October 31, 2025 In this Halloween-themed episode, Scott, Mark, Ray, and special guest Dr. John Lin explore the “curse” of poor documentation and its real-world consequences, including payer audits, downcoding, and revenue loss. They discuss how vague or incomplete documentation—even when care is appropriate—can lead to denials and clawbacks, especially in today’s AI-assisted claims review environment. The team also covers practical strategies to improve documentation, the risks of ov...
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October 31, 2025 In this Halloween-themed episode, Scott, Mark, Ray, and special guest Dr. John Lin explore the “curse” of poor documentation and its real-world consequences, including payer audits, downcoding, and revenue loss. They discuss how vague or incomplete documentation—even when care is appropriate—can lead to denials and clawbacks, especially in today’s AI-assisted claims review environment. The team also covers practical strategies to improve documentation, the risks of ov...
UCR 246: ER Consult for ED, Increasing Upfront Patient Collections, Billing for PAE Conscious Sedation, and Can You Bill Extra If It Sucks?
Urology Coding and Reimbursement Podcast
55 minutes
5 months ago
UCR 246: ER Consult for ED, Increasing Upfront Patient Collections, Billing for PAE Conscious Sedation, and Can You Bill Extra If It Sucks?
June 6, 2025 In this episode, Ray, Mark, and Scott welcome back Dr. John Lin to discuss topics brought up on the Thriving Urology Practice Facebook Group. 1) Just got a call from ER. 19 year-old cannot get an erection... 2) This notice came from the hospital last week regarding change in financial protocol about scheduled / elective surgical procedures. Increased Patient Responsibility: As is customary in the Phoenix market and in-line with other providers, we will move the down paymen...
Urology Coding and Reimbursement Podcast
October 31, 2025 In this Halloween-themed episode, Scott, Mark, Ray, and special guest Dr. John Lin explore the “curse” of poor documentation and its real-world consequences, including payer audits, downcoding, and revenue loss. They discuss how vague or incomplete documentation—even when care is appropriate—can lead to denials and clawbacks, especially in today’s AI-assisted claims review environment. The team also covers practical strategies to improve documentation, the risks of ov...
