 Coding and Reimbursement and Coding Q&A are Urology Times columns that appear in alternating issues, and are written by Ray Painter, MD, president and CEO of Physician Reimbursement Systems, Inc., in Denver, and publisher of Urology Coding and Reimbursement Sourcebook; and Mark Painter, CEO of PRS Urology SC in Denver.
Send coding and reimbursement questions to:
Ray Painter, MD,
c/o Urology Times, at
UT@advanstar.com.
 Disclaimer: The information in this column is designed to be authoritative, and every effort has been made to ensure its accuracy at the time it was written. However, readers are encouraged to check with their individual carrier or private payers for updates and to confirm that this information conforms to their specific rules.
Recent articles: Reform law: Overpayment refunds due in 60 days Ready or not, sweeping health reform changes are coming Will new urodynamic codes work for private payers? Medicare vs. private payers: What urologists need to know Billing for urology supplies: Rules may vary by payer Payment for urology consults: What are your choices? Is reimbursement for repeat PSA testing possible? Urology takes heavy hit in 2010 Medicare updates 'Incident to' billing rules open to interpretation Health care reform or not, reimbursement will drop Is it possible to bill for a vasectomy consult? How will health care reform affect your reimbursement? Erectile dysfunction after robotic prostatectomy deemed 'complication' The time to start participating in PQRI is now Will payers reimburse for robotic procedures? Urodynamics: Accurate billing may up reimbursement Will Medicare pay for 'global' complications in the office? Quality-based payment is coming; are you ready? No code for 'radical' cystectomy, but you can be paid Medicare '09 rules yield winners and losers Prostate specific andigen test payment: Do not mix and match codes Procedural coding: How to make the process work Patient history should be updated on follow-up visits Medicare qualifies 'incident-to' billing Coding for bladder stones depends on method used The Medicare Administrative Contractor project: What does it mean for your practice? No specific code for botulinum toxin for incontinence New in 2008: An update on Medicare, CPT, and more You have two choices when coding for robotic radical prostatectomy Medicare final rule: Little good news for urologists Is injection of anesthetic local infiltration? E&M services: Does your documentation match your work? Intra-operative consult must meet specific criteria to code Ambulatory surgery centers: To build or not to build? Cystoscopy: Follow CCI bundling rules to avoid trouble Mind your PQRI: Participating can mean a bonus for you Bill non-ASC-approved procedures at in-office rate Streamline your billing without missing charges Physician's call is deciding factor in cancer code Obtain your National Provider Identifier number today Is it time to dump a payer? Many factors to consider Medicare payments for 2007: Urologists face 5% cut Length of hospital stay determines 'usual time' Proposed payment changes: Both good and bad news Counseling time: When you can and cannot bill separately Profit centers are CMS targets: How to plan accordingly Coding laser ablation, robotic RP: Consider these points The CAP is back on for physicians... again! Follow these steps when appealing a Medicare claim Rules for consultations have changed. Or have they? Secure contracts with nursing homes to ensure payment Shared data, changes to CAP bring challenges to 2006 Endoscopy procedures fall under surgical codes Look for these coding, reimbursement changes in 2006 Diligence needed to outwit the Medicare computers E&M documentation: Two points you may be missing Consider these points when billing for 'shared' appointments The 'CAP' is out of the bag; should you participate? OIG shouldn't fine for switching LHRH schedules Work smarter, not harder, to improve your bottom line Reason for difficult Foley insertion must be given FAQs about in-office injections: What you need to know Reimbursement, codes for injections are new in 2005 A fully automated office: How it boosts the bottom line If done by a nurse, service is charged by physician Several changes to ICD-9 codes are now in effect OK to bill orchiopexy with hernia repair, CPT says Medicare payment in 2005: What's up and what's down Procedures are always bundled within global periods E&M documentation: What's new and what's what
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