Urology Coding and Reimbursement Podcast

Urology Coding and Reimbursement Podcast

Mark Painter, Scott Painter and Dr. Ray PainterMark Painter, Scott Painter and Dr. Ray Painter
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All Episodes

UCR 282: Playing the Surgical Lottery – Medicare Advantage and Out-of-Network Strategy

March 27, 2026 In this episode, Scott, Mark, and Dr. John Lin dive into the challenges of navigating Medicare Advantage (Part C) plans—what happens when you’re out of network, why reimbursement can feel like a “surgical lottery,” and how to decide whether to participate at all. P ...  Show more

 . 35min 38sec
UCR 281: UnitedHealthcare’s New Documentation Rule and MDM Data Clarifications

March 20, 2026 In this episode, Scott, Mark, and Dr. Ray Painter break down a new UnitedHealthcare policy that could impact payment for professional components of diagnostic services—including urodynamics and other PCTC-coded procedures—and what practices must document to avoid d ...  Show more

 . 33min 53sec
UCR 280: Testosterone Pellet Denials, Secondary Payer Prior Auths, and Urology Risk Assessments

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 requiring prior authorization for hig ...  Show more

 . 28min 42sec
UCR 279: LCDs, NCDs, LCAs, and Audits — Understanding Medicare’s Coverage Landscape

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 to shape reimbursement policy. ...  Show more

 . 30min 26sec
UCR 278: E/M Leveling — It’s as Clear as Mud

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 BPH follow-ups, elevated PSA manag ...  Show more

 . 48min 46sec