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

Top 10 Tuesday Q&A – April 24th, 2018

In this session of the CodeCast Top 10 Tuesday Q&A, Terry tackles a flood of questions and answers focused on practice management: – Deciding to opt in or opt out of insurance plans – Should you have a practice website? – What should be part of that website? – How the new Medicare Card rollout […]

CodeCast Podcast - Coding, Reimbursement, and Compliance

Payer Contract Negotiations

In this week’s CodeCast Ms. Fletcher discusses the “art” of negotiating payer contracts. Whether you are a novice or a seasoned negotiator, payer contracts can be complicated. In order to sustain viable revenue, it is prudent to analyze and effectively negotiate healthcare payer contracts. Today’s discussion turns to “cost analysis” and how to effectively negotiate […]

CodeCast Podcast - Coding, Reimbursement, and Compliance

Pitfalls of an E/M audit: an auditor’s perspective

Auditing physician’s practices for a living can be a tough job. It’s even tougher witnessing a continuing pattern of behavior in vital documentation with many physicians across the country. In today’s CodeCast, Terry shares her auditing concerns and issues that have risen out of 1000’s of audits she has conducted over the years. The discussion centers […]

CodeCast Podcast - Coding, Reimbursement, and Compliance

New vs. Established Patient

This week, Terry discusses the ever confusing topic of “New vs. Established” patient visit. Billing and coding staff continue to have confusion over the question of “What is a New Patient?” However, it’s not only the billing office that needs clarification but physicians as well. Since new patient visits carry a higher Relative Value Unit […]

CodeCast Podcast - Coding, Reimbursement, and Compliance

Top 10 Tuesday Q&A

It’s that time of the month again: it’s Top 10 Tuesday Q&A! On the last Tuesday of each month, this ongoing series will address the top Coding, Billing and or Compliance questions Terry has received during the month. Listen in to troubleshoot billing and coding issues with Terry today to make you a more efficient […]

CodeCast Podcast - Coding, Reimbursement, and Compliance

Chronic Care Management

Today’s topic is Chronic Care Management (CCM) services which are typically provided outside of face-to-face visits who have a least two chronic conditions expected to last at least 12 months. Clinical staff time is used to monitor these patients who are at significant risk of death or acute/exacerbation or functional decline. This is not only […]

CodeCast Podcast - Coding, Reimbursement, and Compliance

Developing a Winning Audit Program

In this week’s episode, Terry assists her listeners in developing a thorough medical audit program which captures the essence of why an audit is necessary to the continued success and future health of a medical practice organization. This show gives insight on how to start an audit conversation with your provider and some key elements […]

CodeCast Podcast - Coding, Reimbursement, and Compliance

10 Tips to Improve your Influence on Providers

When you speak to your physicians, you want to carry more weight in your conversation. However, a topic of change may require some finesse on your part. Today, Terry gives you her best tips to improve your influence on your medical providers, by giving you her insights into the skills coding, auditing, and compliance professionals […]

Top 8 Tuesday Q&A – February 27th, 2018

Ms. Fletcher shares her responses and insights to some frequently asked questions while assisting coding and billing staff in their coding processes with advice on certain ICD-10-CM codes. Some of these codes can be tough to navigate through. CPT codes for GI Screening, Pacemaker Device checks, and Transitional Care Management services code choices can be […]

Locum Tenens

Every practice at one time or another has at some point needed to do without their employed physician on a temporary basis. Whether it be for a sabbatical, vacation, maternity leave or any other reason, physicians do take time off. When a practice cannot “cover” internally for the physician needing an extended amount of time […]