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.

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Time-Based EM Coding

Time-Based EM Coding

October 4, 2022

When a provider uses time as the factor to determine the level of care, how do they document what elements were done regarding that time? A statement that says “greater …

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Top 10 Tuesday Q&A – No Surprises Act Top

Top 10 Tuesday Q&A – No Surprises Act Top

September 27, 2022

The No Surprises Act took effect on January 1, 2022, and has had dramatic effects on how U.S. healthcare providers are required to conduct their business operations. The NSA seeks …

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ICD-10-CM 2023 Update

ICD-10-CM 2023 Update

September 20, 2022

October 1st is the effective date for the biggest change in diagnosis coding in a few years. There will be almost five times as many new codes in 2023 than …

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Business of Medicine Acronyms

Business of Medicine Acronyms

September 13, 2022

In this day and age of texting, shortcuts, and acronyms, Terry takes a look at the Business of Medicine Acronyms you can use every day. Terry also talks about the …

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ICD10-CM Colon Polyps Coding

ICD10-CM Colon Polyps Coding

September 6, 2022

In this episode of the CodeCast Podcast, Terry gets into specialty coding ICD10-CM for gastro and colon polyp coding. Terry also discusses ICD10-CM codes for bullying and the AHA definitions …

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Top 10 Tuesday Q&A – E/M 2023 Update Quick Look

Top 10 Tuesday Q&A – E/M 2023 Update Quick Look

August 30, 2022

New 2023 E/M Guidelines were recently proposed, each with its own interpretation. Join Terry for a quick look at expectations for 2023 for Evaluation and Management Services, which will hopefully …

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Hospice Modifiers and Remote Workspace

Hospice Modifiers and Remote Workspace

August 23, 2022

Terry Fletcher returns with another episode of the CodeCast Podcast to discuss hospice modifiers when Part B services are performed during a Part A hospice stay. Remote or work-from-home employee …

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Information Blocking Realities

Information Blocking Realities

August 16, 2022

The HIPAA Right of Access gives people the right to inspect their protected health information that is held by a HIPAA-covered entity, check the information for errors, and request that …

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ICD-10-CM coding for migraines, arrhythmias, and more

ICD-10-CM coding for migraines, arrhythmias, and more

August 9, 2022

This edition of the CodeCast podcast defines migraine, arrhythmia, and signs or symptoms language with ICD-10-CM rules, so that diagnosis coding can be easier to capture. It’s all a puzzle …

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CMS Strategic Plan for 2022

CMS Strategic Plan for 2022

August 2, 2022

In this episode of the CodeCast Podcast Terry Fletcher goes over the published CMS Strategic Plan. This plan will affect provider practice workflows, along with clarifications on EM Data Points, …

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Top 10 Tuesday Q&A – Mixed Bag of Coding Questions

Top 10 Tuesday Q&A – Mixed Bag of Coding Questions

July 26, 2022

In this episode of the CodeCast, Terry continues her Top 10 Tuesday series with allergy, orthopedic, 25 modifier, and cardiology questions, plus more. These responses can impact your workflows along …

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Are you a Coder or a Biller? Let's find out!

Are you a Coder or a Biller? Let’s find out!

July 19, 2022

There have been a lot of discussions lately on whether or not Coders are Billers and vice versa. In the grand scheme of things, what do you want your employer …

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Medicare PFS Announcements

Medicare PFS Announcements

July 12, 2022

On July 7, 2022, CMS issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other …

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Revisiting NPP Incident to Coding Rules

Revisiting NPP Incident to Coding Rules

July 5, 2022

This week’s CodeCast podcast revisits the topic of “Incident to.” The last time this was covered on the show was back in February 2021. That is well over a year …

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Top 10 Insurance Verification Tips

Top 10 Insurance Verification Tips

June 28, 2022

A healthcare practice must verify the patient’s coverage and eligibility for medical services being sought and determine their responsibility for payment. Through the patient eligibility and benefits verification process, physician …

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Breaking News: 25 Modifier Chaos Coming

Breaking News: 25 Modifier Chaos Coming

June 21, 2022

Many payers are starting to put restrictions on payment and submission requirements when billing the 25 modifier on E/M services with minor procedures on the same date. You will see …

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HCC Coding Compliance

HCC Coding Compliance

June 14, 2022

This week, Terry introduces a new ICD-10-CM topic of HCC (Hierarchical Condition Category) coding relies on ICD-10-CM coding to assign risk scores to patients. Each HCC is mapped to an …

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IPPE, AWV and other Preventative Payable Visits

IPPE, AWV and other Preventative Payable Visits

June 7, 2022

This week on the CodeCast Podcast, Terry Fletcher discusses the differences between the IPPE, AWV and a routine physical exam. Many providers are billing E/M services to “establish care” and …

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