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co-hosted by: Mark, Scott and Dr. Ray Painter

Urology Coding and Reimbursement Podcast 

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.  

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UCR 013: Kidney Stone Coding - a discussion about the CPT® and CMS rules and how they impact multiple stone billing in different locations.

 Mark and Ray present the current CMS and CPT rules and how those rules affect coding for multiple stones.   As most are well aware, the rules are not always black and white and in this instance the rules leave plenty of room for interpretation.  Mark and Ray present the current rules and lay out a case for a fair interpretation based on work performed.

 

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UCR 012: Maximizing income and efficiency begins with the front office, learn what to look for and how to adjust. Interview with Larry Kemp, FACHE

 

Larry talks about how teamwork is one of the most important aspects of an efficient office.  Learn about one of the best ways to train your office.  Larry has helped many urology practices and over the years developed and tested systems and strategies to help practices of all sizes. 

How do you know when it is time to part ways with a team member? Is one employee dragging the performance of the rest of the group down? 

 

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UCR 011: The 5 most important things for Urologists to include on the home page of their website. Interview with Marketing Expert Brent Stutzman

 

Brent shares what most Urologists are missing on their website.  Do you explain what you do?  Have pictures related to your practice? Have a clear call to action?  Learn some simple changes you can make to your website to help attract your ideal patient.

Should you have video on your website?  How important are testimonials?  Get the answers to all these questions and more as Brent discusses what is important for today's urology website.

 

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UCR 010: Cybersecurity: Working from home/remotely? How to protect your network and your practice from cyber attacks and breaches

Cybersecurity: Working from home/remotely? How to protect your network and your practice from cyber attacks and breaches
In this episode, Mark interviews cybersecurity expert Jeffery Daigrepont, from the Coker Group.

Jeffery shares some items you should consider to protect your practice. Did you realize that one of the most important tools is cybersecurity insurance and most out of the box policies don't cover a common cyber breach potential?


Also, most practices don't know that many breaches occur because of individuals actions within the practice. These actions are not intentional but can lead to significant issues.

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UCR 009: Modifier -25

Mark, Scott and Ray talk modifier -25.  In addition to a general overview about the definition, they give several urology examples.

Modifier -25 definition: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service: It may be necessary to indicate that on the day a procedure or service identified by a CPT code was performed, the patient's condition required a significant, separately identifiable E/M service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed.

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UCR 008: RVUs - Overview and How They Can Help You

Mark discusses RVUs and why they are important to the urology practice.  Not only are they important for reimbursement but they can also be used as a tool to assess practice productivity and efficiency.

Learn why not understanding the RVU basics could be costing you in many aspects of your practice.

 

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UCR 007: Voice Recognition in Today's Practice with Brad Sclar

Scott talks with voice recognition expert Brad Sclar.  Learn how Brad, who has a Doctorate of Musical Arts, got involved with healthcare. Find out if voice recognition belongs in today's practice.  Why the dictation software and algorithms on your phone and computer just don't cut it in the medical profession.

 
 
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UCR 006: How Dr. John Lin is "reopening" his urology practice as the pandemic restrictions are easing

Mark and Scott talk with Dr. John Lin, a solo practitioner from Gilbert, AZ in the Phoenix metropolitan area.  Dr. Lin shares his strategies and the steps he is taking to "reopen" his practice.

Find out if he sees telehealth in his practice moving forward and if there are any efficiencies to be gained from what he has learned.

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UCR 005: Do you know what you are not billing?

We hope you and your families are safe and healthy.

In this episode, Scott and Ray discuss two commonly overlooked billing mistakes that cost urology practices money.  You can't find this on any report but yet it occurs in all practices unless you have the right system.

Ray outlines the simple but effective way to identify procedures performed, that may not have been billed.  They also discuss a second issue, contractual denials, and  outline a strategy to address them.

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UCR 004: Telehealth/Telemedicine Shared Visits Clarification

We hope you and your families are safe and healthy.

In this episode, Mark clarifies the rules associated with Telehealth/Telemedicine shared visits.  We have been getting questions regarding shared visits. 

Mark answered a question on the recent webinar and his answer sparked additional discussions on this topic.

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UCR 003: How to Document Telehealth/Telemedicine Visits and Comply with the New Rules

This is a replay of a webinar that aired Thursday, April 10th, 2020. Mark outlined how to properly document Telehealth/Telemedicine visits and select the appropriate level of service during the Public Health Emergency.

The rules were released and then adapted to the changed Telehealth environment. Mark also reviews the new rules and how to apply them in a Urology practice.

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co-hosted by: Mark, Scott and Dr. Ray Painter

UCR 002: Telehealth/Telemedicine: New Rules in the Wake of the Coronavirus

Congress and the president gave Medicare some additional powers to relax the current restrictions surrounding payment for services provided via telephone, Video chat and through HIPAA secure technology for traditional Medicare.   Additionally, Private insurance companies through both Medicare Advantage plans and standard commercial plans have been encouraged to expand telehealth services.

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