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In this article, the the most recent installment in an ongoing series, Robert A. Dowling, MD, summarizes his first impressions of the MACRA final rule and what it means for urologists.

"We strongly recommend that you obtain your practice QRUR regardless of your practice size and learn more about the report," write Ray Painter, MD, and Mark Painter.

"This is the step whereby practices can apply good, evidence-based, pathway-driven medicine to not only provide excellent outcomes for patients, but also be financially successful in the process," writes Henry Rosevear, MD.

It’s time to revisit billing for Medicare Part B drugs. A proposed demonstration project that every urologist should be aware of, a change in the “brown bag” rules since our last publication, and a continued loss of income by many offices are making the purchase and delivery of drugs less palatable for urology offices.

The Centers for Medicare & Medicaid Services (CMS) recently released the Medicare Provider Utilization and Payment Data: Part D Prescriber Public Use File for 2014 claims. Part of a broader effort to increase transparency about care in general, this dataset also gives very granular information about the prescribing patterns of providers and may be used by policy makers to further scrutinize the cost of prescription drugs in the United States.

Robert A. Dowling, MD, dug into the Centers for Medicare & Medicaid Services’ recently released 2015 data from the "Open Payments" initiative, and summarizes the data on payments made to urologists.

"The marriage process, regardless of age, requires careful thought about a number of financial situations a couple will likely face," write Joel M. Blau, CFP, and Ronald J. Paprocki, JD, CFP, CHBC.

In this installment in a series on MACRA, I will review the definition of APMs, how participating providers would be reimbursed under MACRA (as proposed), and the relevance to specialists, including urologists.

By now, most of you are relatively fluent in the urology diagnosis codes that affect payment for the services provided in the urology office. Of course, we are now facing the end of the ICD-10 “grace period,” and fears of denials for bad diagnosis codes are once again starting to circulate. This begs the question, what should you do now?

You can withdraw money from an IRA at any time and for any reason, but it's important to keep in mind that most IRA withdrawals are at least partially taxable.

In this "Coding Q&A" column, Ray Painter, MD, and Mark Painter also answer a question about how to code for cystoscopy with stent removal through the stoma in a patient with an ileal loop.

In this second installment in a series, Robert A. Dowling, MD, addresses who is covered by MIPS, how and when you will be measured, and how and when you will receive your payment adjustment.

Decisions regarding wills, living trusts, and power of attorney are critical when forming a blended family, according to Joel M. Blau, CFP, and Ronald J. Paprocki, JD, CFP, CHBC.