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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CodeCast Podcast - Coding, Reimbursement, and Compliance

HIPAA and Text Messaging

Under the Health Insurance Accountability and Portability Act (HIPAA) healthcare providers must maintain the confidentiality, integrity, and availability of all ePHI created and transmitted by a covered entity. But what about text messaging? Do text messages fall under HIPAA or Civil Rights laws? In this episode of the CodeCast Podcast, Terry addresses how texting, as […]

CodeCast Podcast - Coding, Reimbursement, and Compliance

Top 10 Tuesday Q&A – June 26th, 2018

The Top 10 Tuesday Q&A returns this week with questions from all over the country. Terry addresses a number of topics pulled directly from the top onDemand Coding Corner network questions, such as “cheat sheets”, Telehealth, OIG insight, and finger injections to name a few. Ms. Fletcher also covers questions about whether afterhours care is […]

CodeCast Podcast - Coding, Reimbursement, and Compliance

Simple mistakes can lead to a major loss of revenue

Simple mistakes can always make life harder for any healthcare or business professional. But in a medical coding and billing office, these simple mistakes can lead to thousands of dollars in lost revenue for physicians and their practices. This episode of the CodeCast Podcast not only focuses on how to easily fix these simple mistakes, […]

CodeCast Podcast - Coding, Reimbursement, and Compliance

Physician Query

In this episode of the CodeCast Podcast Terry addresses how, and when, to “query” a physician and/or provider to clarify patient health record accuracy. A physician query can be used as a communication tool when there are conflicting, imprecise, incomplete, ambiguous or inconsistent documentation entries in a patient medical record. In addition, you will also […]

CodeCast Podcast - Coding, Reimbursement, and Compliance

CodeCast Coding and Billing Professional Burnout

This week Terry takes a left turn to talk about a lost topic in the medical coding and billing industry: “burnout”. Physician Burnout Phenomenon has been a frequent topic not only on this show but throughout the industry. But what about staff burnout? Someone on the medical staff is the first face a patient sees […]

CodeCast Podcast - Coding, Reimbursement, and Compliance

Top 10 Tuesday Q&A – May 29th, 2018

During the month of May, Terry was flooded with coding, billing, and reimbursement questions which came from all over the country. That can mean only one thing: it’s time for another Top 10 Tuesday Q&A! Today’s episodes answer questions focused on Dermatology, Orthopedic Surgery, Cardiology, Vascular, General Practice and HIPAA, with a little ICD-10-CM thrown […]

CodeCast Podcast - Coding, Reimbursement, and Compliance

Pitfalls of An E/M Audit: Chief Complaint and HPI

Failing an audit? Inaccurate scores? Lower reimbursements? Don’t worry! Terry has you covered on today’s episode, which gets into detail regarding the pitfalls of physician documentation. The discussion revolves around the lack of certain elements of the history, to include Chief Complaint and HPI, and how leaving out important elements of documentation could drastically change […]

CodeCast Podcast - Coding, Reimbursement, and Compliance

Telehealth 2018

Our lives are becoming more and more remote controlled. You can now earn a degree online, shop with the click of a button, or manage other aspects of your life with the click of a button from computer or smartphone. The same can now be said for our health. Managing your health from a distance […]

CodeCast Podcast - Coding, Reimbursement, and Compliance

Physician PEP Talk

It’s time to have a PEP talk on today’s show! A PEP (Physician Education Program) makes sure your physicians are meeting basic standards for Risk Adjustment Data Validation (RADV) process for Medicare. RADV is the process of verifying that chronic diagnosis codes submitted for payment by the Medicare Advantage organizations are supported by medical record […]

CodeCast Podcast - Coding, Reimbursement, and Compliance

Incident to Billing

Our latest informative episode revisits coding and billing of services by mid-level providers and making sure physicians and medical practices are compliant with Medicare and third-party payer rules. The “incident to” term is defined and discussed with examples to clarify if you are reporting these services correctly and would withstand an audit. We’ll also discuss […]