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 253: Complex Bladder Clot Evacuation Coding and How to Bill Pre-Surgical E/M Services
Urology Coding and Reimbursement Podcast
24 minutes
3 months ago
UCR 253: Complex Bladder Clot Evacuation Coding and How to Bill Pre-Surgical E/M Services
August 1, 2025 In this episode, Scott, Mark, and Ray answer coding questions submitted through the PRS Helpdesk. Pay er: Anthem BCBS State: NV Code/Codes: Tranurethral resection of bladder clot that was organized to facilitate removal Catagory: OtherQuestion: I'm looking for a CPT code for : transurethral resection of bladder clot that was organized t facilitate removal Pt was inpt and Dr tried to do a clot removal from the bladder, but was unsuccessful as the whole bladder was ...
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...
