"If a high percentage of the radicals are billed with urethral suspension, then it is likely to be bundled in the future and it is possible that it will be tagged with an indicator that will not allow unbundling," write Ray Painter, MD, and Mark Painter.
Ray Painter, MD
"If the rule changes proposed by Medicare for 2019 are passed, they may very well change the way you practice," write Ray Painter, MD, and Mark Painter.
Advanced-practice providers can report services incident to an MD under a few circumstances.
The programs present an opportunity for urologists to evaluate how they practice.
Be prepared to supply supporting clinical reasons as part of your appeal to the payer.
Modifier use without supporting documentation could be considered fraudulent, write Ray Painter, MD, and Mark Painter.
In this "Coding Q&A" column, Ray Painter, MD, and Mark Painter also answer questions regarding bladder instillations and penile modeling during IPP placement.
In this article, we review mistakes made throughout the billing, documentation, and coding processes and what you can do to prevent them.
"When submitting an unlisted code for a procedure, you of course need to submit your documentation and we recommend a cover letter or explanation of the service including a comparative value or charge based on a similar code," write Ray Painter, MD, and Mark Painter.
In this Coding Q&A column, the Painters discuss the tricky question of whether you can bill for stone prevention counseling, and also answer a question about whether you can bill two instillation codes (51700) for one appointment.