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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ICD-10-CM 2027 Update

The FY 2027 update takes effect October 1, 2026, for outpatient encounters and inpatient discharges beginning on that date. Both the diagnosis code changes and the updated Official Guidelines for ...

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Podiatry Procedural Coding

Terry discusses the specialty of Podiatry procedural coding, to include some ankle surgeries, and other complex foot surgeries. She also strongly advises not to add CPT or ICD-10-CM codes to ...

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Obstetrics Coding for 2027

Obstetric coders have likely started to report E/M visits for newly pregnant patients, but they still have a few months before they need to use the full set of new ...

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ER and Critical Care Services Coding

Emergency Department and Critical Care Services are often incorrectly coded because the documentation lacks clarity. Terry discusses the elements necessary to have compliant ER documentation and also what CC services ...

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ICD-10-CM Coding for Diabetes

How does documentation specificity affect diabetes code assignment? The details included in a medical record can significantly affect ICD-10-CM code assignments. Terry discusses several examples to show how documentation specificity, ...

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E/M Coding: What Not To Do

Terry gives us scenarios that are examples of work that doesn’t amount to an E/M service or can’t be counted toward an E/M service, followed by discussion of the reason ...

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Technically correct and pre-ops

The AMA specifically states that the risk element concerns patient-management decisions made by the physician/QHP reporting the E/M service. It also emphasizes that surgical risk depends on the particular patient's ...

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Top 10 Tuesday Medical Coding Q and A

Terry discusses the 1op 10 Coding Corner Membership questions of the quarter, including Telehealth, the reality of voice recognition transcription disclaimers and some of the new proposals from CMS slated ...

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E/M Auditing Specialty Providers

Today on the CodeCast Podcast, Terry discusses a topic that comes up in auditing conversations frequently: “that an auditor needs to specialize in a certain specialty before they can audit ...

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CMS Fee Schedule Proposals

What are we anticipating for 2027 in the MPFS? This week Terry gives us a rundown on what to expect, how to respond before the comment period ends, and what ...

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Incident to Update: Commercial Plans

Incident-to Billing Update: More Blue Cross Blue Shield plans, along with the three largest commercial insurance carriers, are tightening their policies on the reporting and reimbursement of services billed under ...

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AI ChatBots Are Not Physicians

With more patients turning to large-language models such as ChatGPT, Gemini, Claude and others to answer their questions about symptoms, medical conditions and more, the American Medical Association (AMA) is ...

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How Safe Is AI in Healthcare?

Artificial intelligence is advancing faster than the laws designed to regulate it. While individual states continue to enact legislation governing the development and use of AI, the federal government is ...

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