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Urology Coding and Reimbursement Podcast

Mark Painter, Scott Painter and Dr. Ray Painter
Urology
Medicare
Telehealth
Revenue Cycle Management
Cystoscopy
Modmed
2025 CMS Final Rule
Medicare Advantage
Icd-10
Documentation
Optum
Piloplasty
Ureteral Stents
Healthcare Billing and Coding
Denials and Adjustments
Provider Education
Robotic Assisted Partial Nephrectomy
Cystourethroscopy
Vasectomy
Fertility

The Urology Coding and Reimbursement Podcast is for Urologists and urology practice staff: Administrators, APPs, Billers and Coders. We help urologists and staff achieve peak economic and practice efficiency so there is time and energy to focus on patient care and a happy life. Your cohosts, Mark, Scott and Dr. Ray Painter discuss urology coding and share best practices for the urology office. We ... more

PublishesWeeklyEpisodes279Founded6 years ago
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Health & Fitness

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Artwork for Urology Coding and Reimbursement Podcast

Latest Episodes

March 13, 2026

In this episode, Scott, Mark, and Dr. Ray Painter tackle three emerging reimbursement challenges affecting urology practices: widespread denials for testosterone pellet (Testopel®) therapy, the growing trend of secondary payers requir... more

March 6, 2026

In this episode, Scott, Mark, and Dr. Ray Painter break down the complex “alphabet soup” of Medicare coverage and auditing tools—including NCDs, LCDs, LCAs, RAC audits, and the emerging WISER program—and explain how they work together ... more

February 27, 2026

In this episode, Scott, Mark, and special guest Dr. John Lin tackle real-world evaluation and management (E/M) scenarios submitted by members of the Thriving Urology Practice Facebook Group.  Through practical examples—including BP... more

February 20, 2026

In this episode, Scott, Mark, and Dr. Ray Painter break down the financial realities of the new prostate biopsy CPT codes and what they mean for urology practices. Moving beyond coding mechanics, the discussion focuses on the econo... more

February 13, 2026

In this special live episode recorded at the Urology Advanced Coding and Reimbursement Seminar in New Orleans on January 31st, 2026, Scott, Mark, Dr. John Lin, and Marianne DeSciose dive into one of the most contentious coding batt... more

February 5, 2026

In this episode, Scott, Mark, and Dr. John Lin break down the latest telehealth news—Congress has officially extended Medicare telehealth coverage through the end of 2027, offering long-term stability for practices. They also answer... more

January 30, 2026

On this episode, Scott and Mark Painter sit down with Dr. Sida Niu and Tyler Hamik, co-founders of docology, an AI-driven clinical intake and workflow automation platform. Dr. Niu explains how docology was born out of his own frustr... more

January 23 , 2026

In this episode, Scott and Mark Painter discuss what the upcoming January 31 deadline means for telehealth coverage under Medicare, including expectations around funding extensions, potential payment delays, and bipartisan support ... more

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Recent Guests

John Lin
Special guest; solo practitioner in Gilbert, Arizona; founder of the Thriving Urology Practice Facebook Group
Thriving Urology Practice; Gilbert, Arizona
Episode: UCR 278: E/M Leveling — It’s as Clear as Mud
Dr. John Lin
Special guest, physician
(not specified in transcript)
Episode: UCR 276: Live from New Orleans – Modifier 25, Cystoscopy Denials, and How to Win the Appeal
Tyler Hamik
Co-founder, Chief Revenue Officer at Docology Health
Docology Health
Episode: UCR 274: Reducing Physician Burnout with AI – The docology Story
Sida Niu
Co-founder and Chief Medical Officer at Docology Health
Docology Health
Episode: UCR 274: Reducing Physician Burnout with AI – The docology Story
Ken Mitchell
A nationally recognized expert in men's health and sexual dysfunction with nearly 30 years of clinical experience.
Pizona MD
Episode: UCR 264: The Future of Urology: Addressing Workforce Challenges and APP Utilization with Ken Mitchell, PA-C
Dr. Marc Rose
Practicing urologist in Vero Beach, Florida, with a hybrid urology practice combining insurance and concierge models.
Rose Urology
Episode: UCR 256: A Hybrid Urology Practice—Dr. Marc Rose’s Concierge Model Journey
Dr. Peter Bretan
President of the American Association of Clinical Urologists, former president of the California Medical Association
American Association of Clinical Urologists
Episode: UCR 250: Advocacy, Policy, and the Future of Urology with Dr. Peter Bretan
Marianne Descoise
COO of PRS Managed Services
PRS Managed Services
Episode: UCR 229: Takeaways from the Urology Advanced Coding and Reimbursement Seminar in New Orleans
Marianne Desois
COO of PRS Managed Services
PRS Managed Services
Episode: UCR 227: Understanding Recoupments – How to Protect Your Practice’s Revenue

