About this episode

The episode discusses challenging reimbursement scenarios including Medicare denials and billing complexities in urodynamics.

June 19, 2026 In this episode, Scott, Mark, and Dr. Ray Painter tackle three challenging reimbursement scenarios submitted by listeners: Medicare denials for category III code 0816T, handling patient payments when claims are denied for timely filing or missing prior authorizations, and the ongoing complexities of billing urodynamics studies in a group practice setting. The discussion explores why “unprocessable” claims often require deeper investigation, how payer contracts influence whethe...

Topics covered

• reimbursement scenarios
• Medicare denials
• timely filing
• patient payments
• urodynamics billing
• group practice

Keywords

• reimbursement
• Medicare
• timely filing denials
• urodynamics
• billing
• patient payments
• category III code

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