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, CMCS, ACS-CA, SCP-CA, knows from over 25 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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Specialty Spotlight - Gastroenterology

Specialty Spotlight – Gastroenterology

This week Terry Fletcher focuses on the Gastroenterology specialty and more importantly: how to code and report a “screening colonoscopy” to Medicare or a commercial plan. Terry also brings you a new CPT code for PPE, Code 99072, and how to document for payment. Subscribe and Listen You can subscribe to our podcasts via: Apple […]

2021 CPT codes sets are now available

2021 CPT codes sets are now available

Medical coders will get a bit of a reprieve next year when it comes to learning new procedure codes. The CPT® Editorial Panel approved fewer new codes for 2021 than usual. This is a relief considering all the coding and guideline changes being implemented Jan. 1 for evaluation and management (E/M) services. CPT focused on […]

Medicare Telehealth 2021 after PHE and 2021

Medicare Telehealth 2021 after PHE and 2021

CMS considers returning to previous rules and polices for Telehealth before the PHE. . Many services will be expiring once the PHE ends, and there is a surprised in the proposed rule 2021 for the originating site that no one saw coming. It could change your decision to keep Telehealth in your practice or not […]

CMS "rent" is due!

CMS “rent” is due!

CMS has issued new mandates for the additional 20% payment for COVID-19 related services. APP payments are now due and robotic surgery has its challenges. Terry covers all of those topics on this edition, the 150th episode of the CodeCast podcast! Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627 […]

Top 10 Tuesday Q&A – Trending Topics in Healthcare

Top 10 Tuesday Q&A – Trending Topics in Healthcare

Terry’s Top Ten Tuesday focus this month includes a mixed bag of topics. Terry has some new ground to cover including shoulder surgery coding, non-binary patient services, and COVID-19 ICD-10 coding, as well as answering more of your most frequently asked Coding, Billing and Reimbursement questions for the month of August. Subscribe and Listen You […]

CMS COVID-19 Counseling Coding

CMS COVID-19 Counseling Coding

CMS will allow the reporting of existing evaluation and management payment codes to reimburse eligible providers to bill Medicare for counseling services, at the time of testing. By making reimbursement available to providers for counseling, CMS and CDC hope to stop the spread of COVID-19. However, there are rules to follow with eligible providers, and […]

The 2021 Proposed Physician Fee Schedule is out

The 2021 Proposed Physician Fee Schedule is out

In the last week, CMS proposed Medicare payment rules for outpatient services and physicians for 2021, including finalized payment rules for inpatient rehabilitation hospitals and psychiatric facilities. Looking specifically at the 2021 Physician Fee Schedule proposed rule, scheduled to be published on August 17th in the IFR, it had some surprises. The Budget Neutrality Act […]

Yes: compliance plans are required

Yes: compliance plans are required

Compliance: it’s a “dirty word” in Healthcare that haunts practice managers day-in and day-out as they try to avoid denials, audits, and recoupments. Achieving compliance is no small task given the complexity of payer requirements and ever-changing regulations. Employee burnout also makes it difficult to maintain compliance because when staff is burned out, as they’re […]

Top 10 Tuesday Q&A – Breaking News in Healthcare

Top 10 Tuesday Q&A – Breaking News in Healthcare

Terry’s Top Ten Tuesday focus this month is on breaking healthcare news. From PHE being extended at the last minute, to CMS audits starting in a week, and HHS plans for payment parity across the OPPS to the physician reimbursement platform, not one stone is left unturned in the latest CodeCast. Subscribe and Listen You […]

Getting back to basics: best practices on documentation and care

Getting back to basics: best practices on documentation and care

Now that most states are experiencing a surge of COVID-19 cases, many states are also on the verge of a second lockdown as well. Terry Fletcher helps guide you in getting back to basics in the latest episode of the CodeCast podcast. It is time to take inventory of some of the ways our practices […]