July 4th 2025
Catch up on exclusive videos you may have missed from the first half of the year.
Cystoscopy plus patient discussion: Can –25 modifier be used?
November 25th 2019"If the specific time spent discussing the disease and the appropriate treatment was not documented, then be sure that your documentation meets the criteria (history, physical examination, and medical decision-making) separate from any criteria performed to make sure the patient was prepared and able to have the procedure," write the Painters.
How MIPS Cost category changes will affect urologists
November 22nd 2019"On Nov. 1, 2019, CMS published a final rule making important changes to the 2020 Quality Payment Program (Merit-based incentive Payment System [MIPS] and alternative payment models). Among the most significant are changes to the MIPS Cost Category: changes in the way patients are attributed to physicians, changes in the way the cost measures are calculated, and the addition of new episode-based cost measures," writes Robert A. Dowling, MD.
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.
How to improve patients’ access to their health information
August 30th 2019"Patient access to health information-whether it resides in a medical record, a lab company’s system, or an insurance company records-is a right firmly protected by federal laws and regulations," writes Robert A. Dowling, MD.