Podcasts

The CodeCast™ Podcast | Medical Billing & Coding Insights

The Business Side of Medicine ~ Coding, Reimbursement and Compliance for Physician Practices

Healthcare Consultant, Auditor and Educator, Terry Fletcher CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, , ACS-CA, SCP-CA, QMGC, QMCRC, QMPM, PACS, CPA®-TH knows from over 35 years in the healthcare industry, that Coding, Billing, and Compliance for physician practices and hospitals can be tough to navigate. Her CodeCast™ Podcast series will share insights into CPT® and ICD-10-CM coding, will discuss current rules and regulations the Medicare payer requires, along with Commercial Insurance plans’ rules and reimbursement challenges that all RCM staff deal with every day. Discover revenue opportunities to maximize reimbursement in your medical practice, hear complicated published federal payer rules broken down into easy-to-understand concepts, with a focus on different medical specialties and platforms in each episode.

The weekly CodeCast™ Podcast has run since the fall of 2017. Be sure to catch each episode that drops every #TerryTuesday™ on most popular podcast platforms.

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Who’s Doing the Coding — Providers or Coders?

Who’s Doing the Coding — Providers or Coders?

February 17, 2026

Many EMRs now embed ICD‑10 and CPT codes directly into the medical record. But is that advisable? The safest approach is still to let the documentation stand on its own. …

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The Compliance Gap in Ambient AI Scribing and Informed Consent

The Compliance Gap in Ambient AI Scribing and Informed Consent

February 10, 2026

When performing audits, the same macro statements keep appearing in progress notes: ambient AI scribing was used to create the documentation, and the note may contain errors. The pattern mirrors …

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Cardiology PCI Coding Made Clear

Cardiology PCI Coding Made Clear

February 3, 2026

The 2026 updates introduced new and revised PCI CPT codes, and even experienced coders are feeling the impact. With fresh code options and shifting applications, accurately capturing Coronary Intervention services—and …

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The Pros and Cons of ChatGPT for Healthcare

The Pros and Cons of ChatGPT for Healthcare

January 27, 2026

OpenAI’s launch of ChatGPT Health is reigniting a familiar debate about patient‑facing AI — how much it can empower people to access medical information, and how much it might amplify …

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Time Based EM and Care Management Compliance

Time Based EM and Care Management Compliance

January 20, 2026

Time-based coding can be a powerful, defensible approach for E/M services—when it’s documented the right way. But vague or incomplete time notes can open the door to denials, audits, and …

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Telehealth Compliance Tips for 2026

Telehealth Compliance Tips for 2026

January 13, 2026

Telehealth isn’t going anywhere, but many practices still don’t have a solid audit plan in place. With Medicare’s proposed rules now finalized for 2026—and the added uncertainty of another potential …

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Skin Substitutes and Grafts LCD vs Reimbursement 2026

Skin Substitutes and Grafts LCD vs Reimbursement 2026

January 6, 2026

Terry kicks off 2026 by clearing up a major misunderstanding in the provider and manufacturer community. Some believed that CMS’s last‑minute withdrawal of the LCD for skin substitute products would …

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Is Virtual Supervision a Good Idea for 2026?

Is Virtual Supervision a Good Idea for 2026?

December 30, 2025

Terry closes out the year with a deep dive into Medicare’s newly permanent “Virtual Supervision” rule taking effect in 2026, along with a refresher on the current requirements for reporting …

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2026 CPT Code Changes Are Coming Fast

2026 CPT Code Changes Are Coming Fast

December 23, 2025

2026 is coming in fast, and with it comes a fresh wave of CPT code changes that every healthcare professional needs to be ready for. On today’s episode of the …

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Audit Tips For Split/Shared Visits

Audit Tips For Split/Shared Visits

December 16, 2025

Auditing split/shared encounters can become confusing when providers, auditors, and coders are not aligned. CPT and CMS have both issued guidance to help clarify how these services should be billed. …

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"Risk" E/M Element OTC Medications

“Risk” E/M Element OTC Medications

December 9, 2025

When auditing risk of management in an E/M note, how are over-the-counter (OTC) medications scored? Under the 1995/1997 guidelines, they were categorized in the “low” risk row. However, the 2021 …

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MR Signature Compliance

MR Signature Compliance

December 2, 2025

Medical record signatures are more than the macro “electronically signed by Dr. Jack Jones.” A provider’s signature is a legal attestation that the physician or provider performed, reviewed, and/or agreed …

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Watch for Payer Automatic Down-Coding Without Notice

Watch for Payer Automatic Down-Coding Without Notice

November 25, 2025

Across the country, commercial payers are quietly down-coding E/M services without issuing ADRs and without providing notice. Office visit reimbursements are being arbitrarily reduced based on payer algorithms rather than …

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Auditing a record isn't the same as coding it

Auditing a record isn’t the same as coding it

November 18, 2025

When auditing a medical record, a common mistake is viewing it solely from a coding perspective rather than an auditing perspective. True auditing requires examining not just the encounter itself, …

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Leveling a Visit for an Acute Uncomplicated Illness

Leveling a Visit for an Acute Uncomplicated Illness

November 11, 2025

The September 2025 issue of CPT® Assistant raised important questions about how to appropriately level an evaluation and management (E/M) encounter when the presenting problem is an acute, uncomplicated illness …

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Claim Denials: Coding Mistake or Billing Oversight?

Claim Denials: Coding Mistake or Billing Oversight?

November 4, 2025

Medical billing and coding encompasses a wide range of responsibilities—from patient registration and claim reimbursement to final payment delivery to the provider. Navigating this process requires close collaboration among billers, …

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Understanding Who Can Bill Preventive G Codes

Understanding Who Can Bill Preventive G Codes

October 28, 2025

As more practices begin offering screening services, questions around billing for Medicare-specific G codes are becoming more common. In this episode, Terry breaks down when it’s appropriate to bill for …

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What the Shutdown Means for Medicare and Telehealth

What the Shutdown Means for Medicare and Telehealth

October 21, 2025

CMS has updated its stance on Medicare payments during the federal shutdown, confirming that only certain claims will be held—reversing earlier guidance that hinted at a wider pause. But what …

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