Ray Painter, MD
Urologist Ray Painter, MD, is president of Physician Reimbursement Systems, Inc., in Denver, and is also publisher of Urology Coding and Reimbursement Sourcebook.
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How to code for robotic cystolithotomy, diverticulectomy
"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.
When can modifier –25 be used with an E/M code?
Ray Painter, MD, and Mark Painter address some misunderstandings involving evaluation and management coding.
Medicare final rule: Urologists’ pay set to decrease (again)
In this article, we provide a summary of CPT changes for 2018, the Medicare Physician Fee Schedule final rule, and the final rule for the Quality Payment Program.
Proposed MIPS rule modifies 2018 requirements
The proposed rule for MACRA and the Merit-based Incentive Payment System program was released June 21, 2017-- As expected, the program requiring the implementation of the new MIPS scoring system and incentives to move to alternative payment models will continue.
What happens when prior auths don’t match services provided?
Telemedicine: Reimbursement in fee-for-service, quality models
The provision of health care via technology and without direct eye-to-eye and skin-to-skin contact is an area of growing interest in the U.S. It is also an area of great concern. One of the key conundrums surrounding telemedicine is the when, how, and what to pay for the service.

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