Terry Fletcher Consulting, Inc. - Taking the Business of Medicine to the next level

Modifier 22 Letter

As promised, below is my Modifier 22 Letter to assist in appealing claims: when the procedure or surgery was an “increased procedural service” and the reimbursement on the fee schedule does not account for the extra work, time, and difficulty. Modifier 22 Letter (PDF Format)


The Dangers of “Cloned Notes E/M” in Healthcare Practices

The practice of cloned or copy and pasted documentation is a significant issue in the use of electronic health records (EHRs). A recent study in the Journal of the American Medical Association, found that of hundreds of progress notes examined by researchers, just 18% were newly entered by clinicians (Wang, 2017). Medicare (CMS), defines cloned […]

Medical team standing in the hospital corridor

Professionalism in the Healthcare Profession

Do you magically become a professional when you obtain a certificate that says you attended school for a certain amount of time? There are ways to represent professionalism, but what does it really mean to you? Let’s examine what it means to be professional: How you dress, where you work, the places you go, or the […]

Professional typing an email

Email like a boss

Sometimes the smallest things can make all of the difference when you are a boss, supervisor, administrator, team leader, manager, etc, trying to have the face of credibility but also respect. One way to keep that respect, is to learn when you need something or you need someone of your team members to respond to […]

Healthcare medical concept, Expert Team of Doctors working information for examining Medicals Exams about Patient database through laptop computer, tablet and have Stethoscope on hospital office.

Hierarchical Condition Categories (HCC) 4-part coding and documentation webinar education series

Hierarchical condition category (HCC) coding is a risk-adjustment model originally designed to estimate future health care costs for patients. The Centers for Medicare & Medicaid Services (CMS) HCC model was initiated in 2004 but is becoming increasingly prevalent as the environment shifts to value-based payment models. May 14th Part 1 Hierarchical Condition Categories (HCC) Defined […]

Join us for a webinar on Modifiers – Your Key to Reimbursement

Modifiers indicate that a service or procedure performed has been altered by some specific circumstance, but not changed in its definition or code. They are used to add information or change the description of service in order to improve accuracy or specificity of a CPT® code. Modifiers can be alphabetic, numeric or a combination of […]

Healthcare billing and coding changes

E/M Documentation Revisions for 2021 are around the corner

AMA is on track to revise E/M codes and set new documentation guidelines. What was considered to only target the Office and Other Outpatient visits, has now been expanded to impact the entire E/M section of CPT®. The AMA’s CPT® Editorial Panel approved many changes to the Evaluation and Management documentation and coding guidelines. If finalized, the […]

Medical Science Technology Concept. Blue Stethoscope On White Mo

Join us for a webinar on Fracture Care Coding > CPT 2019

Coding for closed treatment of fractures is nuanced and complex, which can lead to coding confusion. Our upcoming educational Webcast on May 15th, 2019 clarifies how to code for this form of treatment for successful claim payment. Any physician or qualified health care provider may consider the following methods of coding for closed treatment of […]

Consulting with a patient in reception area

You only have one chance to make a first impression

We have all heard the phrase “You can never make a first impression twice”. This hold’s true for almost anything in life. Job interviews, first dates, and yes, the first time a patient steps into your medical office. The first impression you make with an employer can make or break the opportunity. The same way, […]