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.

You can also subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast™ Podcast please contact us directly for pricing.

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 …

More Info
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, …

More Info
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 …

More Info
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 …

More Info
Tips on Reviewing MRs for Coding Accuracy

Tips on Reviewing MRs for Coding Accuracy

October 14, 2025

In this episode, Terry tackles a common pitfall in coding and CDI workflows: skipping straight to the Assessment and Plan (A/P) section of an E/M note to determine service level. …

More Info
Coders and Auditors Hold Providers Accountable

Coders and Auditors Hold Providers Accountable

October 7, 2025

Terry explores the critical role coders and auditors play in holding providers accountable. From reviewing clinical documentation and medical record notes to verifying patient eligibility, addressing cases where minors receive …

More Info
Medicare’s Prior Auth Pilot: What It Means for You

Medicare’s Prior Auth Pilot: What It Means for You

September 30, 2025

In this episode, Terry breaks down the upcoming Prior Authorization pilot programs launching for Medicare Part B Professional Services on January 1, 2026, and for Ambulatory Surgical Centers starting December …

More Info
Are you documenting prescription drug management risk?

Are you documenting prescription drug management risk? (Fixed Audio)

September 23, 2025

In this episode of the CodeCast Podcast, Terry addresses a common misconception among medical providers: the belief that simply listing a patient’s medications or repeatedly noting “continue meds” is enough …

More Info
Are you documenting prescription drug management risk?

Are you documenting prescription drug management risk?

September 23, 2025

In this episode of the CodeCast Podcast, Terry addresses a common misconception among medical providers: the belief that simply listing a patient’s medications or repeatedly noting “continue meds” is enough …

More Info
Split/Shared Visits Update

Split/Shared Visits Update

September 16, 2025

A split or shared visit is an evaluation and management (E/M) service performed jointly by a physician and a non-physician practitioner (NPP) from the same group in a facility setting. …

More Info
Which is more important to a practice's success: collection or production?

Telehealth October 2025 Preview

September 9, 2025

In this week’s episode of the CodeCast Podcast, Terry Fletcher previews potential Telehealth updates and changes set to take effect on October 1. She also discusses how major surgery can …

More Info
Undercoding Is Real—And It’s Costing You

Undercoding Is Real—And It’s Costing You

September 2, 2025

In this episode of CodeCast, Terry takes a closer look at the growing issue of undercoding in healthcare. Often misunderstood or overlooked, undercoding involves reporting fewer services than were actually …

More Info
Bilateral Billing Under Fire: Modifier 50

Bilateral Billing Under Fire: Modifier 50

August 26, 2025

In this episode of CodeCast, Terry dives into the complexities of billing bilateral procedures and the growing tension between Medicare guidelines and commercial payer policies. Modifier 50 is used to …

More Info
G0101 and Preventative Billing

G0101 and Preventative Billing

August 19, 2025

Medicare has designated two HCPCS codes for women’s screening services: G0101 – Screening pelvic and clinical breast exam Q0091 – Collection of a screening Pap smear These codes are reimbursable …

More Info
CMS E/M Improper Payment Report

CMS E/M Improper Payment Report

August 12, 2025

In this episode, Terry dives into the latest findings from the Centers for Medicare & Medicaid Services (CMS) regarding Evaluation and Management (E/M) services. According to the 2023 CERT (Comprehensive …

More Info
ICD-10-CM Official Guidelines for FY 2026

ICD-10-CM Official Guidelines for FY 2026

August 5, 2025

The FY 2026 ICD-10-CM Official Guidelines are out. In this episode, Terry breaks down the key updates and what they mean for your coding workflow. Tune in as she covers: …

More Info
Top 10 Tuesday Q&A – Coding, Billing, and Compliance Questions

Top 10 Tuesday Q&A – Coding, Billing, and Compliance Questions

July 29, 2025

Join Terry on the latest CodeCast podcast as she tackles your most pressing medical coding and compliance questions in our “Top Ten Tuesday” segment! Terry clears up common misunderstandings and …

More Info
Navigating Split/Shared Visit Audit Risks

Navigating Split/Shared Visit Audit Risks

July 22, 2025

In this essential episode, we dive deep into the heightened scrutiny surrounding split/shared visits, particularly high-level 99223 initial hospital visits. Join Terry as she breaks down the latest payer audits …

More Info