Urology Coding and Reimbursement Podcast
by Mark Painter, Scott Painter and Dr. Ray Painter
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From 18 epsHosts
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UCR 302: Telehealth in 2026 — Current Rules, 2027 Proposals, and the Future of Urology Care
Aug 28, 2026
43m 44s
UCR 301: Bladder Tumor Coding — Size, Location, Diagnosis Selection, and Same-Day Instillations
Aug 24, 2026
28m 23s
UCR 300: Collecting From Patients – Getting Paid When the Patient Is the Payer
Aug 14, 2026
26m 37s
UCR 299: Listener Questions Answered — Billing for Radiological Services with Office Visits, Stone Diagnosis Coding, and Modifier 25 Denials
Aug 7, 2026
30m 01s
UCR 298: Listener Questions Answered — Floor Consults Leading to Surgery, Pelvic Lymphadenectomy Denials, and Bladder Stone Removal During Simple Prostatectomy
Jul 31, 2026
34m 43s
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| Date | Episode | Topics | Guests | Brands | Places | Keywords | Sponsor | Length | |
|---|---|---|---|---|---|---|---|---|---|
| 8/28/26 | UCR 302: Telehealth in 2026 — Current Rules, 2027 Proposals, and the Future of Urology Care | August 28, 2026 In this episode, Scott, Mark, and Dr. Ray Painter review where telehealth stands today and why it is becoming an essential part of the future of urology care. They discuss Medicare’s current rules for audio-visual and audio-only visits through 2027, documentation requirements, place-of-service rules, telehealth for hospitalized patients, and the importance of state licensure. The team also looks ahead to Medicare’s proposed 2027 group medical visit model and explores how tel... | 43m 44s | ||||||
| 8/24/26 | UCR 301: Bladder Tumor Coding — Size, Location, Diagnosis Selection, and Same-Day Instillations | August 21, 2026 In this episode, Scott, Mark, and Dr. Ray Painter revisit the coding and documentation requirements for cystoscopic bladder tumor treatment. They discuss why tumor size—not the size of the resection bed—drives code selection, how multiple tumors are handled, and why documenting the exact bladder location is increasingly important for diagnosis coding. The team also explains when to use malignant, uncertain, or unspecified neoplasm codes, why you should code based on what is ... | 28m 23s | ||||||
| 8/14/26 | UCR 300: Collecting From Patients – Getting Paid When the Patient Is the Payer | August 14, 2026 In this episode, Scott and Mark Painter revisit ABNs and the growing importance of collecting directly from patients as more financial responsibility shifts away from payers. They discuss when ABNs are appropriate, cash-pay options, co-pays, deductibles, co-insurance, surgical deposits, and the value of collecting before services are rendered. The conversation also explores how practice culture, staff training, front-desk policies, geography, and patient demographics can inf... | 26m 37s | ||||||
| 8/7/26 | UCR 299: Listener Questions Answered — Billing for Radiological Services with Office Visits, Stone Diagnosis Coding, and Modifier 25 Denials | August 7, 2026 In this episode, Scott, Mark, and Dr. Ray Painter answer three reimbursement questions involving common—but increasingly scrutinized—coding situations. First, they discuss when a urologist can separately bill the professional component of a radiologic service such as retrograde urography on the same day as an E/M service, including the documentation requirements and potential conflict when radiology also bills for the interpretation. Next, they examine a ureteroscopy denial c... | 30m 01s | ||||||
| 7/31/26 | UCR 298: Listener Questions Answered — Floor Consults Leading to Surgery, Pelvic Lymphadenectomy Denials, and Bladder Stone Removal During Simple Prostatectomy | July 31, 2026 In this episode, Scott, Mark, and Dr. Ray Painter answer three detailed listener questions. First, they discuss whether an E/M service can be billed when a urologist evaluates a patient on the hospital floor and then decides to take the patient to the operating room for stone treatment or stent placement. Next, they examine payer denials involving laparoscopic radical prostatectomy with bilateral pelvic lymphadenectomy and whether all listed lymph node groups must be removed t... | 34m 43s | ||||||
