Podcasts
The CodeCast Podcast | Medical Billing & Coding Insights
The Business Side of Medicine ~ Coding, Reimbursement and Compliance for Physician Practices
National Speaker and Healthcare Consultant, Auditor and Educator, Terry Fletcher CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, , ACS-CA, SCP-CA, QMGC, QMCRC, QMPM knows from over 30 years medical reimbursement industry experience that Coding, Billing and Compliance for physician practices and hospitals can be tough to navigate. Her CodeCast® Podcast series will share insights to current rules and regulations the Medicare payer requires, along with Commercial Insurance plans’ rules and reimbursement challenges. Discover revenue opportunities to maximize reimbursement in your medical practice, focusing on different medical specialties and platforms each episode.
You can also subscribe to our podcasts via:
- Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627
- Google Podcasts – https://play.google.com/music/listen#/ps/Ia47t6quqphhsanlzpajk37yiga
- Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX
- Stitcher – http://www.stitcher.com/s?fid=156874
- TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/
- YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg
- Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights
- iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/
If you’d like to become a sponsor of the CodeCast® Podcast please contact us directly for pricing.
Understanding Prior Authorization
September 19, 2023
Prior authorization in health care is a requirement that a healthcare provider gets approval from an insurance plan before prescribing their patient medication or doing a medical procedure. Insurance providers …
Podcast: Play in new window | Download (Duration: 20:46 — 28.7MB)
More Info
EM Data Points Confusion Clarifications
September 12, 2023
The AMA MDM directions when leveling an E/M (Evaluation and Management) code (also known as office and/or hospital visits) are still confusing many providers, coders and auditors. In this week’s …
Podcast: Play in new window | Download (Duration: 16:46 — 23.2MB)
More Info
What is the G2211 complexity add-on for 2024?
September 5, 2023
In 2024, there will be a new add-on code for Medicare. This is a complexity code for specific long-term patients, where the provider is taking the treatment journey with the …
Podcast: Play in new window | Download (Duration: 17:33 — 24.1MB)
More Info
Top 10 Tuesday Q&A – Coding, Billing and Compliance Questions
August 29, 2023
In this week’s CodeCast podcast, Terry discusses the top ten coding, billing, and compliance questions from the last month. In this information-filled episode, she covers coding for staff prolonged services …
Podcast: Play in new window | Download (Duration: 21:57 — 30.3MB)
More Info
Waiving Co-Pays and Deductibles
August 22, 2023
Providers sometimes waive patients’ cost‐sharing amounts (e.g., copays or deductibles) as an accommodation to the patient. However, doing so may violate fraud and abuse laws and/or payor contracts. From a …
Podcast: Play in new window | Download (Duration: 19:45 — 27.3MB)
More Info
What’s The Latest Medicare Update?
August 15, 2023
Medicare has been making some under-the-radar updates that provider practices need to know. You could be seeing ineligible patients, with no current ID card, coming in for services. You could …
Podcast: Play in new window | Download (Duration: 12:45 — 17.7MB)
More Info
Can Pre-Op Visits Be Billed?
August 8, 2023
A question that Terry often fields is one regarding billing for pre-op visits. Should these visits be billing? There is conflicting published guidance on this question from different sources. Terry …
Podcast: Play in new window | Download (Duration: 15:04 — 20.9MB)
More Info
Registered Dietitians and Nutritionist Coding and Billing
August 1, 2023
When a dietician or nutritionist sees a patient, their services may not covered for bariatric patients aka obesity. It is a nice option to have, but patients, would most likely, …
Podcast: Play in new window | Download (Duration: 14:31 — 20.1MB)
More Info
Using SDoH (Social Determinates of Health) Correctly
July 25, 2023
Social Determinates of Health are important secondary diagnoses to help explain a patient’s circumstances when it comes to access to medical care, adherence to medical advice, and environmental factors that …
Podcast: Play in new window | Download (Duration: 13:15 — 18.4MB)
More Info
Documentation Requirements for Audio-Only Visits
July 18, 2023
CMS has not addressed a template for audio-only Telehealth visits. Therefore, Terry offers some best practices for audio-only documentation in order to stand up to and be compliant with payer …
Podcast: Play in new window | Download (Duration: 13:12 — 18.3MB)
More Info
ICD10CM Revisited on Laterality
July 11, 2023
Terry revisits the rule on reporting specificity in the laterality of a diagnosis, when the physician or QHP only gives us unspecified. What can we do as coders? As a …
Podcast: Play in new window | Download (Duration: 13:52 — 19.2MB)
More Info
Defining a QHP
July 4, 2023
QHPs are often certified and must be licensed. Trying to use clinicians that cannot “independently report services to payers” as QHPs will not only flag you for an audit, but …
Podcast: Play in new window | Download (Duration: 12:16 — 17.0MB)
More Info
Revisiting The EMR E/M Template
June 27, 2023
On an abbreviated edition of the CodeCast, it’s “out with the old and in with the new” as Terry gives some quick tips on updating your outdated EMR template relating …
Podcast: Play in new window | Download (Duration: 7:23 — 10.3MB)
More Info
What are you looking for in an audit?
June 20, 2023
This week on the CodeCast podcast, Terry discusses external audits, and what you should be looking for when moving from internal to external audits. What are your objectives? Are they …
Podcast: Play in new window | Download (Duration: 17:36 — 24.4MB)
More Info
Patient Initiated Services: What does it mean?
June 13, 2023
Many virtual visit options are available to patients when they initiate patient-to-physician contact. The definition seems to be lost in all of the Telehealth visits, so in this week’s CodeCast …
Podcast: Play in new window | Download (Duration: 12:23 — 17.2MB)
More Info
Appropriately Reporting 99211 Services
June 6, 2023
Reporting 99211 can bring additional revenue into your practice. Appropriately reporting 99211 services can also improve documentation in a practice. Terry discusses the qualifiers for the 99211, such as having …
Podcast: Play in new window | Download (Duration: 14:04 — 19.5MB)
More Info
Top 10 Telehealth Changes NOW!
May 30, 2023
On this edition of the CodeCast Podcast, Terry gives you the top ten Telehealth changes to implement or get ready for now. Now that the PHE is over, there’s no …
Podcast: Play in new window | Download (Duration: 13:31 — 18.7MB)
More Info
Should you code the definitive condition or signs/symptoms? [Fixed Audio]
May 23, 2023
There is an ongoing debate about ICD-10-CM and diagnosis coding: should we code the patient complaints, the signs and symptoms, or go straight to the definitive diagnosis? When is it …
Podcast: Play in new window | Download (Duration: 17:23 — 24.0MB)
More Info