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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If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

On today’s episode Terry takes you deeper into your skill set of ICD-10 and CPT Coding to expand your knowledge. Topics include medicine underdosing (an ICD-10-CM Diagnosis option) and more medical acronyms.

Also, what exactly is Critical Care?

Professional coders should give each of these topics special attention in order to understand them, rather than make assumptions!

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The Top 10 Tuesday Q&A returns this week with medical coding and billing questions from all over the country.

Terry touches on client-submitted questions including, ASC vs Independent lab POS, food allergies, anemia coding with malignancy, 25 Modifier reductions on EMs and debridement coding.

She will also address CMS info with the 2019 updates and how you can be heard by Medicare as part of the conversation.

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Coders and billers are taught to focus provider education around coding concerns or problems: but are these the primary conversations a coder or auditor should have with a physician?

Today’s episode focuses on a better approach at building your reputation as a coding/billing professional. By taking preventative measures, rather than waiting to sound the alarm, you will earn the respect of, and build a better relationship with, your physician.

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When considering appropriate contractual measures for offshore activities, it’s worthwhile to keep a few issues in mind:

  • Are policies/procedures in place to ensure that PHI and other personal data stays secure?
  • Is (unnecessary) overseas access to PHI prohibited?
  • Can the offshore activities be terminated immediately upon discovery of a significant breach?
  • How and how often will audits be conducted? (CMS “appears to recommend annual audits.”)

These questions and more are discussed as Terry tackles the pros and cons of offshore outsourcing for healthcare tasks, such as coding, billing, credentialing, and more.

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On November 1, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates to payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2019.

Terry gives you the FAQ’s on what to expect for 2019, and what from the “proposed changes” in July actually happened (or were pushed to another year).

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As the population ages, the need for medical coders is growing. When beginning a medical coding career, there are several tips to make the job easier and make your work better.

Terry gives you tips and guidance on how to go from the generalized medical coder, to understanding what it takes to excel in specialty practices, understand office flow, and how to set up your coding books so that they are your own personal reference guide.

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If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

Over the last week a number of media headlines in the healthcare industry may have made you stop in your tracks. In Florida, primary care doctors may be taken out of the hospital admissions process. In Texas, UHC has decided to create their own EMR for their employee health plan (that may soon be mandatory for contracted providers).

And Amazon is ready to “disrupt” the healthcare industry in a BIG way as a leader in the digital delivery of goods and services.

Join us for the scoop on what all made you say “WTH” in the news headlines this week.

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The second half of the two-part series about the compliance planning starts with basic standard operating procedures for compliance and continues with the importance of compliance manuals to a medical practice and getting your practice to buy into these concepts.

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We’re celebrating our 50th episode of the CodeCast Podcast with part one of a two-part series about the compliance plan mandate for government payers. In today’s episode, Terry discusses what a compliance plan does, gives some examples of what departments need a plan, and how you should put the plan into action.

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If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

Today’s episode is designed to help medical practices navigate medical marijuana regulations, specifically when state laws clash with federal regulations.

Politics and personal agendas aside, practices must develop policies regarding patients and employees who possess medical marijuana cards.

In addition, today’s program provides three tips to help you break into the elusive world of medical coding.

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If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/