| 7/24/26 | UCR 297: UTI PCR Coding Changes, Audit Risk, and the 2027 RVU Winners and Losers | July 24, 2026 In this episode, Scott, Mark, and Dr. Ray Painter examine a major shift in Medicare’s approach to coding UTI PCR testing. The discussion explains why reimbursement may now depend on the number of testing kits, methodologies, or procedures used—not simply the number of organisms reported—and what practices should review with their laboratory partners. The team also addresses denials, RAC and UPIC audits, corrected claims, potential commercial payer takebacks, and the continuing... | 35m 41s | ||||||
| 7/18/26 | Medicare proposed ruleurology practices+3 | — | CMS | — | Medicareurology+5 | — | 37m 07s | ||
| 7/10/26 | kidney stonesfacility reimbursement+3 | — | C9761 codeC8014 code+3 | — | kidney stonesreimbursement+5 | — | 40m 09s | ||
| 6/29/26 | buy-and-bill drugsurology practices+4 | — | ZUSDURI® | — | buy-and-billurology+5 | — | 31m 58s | ||
| 6/20/26 | reimbursement scenariosMedicare denials+4 | — | category III code 0816T | — | reimbursementMedicare+5 | — | 26m 52s | ||
Want analysis for the episodes below?Free for Pro Submit a request, we'll have your selected episodes analyzed within an hour. Free, at no cost to you, for Pro users. | |||||||||
| 6/12/26 | payer scrutinyurology practices+4 | Marianne DeSciose | urology practices | — | downcodingpayer tactics+4 | — | 32m 04s | ||
| 6/5/26 | C9761 reimbursement updateintraoperative consultations+3 | — | C9761HCPCS code+4 | — | C9761reimbursement+6 | — | 35m 51s | ||
| 5/22/26 | ureteral stent removalreplacement coding+4 | — | RACCPT+2 | — | stent removalreplacement coding+5 | — | 31m 12s | ||
| 5/16/26 | urology technologyreimbursement strategy+3 | — | AUAAUA Innovation Nexus | Washington, D.C. | urologyreimbursement+5 | — | 19m 50s | ||
| 5/8/26 | urologyreimbursement strategy+5 | — | AUA Innovation Nexus | Washington, D.C. | urologyreimbursement+5 | — | 21m 49s | ||
| 5/1/26 | ureteral stent removalreplacement codes+3 | — | ICD-10BCG | — | stent removalreplacement codes+5 | — | 28m 05s | ||
| 4/24/26 | HCPCS code C9761payment qualifications+4 | — | C9761steerable ureteral catheters+5 | — | C9761urology+7 | — | 32m 47s | ||
| 4/17/26 | complex proceduresoffice setting+4 | Dr. John Lin | Optilume | — | complex proceduresOptilume+6 | — | 30m 23s | ||
| 4/10/26 | UTI PCR testingOIG scrutiny+5 | — | OIGMACs+1 | — | UTI PCR testingOIG scrutiny+5 | — | 29m 06s | ||
| 4/6/26 | saturation biopsycystoscopy risk+5 | — | — | — | saturation biopsycystoscopy+5 | — | 34m 37s | ||
| 3/27/26 | Medicare Advantageout-of-network billing+4 | Dr. John Lin | UnitedHealthcareMedicare Advantage | — | Medicare Advantageout-of-network+4 | — | 35m 38s | ||
| 3/20/26 | UnitedHealthcare policydocumentation requirements+4 | — | UnitedHealthcare | — | UnitedHealthcaredocumentation rule+5 | — | 33m 53s | ||
| 3/13/26 | testosterone therapyreimbursement challenges+3 | — | Testopel® | — | testosterone pelletreimbursement+5 | — | 28m 42s | ||
| 3/9/26 | Medicare coverageauditing tools+4 | — | MedicareWISER program+4 | — | MedicareNCD+7 | — | 30m 26s | ||
| 2/27/26 | UCR 278: E/M Leveling — It’s as Clear as Mud | February 27, 2026 In this episode, Scott, Mark, and special guest Dr. John Lin tackle real-world evaluation and management (E/M) scenarios submitted by members of the Thriving Urology Practice Facebook Group. Through practical examples—including BPH follow-ups, elevated PSA management, overactive bladder, recurrent UTIs, and constipation—they break down how to apply medical decision-making rules to determine the correct level of service. The discussion highlights chronic stable ... | 48m 46s | ||||||
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