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Urology Coding and Reimbursement Podcast

Mark Painter, Scott Painter and Dr. Ray Painter
Urology
Medicare
Telehealth
Modmed
Revenue Cycle Management
Medicare Advantage
Government Shutdown
G2211
Cystoscopy
Urology Coding
Downcoding
Incident Two Billing
Prostate Biopsy
CPT Coding
CPT Codes
Urology Practices
Medicaid
Reimbursement
Documentation
2025 CMS Final Rule

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

PublishesWeeklyEpisodes308Founded7 years ago
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Health & Fitness

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Artwork for Urology Coding and Reimbursement Podcast

Latest Episodes

October 23, 2026

In this episode, Scott, Mark, and Dr. Ray Painter take on two questions that came in over the past week. First, quantitative urinalysis: the expanded, stack-coded urine test panels that some practices are starting to use in place of... more

October 16, 2026

In this episode, Scott, Mark, and Dr. Ray Painter share what they heard at the October meeting of the Urology Pharma and Tech Pioneer (UPTP) group—a monthly forum where urology practices from around the country compare notes on new ... more

October 9, 2026

In this episode, Scott, Mark, and Dr. Ray Painter tackle two areas where the details payers are watching can make or break payment. First, they look at why billing for injected and instilled drugs has become more complex: biosimilars... more

September 25, 2026

In this episode, Scott, Mark, and Dr. Ray Painter break down the 2026 prostate biopsy coding changes and the documentation details that determine which code should be used. They review transrectal versus transperineal approaches, ... more

September 11, 2026

 In this episode, Scott, Mark, Dr. Ray Painter, and special guest Marianne DeSciose take a closer look at the growing number of RAC audits, UPIC reviews, and medical record requests facing urology practices. They discuss current a... more

September 11, 2026

 In this episode, Scott and Mark Painter are joined by Dr. John Lin to tackle several practical coding and reimbursement questions from the urology community. They discuss whether there is a right number of CPT codes to include on... more

September 4, 2026

In this episode, Scott, Mark, Dr. Ray Painter, and special guest Marinne DeSciose take a deeper look at the sharp increase in payer downcoding and the growing workload it creates for urology practices. They discuss how downcoded E/... more

August 28, 2026

In this episode, Scott, Mark, and Dr. Ray Painter review where telehealth stands today and why it is becoming an essential part of the future of urology care. They discuss Medicare’s current rules for audio-visual and audio-only visi... more

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Recent Guests

Marianne DeSciose
COO of PRS Managed Services, the PRS-RCM arm
PRS Managed Services
Episode: UCR 305: RAC Audits, UPIC Reviews, and Denials — How to Get Paid and Keep the Money
John Lin
Founder of the Thriving Urology Practice group; solo urology practitioner in Gilbert, Arizona
Thriving Urology Practice
Episode: UCR 304: Prior Authorization Codes, Billing for DME Supplies, and Can You Trust AI?
Marinne DeSciose
COO of PRS Managed Services (RCM)
PRS Managed Services
Episode: UCR 303: Downcoding Is Surging — Is the Appeal Worth the Effort?
Bill Brudson
Urology practitioner discussed as a case study guest
Urology
Episode: UCR 294: Buy-and-Bill Drugs in Urology – Protecting Your Practice from Costly Mistakes
Dr. John Lin
Solo practitioner in Gilbert, Arizona
Episode: UCR 282: Playing the Surgical Lottery – Medicare Advantage and Out-of-Network Strategy
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

Talking Points

Recent interactions between the hosts and their guests.

UCR 302: Telehealth in 2026 — Current Rules, 2027 Proposals, and the Future of Urology Care
Q: Ray, thoughts on the future of telehealth adoption and patient demand?
Patient demand is growing as telehealth becomes more integrated and accepted; access and convenience will drive continued uptake, with remote testing and follow-up care expanding the role of telehealth beyond traditional visits.
UCR 304: Prior Authorization Codes, Billing for DME Supplies, and Can You Trust AI?
Q: John, what is your take on training front-desk staff to handle prior authorizations and the risks of incorrect assumptions like needing two CPT codes?
Two CPTs are not universally required; the key is to authorize what you intend to bill, with clear documentation and physician communication. Training should align with guidelines and real-world scenarios, and there should be established protocols to avoid unnecessary extra work.
UCR 305: RAC Audits, UPIC Reviews, and Denials — How to Get Paid and Keep the Money
Q: What is the recommended approach to documentation during an audit?
Provide precise, necessary documentation that directly supports the medical necessity and the specific questions in the demand letter, avoid over- or under- documenting, and keep communications concise and targeted to the auditor.
UCR 305: RAC Audits, UPIC Reviews, and Denials — How to Get Paid and Keep the Money
Q: What should a practice do immediately when they receive a RAC or UPIC notification?
Immediately gather the CMS reference materials, identify the required records, assess timelines, and route the task to a designated point person who manages the pull, review against LCDs/LCAs, and submission within the deadline.
UCR 294: Buy-and-Bill Drugs in Urology – Protecting Your Practice from Costly Mistakes
Q: How should practices approach prior authorizations and emerging AI tools?
Maintain strong policies, train staff, and monitor AI-assisted processes; use AI as a time saver but continue to supervise to prevent misclassifications and ensure compliance.

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?

The podcast centers on urology coding, reimbursement, and revenue-cycle management, with a strong emphasis on practical workflows, auditing, denials, and the evolving regulatory landscape. Episodes regularly feature guests who bring hands-on experience in payer strategies, compliance, and practice management, alongside host-led analyses of CPT/HCPCS interpretations, RVU shifts, and front-end documentation. The conversation consistently blends technical coding guidance with real-world implications for practice economics, including buy-and-bill considerations, office-based procedures, and the integration of new technologies with reimbursement realities. A notable strength is the disciplined, process-oriented approach to protecting revenue and... more

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Urology Coding and Reimbursement Podcast launched 7 years ago and published 308 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. Marianne DeSciose
2. John Lin
3. Marinne DeSciose
4. Bill Brudson
5. Dr. John Lin
6. Tyler Hamik
7. Sida Niu
8. Ken Mitchell

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