Hosts

Scott Painter
Host of the Urology Coding and Reimbursement Podcast, focusing on urology coding, reimbursement strategies, and clinical practice efficiency.
Mark Painter
Co-host of the Urology Coding and Reimbursement Podcast, providing expertise in coding and reimbursement practices for urologists.
Dr. Ray Painter
Co-host of the Urology Coding and Reimbursement Podcast, focusing on clinical insights and coding practices within the field of urology.

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Talking Points

Recent interactions between the hosts and their guests.

UCR 277: The New Economics of In-Office Prostate Biopsies
Q: What are the dominant cost drivers when moving to transperineal biopsies in the office?
The major cost drivers are the higher disposable and equipment costs, the need for a transperineal guide, local anesthesia, and the associated workflow changes, rather than large shifts in work RVUs, all of which must be weighed against potential reimbursement gains.
UCR 275: Telehealth Extended Through 2027, Proper Instillation Coding, and Medically Impossible Days
Q: John, what are your thoughts on telehealth extension through 2027 and the current audiovisual versus audio-only rules?
Telehealth should be treated as a legitimate, ongoing mode of care with appropriate documentation and coding, and audiovisual visits should be prioritized as closer to in-person care, while audio-only remains an option when clinically appropriate and approved by CMS.
UCR 274: Reducing Physician Burnout with AI – The docology Story
Q: I got a question for Dr. Niu. Can you give us an example of what your day looks like now when you're using Docology and how that works in your workflow?
Previously I spent 30 minutes to an hour each night reviewing charts and PDFs; now I rely on Docology summaries and timelines, which reduces prep time dramatically and lets me walk into the room prepared and present, improving patient interactions and family time.
UCR 276: Live from New Orleans – Modifier 25, Cystoscopy Denials, and How to Win the Appeal
Q: What are practical steps to improve denial overturn rates with payers, especially when you have a pattern of denial?
Develop robust appeal letters, ensure templates accurately reflect the separate identifiable E&M, consider phone-based peer-to-peer discussions with payers, and educate both the billing staff and providers about the documentation requirements.
UCR 276: Live from New Orleans – Modifier 25, Cystoscopy Denials, and How to Win the Appeal
Q: What constitutes a significant and separately identifiable E&M in this context, and how do you document it to meet payer requirements?
You must show medical necessity, cognitive effort, and clearly separated documentation within the note that highlights the separate E&M from the cystoscopy, possibly using a separate encounter or a clearly delimited section in the same note.

Audience Metrics

Listeners, social reach, demographics and more for this podcast.

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Frequently Asked Questions About Urology Coding and Reimbursement Podcast

What is Urology Coding and Reimbursement Podcast about and what kind of topics does it cover?

Focused on Urology coding and reimbursement, this podcast aims to enhance the economic efficiency of urology practices, streamlining operations for urologists and their staff including administrators and billing professionals. The co-hosts provide practical advice on medical coding, revenue cycle management, insurance claims processing, and various aspects of patient care management. By addressing real questions submitted by listeners and discussing recent developments in healthcare regulations, the hosts offer actionable insights to ensure that practices can thrive while maintaining a focus on patient care. The ongoing discussions encompass important themes like telehealth, documentation requirements, and emerging technologies in the field... more

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2. BiggerPockets Real Estate Podcast
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4. The Prof G Pod with Scott Galloway
5. BackTable Urology

How many episodes of Urology Coding and Reimbursement Podcast are there?

Urology Coding and Reimbursement Podcast launched 6 years ago and published 279 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on Urology Coding and Reimbursement Podcast?

Recent guests on Urology Coding and Reimbursement Podcast include:

1. John Lin
2. Dr. John Lin
3. Tyler Hamik
4. Sida Niu
5. Ken Mitchell
6. Dr. Marc Rose
7. Dr. Peter Bretan
8. Marianne Descoise

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