PRSnetwork

🚨 Is Your Practice Losing Revenue Without Knowing It? 🚨

Payers are increasing scrutiny on urology practices through automatic E/M downcoding, stealth denials, medical record requests, takebacks, and RAC-style reviews—and many practices don't discover the impact until it's too late to appeal.

In UCR Episode 292, Scott, Mark, Dr. Ray Painter, and special guest Marianne DeSciose discuss real-world examples from hundreds of recently identified downcoded claims and share practical strategies to help practices:

✅ Detect reimbursement issues before appeal deadlines expire
✅ Prioritize revenue cycle resources effectively
✅ Strengthen clinical documentation and audit processes
✅ Monitor payer behavior and contract compliance
✅ Protect revenue through proactive appeals and oversight

The bottom line: Clean claims are no longer enough. Practices must actively monitor, audit, appeal, and defend their reimbursement.

🎧 Listen now: https://www.prsnetwork.com/292

UCR 292 Urologists and urology practice staff: Administrators, APPs, Billers and Coders Unite! Your co-hosts, Mark, Scott and Dr. Ray Painter are on a mission to 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.

❓ Coding Question Spotlight from Episode 184 (12:34)
"Does CPT 52281 apply when a cystoscope is passed to dilate a urethral or meatal narrowing, or is it reserved only for procedures involving an actual incision (like meatotomy or DVIU)?"
🎧 Tune in to our latest podcast episode to hear the full discussion and clarify when it's appropriate to use 52281. https://www.prsnetwork.com/184

UCR 184: FAQs - Clarification of split shared visit, and cystoscopy Urologists and urology practice staff: Administrators, APPs, Billers and Coders Unite! Your co-hosts, Mark, Scott and Dr. Ray Painter are on a mission to 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.