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 your practice can avoid medical necessity denials
The practical application of medical necessity has taken many forms, and in this increasingly complex world of health care, understanding these applications has become a critical component of your business.
How to charge for E&M services, procedure on same date
How to charge for E&M services, procedure on same date
In this "Coding Q&A," the Painters also answer a question regarding coding for sling and cystocele repair with mesh repair.
Medicare payments to urologists down again in 2013 final rule
In this article, we cover a few issues gleaned from the 1,362-page final rule that could affect your urology practice.
Nephrostomy tube removal: How to code
If a nephrostomy tube removal is performed in conjunction with another service, such as an evaluation and management service, you should either report the other service(s) documented and consider the nephrostomy tube removal incidental or add a –22 to the other service if documentation supports a significant increase in effort.
Election outcome aside, here's how urologists can prepare
With the presidential election looming, we thought it would be appropriate to look at the visions for health care reform put forth by the two presidential candidates, with an eye toward what a urology practice should do today to prepare for the future.
Urologists should avoid unbundling instillation, in/out catheter
Make sure that you are coding correctly for the instillation based on the type of drug you are using and charge separately for the drugs that are instilled.
With health care reform upheld, expect these big changes
What does this all mean to the practicing urologist? Here is an overview of what to expect in the months and years ahead.
Coding for urodynamics presents tough challenges
In 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.
Urology practice success: Control what you can control
There are many aspects of the business of medicine that are difficult to influence. Here are some ways that you can have some control.
No unbundling of Foley catheter for cystoscopy
It is always recommended that, in addition to the clinical circumstances that caused the increased work, you include a relative time reference to justify the additional fee.