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:
- 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.
HIPAA and Workers Comp Patients
July 8, 2025
In today’s episode of the CodeCast podcast, Terry untangles the complexities of Protected Health Information (PHI) and HIPAA as they relate to workers’ compensation cases. She’ll clarify the rights of …
Podcast: Play in new window | Download (Duration: 13:44 — 19.0MB)
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Can physicians charge whatever they want to Insurance Payers?
July 1, 2025
A question I’m often asked is, “Why do physicians charge so much?” There’s no easy answer, as there isn’t a fixed price list for medical services. Due to the healthcare …
Podcast: Play in new window | Download (Duration: 14:22 — 19.9MB)
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Watch out for “bad actors” on billing advice
June 24, 2025
Engaging with “bad actors” in medical billing can have serious consequences for both patients and healthcare providers. More and more providers are engaging without checking. Here’s what could happen. Terry …
Podcast: Play in new window | Download (Duration: 14:57 — 20.7MB)
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Is the provider “prepared” to see the patient?
June 17, 2025
In this episode, Terry challenges all medical professionals. What is your role in managing the patient experience? A lack of patient prep can lead to an incomplete encounter for the …
Podcast: Play in new window | Download (Duration: 15:34 — 21.6MB)
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No Surprises Act and OON Claims
June 10, 2025
Since the implementation of the No Surprises Act (NSA) in January 2022, out-of-network (OON) reimbursement has become a complex and resource-heavy challenge for hospital and health system revenue cycle leaders. …
Podcast: Play in new window | Download (Duration: 20:56 — 28.9MB)
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Medicare Rules For Experimental or Investigational Services
June 3, 2025
Medical necessity is defined as services that are reasonable and necessary for diagnosis or treatment of an illness or injury, or to improve the functioning of a malformed body member …
Podcast: Play in new window | Download (Duration: 15:38 — 21.6MB)
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Behavioral Health Coding and Documentation
May 27, 2025
Terry discusses Behavioral Health services, best practices documentation and coding specifics. Also, Terry offers some bonus discussion on RAC auditors trying to bait providers into not responding to ADR requests. …
Podcast: Play in new window | Download (Duration: 15:33 — 21.5MB)
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Did you know AI is integrated into EMRs?
May 20, 2025
With all of the AI implementation into EHR and EMR systems, there is concern about how providers rely on these AI shortcuts more than ever. Without proper safeguards, accountability, and …
Podcast: Play in new window | Download (Duration: 16:00 — 22.1MB)
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Can you get credit for ordering and interpretation of a test?
May 13, 2025
The 2023 CPT® Errata and Technical Corrections added a one-liner on Independent Interpretations that responds to the question, “Can a practitioner get credit for both ordering and interpretation of a …
Podcast: Play in new window | Download (Duration: 13:11 — 18.3MB)
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Medical Necessity Comes Before Coding
May 6, 2025
The 2021/2023 E/M guideline revisions read: “The evaluation and/or treatment should be consistent with the likely nature of the condition.” Before this, the CPT® guidelines did not discuss medical necessity. Guidance was …
Podcast: Play in new window | Download (Duration: 13:02 — 18.1MB)
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Top 10 Tuesday Q&A – Coding, Billing, and Compliance Questions
April 29, 2025
It’s time for another round of frequently asked questions as Terry’s expertise covers orthopedic surgery, imaging, data points for E/M, and administrative charges for practices. She also answers questions relating …
Podcast: Play in new window | Download (Duration: 20:27 — 28.3MB)
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Giving Tests Results to Patients… Where’s the Payment?
April 22, 2025
We all know the age-old question, “Where does it say that?” In this episode, Terry brings receipts, explaining it’s been this way since 2003: “Reviewing results of laboratory tests, phoning results to …
Podcast: Play in new window | Download (Duration: 15:02 — 20.8MB)
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ADR Workflow Tips
April 15, 2025
An ADR (Additional Documentation Request) is a request from CMS or another insurance payer for additional documentation to review a claim. Most of these requests come from payer investigative units …
Podcast: Play in new window | Download (Duration: 18:26 — 25.5MB)
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Who Gets the Credit for MDM Risk Element?
April 8, 2025
If the provider discusses their preferred management options with the patient, do they receive the “risk” credit even if the patient declines it? If yes, how long do they get …
Podcast: Play in new window | Download (Duration: 10:48 — 15.0MB)
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APCM Focus
April 1, 2025
In this episode of the CodeCast podcast, Terry discusses the differences between APCM and CCM services and what is needed to report either. Compliance issues are seen with many care …
Podcast: Play in new window | Download (Duration: 16:22 — 22.6MB)
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The Crucial Role of the Coder in Quality Patient Care
March 25, 2025
Medical Coding provides standardized language that ensures all healthcare providers involved in a patient’s care are on the same page. The coder’s role is to be accurate, communicative, insightful and …
Podcast: Play in new window | Download (Duration: 9:15 — 12.9MB)
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ICD-10-CM April 1st Updates
March 18, 2025
This week’s CodeCast summarizes the recent ICD-10-CM documentation guidelines instructions on sepsis, obesity, and COVID-19 reporting. Terry also provides more guidance on E/M risk in prescription drug management and caution …
Podcast: Play in new window | Download (Duration: 14:49 — 20.5MB)
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Avoiding Insurance Denials
March 11, 2025
More medical claims denials could be avoided if coders took the extra minute to make sure that the diagnoses that need to be linked to a specific line item were …
Podcast: Play in new window | Download (Duration: 12:07 — 16.8MB)
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