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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Specialty Spotlight - Orthopedic Coding Fracture Care

Specialty Spotlight – Orthopedic Coding Fracture Care

November 3, 2020

Today Terry gets back to basics with her orthopedic specialty spotlight, this time focusing on fundamentals of fracture coding. Some practices miss when trying to decide on reporting fracture care …

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Top 10 Tuesday Q&A – 4th quarter tasks to get done now

October 27, 2020

We are in the 4th quarter of 2020. We never thought it would get here, did we? Well we made it! Listen this week for some tips to help you …

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Specialty Spotlight - ER Coding

Specialty Spotlight – ER Coding

October 20, 2020

This week’s specialty spotlight focuses on ER Coding. The patient’s medical record documentation for diagnosis and treatment in the Emergency Department (ED) must indicate the presenting symptoms, diagnoses and treatment …

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CMS news alert - AAP loan repayments extended

CMS news alert – AAP loan repayments extended

October 13, 2020

(CMS) announced amended terms for payments issued under the Accelerated and Advance Payment (AAP) program as required by recent action by President Trump and Congress. Providers were required to make …

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Dermatology Debridement Coding Spotlight

Dermatology Debridement Coding Spotlight

October 6, 2020

This week Terry continues her specialty spotlight coding with debridement coding and understanding how to choose those codes based on specific documentation language. Terry also covers a “hot off the …

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Top 10 Tuesday Q&A – Cardiology Spotlight

Top 10 Tuesday Q&A – Cardiology Spotlight

September 29, 2020

Terry’s latest Top Ten Tuesday continues her focus on specialty coding. This time the spotlight is on getting you started with cardiology procedures and services with CPT and ICD-10 coding: …

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Specialty Spotlight - Gastroenterology

Specialty Spotlight – Gastroenterology

September 22, 2020

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 …

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2021 CPT codes sets are now available

2021 CPT codes sets are now available

September 15, 2020

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 …

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Medicare Telehealth 2021 after PHE and 2021

Medicare Telehealth 2021 after PHE and 2021

September 8, 2020

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 …

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CMS "rent" is due!

CMS “rent” is due!

September 1, 2020

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 …

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Top 10 Tuesday Q&A – Trending Topics in Healthcare

Top 10 Tuesday Q&A – Trending Topics in Healthcare

August 25, 2020

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 …

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CMS COVID-19 Counseling Coding

CMS COVID-19 Counseling Coding

August 18, 2020

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 …

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The 2021 Proposed Physician Fee Schedule is out

The 2021 Proposed Physician Fee Schedule is out

August 11, 2020

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 …

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Yes: compliance plans are required

Yes: compliance plans are required

August 4, 2020

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 …

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Top 10 Tuesday Q&A – Breaking News in Healthcare

Top 10 Tuesday Q&A – Breaking News in Healthcare

July 28, 2020

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 …

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Getting back to basics: best practices on documentation and care

Getting back to basics: best practices on documentation and care

July 21, 2020

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 …

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Understanding the difference between medical necessity and MDM

Understanding the difference between medical necessity and MDM

July 14, 2020

Medical Decision Making specifically refers to the complexity of establishing a diagnosis and/or selecting a management option. Medical necessity refers to the appropriateness of the service provided for a certain …

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Medicare Prior Authorization Program

Medicare Prior Authorization Program

July 7, 2020

Medicare has adopted a new prior authorization program effective July 1st. Also, as of June 17th, the Medicare Administrative Contractors (MACs) were required to start accepting requests. It is important …

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