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PRACTICE RESOURCES > Coding and Reimbursement


Coding and Reimbursement

While the national context focuses on rapidly evolving treatment methodologies and public/private policy decisions that affect the way healthcare is funded, delivery of services to patients is still a small business operation. Economic pressures continue to grow, making the effective management of day-to-day business functions an essential piece of the puzzle.

The Practice Management Department provides constant support to your management team through networking, education, products and services designed to help your practice thrive financially and support your goal to provide the best in patient care. These resources include, but are not limited to, coding assistance from certified professionals; webinars on topics like ancillary services, physician extenders and PQRS; an annual Urology Practice Management Conference; regional coding seminars held throughout the year; and others designed to assist in business efficiency.

The Department works closely with its physician committee, the Practice Management Committee, to review the effectiveness and relevance of existing programs and propose new ways to provide members with cutting-edge support.

The Reimbursement and Regulation Department has primary responsibility for the creation of new CPT codes and modification of existing ones working with the AUA Coding and Reimbursement Committee (CRC). The CRC serves as urology's representative in the area of coding and terminology development by requesting new and updated codes through the American Medical Association (AMA) CPT Editorial Panel and subsequent valuations of the codes through the AMA/Specialty Society Relative Value Scale Update Committee (RUC).

The National Insurer Advisory Workgroup, composed of representatives appointed by the appropriate Medicare contractor/carrier through recommendations of the state urology society, focuses on Medicare and private insurance issues to ensure coverage of urologic treatments and conditions.

In addition, Reimbursement & Regulation tracks key regulatory developments that affect urology and organized medicine and ensures that we provide convincing and well-supported comments to those federal agencies responsible for issuing and implementing the regulations in question. Learn more about AUA regulatory/policy advocacy.

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