Mark Painter is CEO of PRS Urology SC in Denver.
ICD-10/CPT updates involve coding for strictures, orchiopexy
November 13th 2019"One of the common issues we have noted for urology practices in updating ICD-10 codes is not the electronic medical record or practice management system failing to load new codes; rather, it is a failure to update templates," write Ray Painter, MD, and Mark Painter.
Hospital refuses access to EOBs; what can I do?
October 14th 2019"There are two major reasons for you to confirm accuracy: to be sure that fraudulent claims are not being submitted and to confirm that the claims accurately reflect the work you have performed," write Ray Painter, MD, and Mark Painter.
Proposed rule: Look for changes to MIPS, supervision of APPs
September 16th 2019"The much-anticipated proposed rule for the Medicare physician fee schedule was finally released on July 29, 2019. The bottom-line impact to urology for 2020-based changes to relative value units is a projected +1% additionally," write the Painters.
Can you bill a urethral suspension with radical prostatectomy?
September 11th 2018"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.
How to use CPT 52356 for removing multiple stones
May 14th 2014In this edition of "Coding Q&A," Ray Painter, MD, and Mark Painter also discuss the use of the –59 modifier when instilling mitomycin after TURBT, and whether you can charge for a establishing a treatment on the same day for a patient on whom you have just performed a cystoscopy.
Coding for urodynamics presents tough challenges
July 1st 2012In a recent audit of urodynamics charges, Medicare recognized some codes but not others, and the documentation for all services that were reviewed only included the report from the urodynamics machine. This review pointed out the lack of understanding of these codes by payers and physicians.