need ...
October 23, 2026 In this episode, Scott, Mark, and Dr. Ray Painter take on two questions that came in over the past week. First, quantitative urinalysis: the expanded, stack-coded urine test panels that some practices are starting to use in place of a standard UA. Mark explains why that pattern looks a lot like the early days of PCR testing, why payers are already issuing diagnosis-based medical necessity denials, and why every practice should write protocols for when a quantitative UA is o...
October 16, 2026 In this episode, Scott, Mark, and Dr. Ray Painter share what they heard at the October meeting of the Urology Pharma and Tech Pioneer (UPTP) group—a monthly forum where urology practices from around the country compare notes on new technology, payer behavior, and office workflows. They discuss XIAFLEX acquisition costs now running above ASP plus six and how practices are moving away from buy-and-bill toward specialty pharmacy or other acquisition options, with a reminder th...
October 9, 2026 In this episode, Scott, Mark, and Dr. Ray Painter tackle two areas where the details payers are watching can make or break payment. First, they look at why billing for injected and instilled drugs has become more complex: biosimilars that carry their own Q codes and NDCs, compounded drugs such as interferon being used during the BCG shortage, and rising acquisition costs that Medicare's ASP-based payment has not caught up with. Mark explains why the code and NDC on the claim...
September 25, 2026 In this episode, Scott, Mark, and Dr. Ray Painter break down the 2026 prostate biopsy coding changes and the documentation details that determine which code should be used. They review transrectal versus transperineal approaches, ultrasound-guided versus MRI-fusion biopsies, systematic versus targeted sampling, and when the add-on code for additional targeted lesions may apply. The team also discusses diagnosis coding, current denial trends, the risks of separately billin...
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