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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ICD-10: Different codes but identical guidelines
ICD-10: Different codes but identical guidelines
The Painters compare ICD-9 and ICD-10 in the context of coding for treatment of patients with cancer.
Is billing for stone prevention counseling possible?
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.
Modifiers for multiple stones raise questions
We have never seen so many changes in coding and billing for any service that would equal the changes we’ve seen for reporting multiple stones in the urinary system. Over the past 3 years, we’ve witnessed multiple opinions and differing payment results.
Papillotomy billing: Two pathways to choose
Neither option will sidestep the need for a manual review prior to payment, say Ray Painter, MD, and Mark Painter.
How to code for prostate needle biopsy
The Painters clear up confusion surrounding coding for prostate needle biopsy, and also discuss split billing for urodynamics testing.
Health care reform in 2015: You do have choices
If you feel like the practice of medicine is becoming more complicated and that the government and the payers are out to get you, you are not alone, nor are you paranoid. In this article, we examine a few of the issues you are currently facing and some of the choices you have to make.
Overcoming billing challenges for prostate, renal biopsy
Overcoming billing challenges for prostate, renal biopsy
Certain private payers are denying codes for prostate and renal biopsy, and strong documentation will be required to ensure you get paid for your services.
Multiple stones: Watch for –59 modifier replacements
Multiple stones: Watch for –59 modifier replacements
In this "Coding Q&A" column, Ray Painter, MD, and Mark Painter answer several reader questions involving billing for multiple stones, including replacements for the –59 modifier, use of CPT code 50590, and NCCI guidelines and multiple stones.
Medicare proposed rule: What you need to know
The Centers for Medicare & Medicaid Services proposed changes to Medicare payment cover the Physician Quality Reporting System, value-based payment modification, potential relative value unit changes, targeted codes, and a change in global for future years, among other items.
How to bill for shared medical appointments
Other questions addressed in this installment of "Coding Q&A" include understanding the Physician Quality Reporting System and avoiding being denied payment for lab tests based on medical necessity.


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