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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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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The top 10 HIPAA violations of 2020

The top 10 HIPAA violations of 2020

June 30, 2020

In the past 12 months, there were 393 protected health information breach incidents reported to HHS. The incidences included malicious email hacking, unauthorized access to EHRs, and medical records as …

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Provider Contract Negotiations with Commercial Payers

Provider Contract Negotiations with Commercial Payers

June 23, 2020

Whether you are a novice or a seasoned negotiator, payer contracts can be complicated and difficult to interpret: even with an attorney or a consultant by your side. Terry Fletcher …

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Addendums, Late Entries, and Medical Record Corrections

Addendums, Late Entries, and Medical Record Corrections

June 16, 2020

On the latest CodeCast, Terry discusses physician and medical provider addendums, late entries and corrections. CMS and their MAC carriers have referred to this practice as legitimate and are aware …

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The ins and outs of coronavirus funding for physicians

The ins and outs of coronavirus funding for physicians

June 9, 2020

There are three main sources of funding for mitigating the impact of the COVID-19 pandemic on your healthcare business. Before you being, however, there’s fine print that needs to be …

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Best Practices: How to Avoid an Audit

Best Practices: How to Avoid an Audit

June 2, 2020

Brace yourself: medical audits are coming. With the currently relaxed rules, it is inevitable. The lack of oversight on HHS monies given to practices, and the liberties many are taking …

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Top 10 Tuesday Q&A – The top billing and coding questions of May

Top 10 Tuesday Q&A – The top billing and coding questions of May

May 26, 2020

This week, Terry Fletcher closes out May by answering the top coding and billing questions of the month. Terry tackles topics such as wound care, debridement coding, multiple-day audio-only phone calls, …

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Is "Incident to" possible under Telehealth?

Is “Incident to” possible under Telehealth?

May 19, 2020

Medicare is doing their own thing when it comes to adjusting the meaning of the coding rules. This week the incident to concept was up for discussion with the CMS …

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Waiver 1135 is a mixed bag of new claim information

Waiver 1135 is a mixed bag of new claim information

May 12, 2020

A Bush-era modifier has been revised to let contractors know when you’ve reported a claim under the Waiver 1135 exception. There is a new modifier to waive out of pocket …

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CMS FAQ alert: over 100 additions to Telehealth

CMS FAQ alert: over 100 additions to Telehealth

May 5, 2020

CMS has published more FAQs, with an update not only on April 28th but again on April 30th. Then, they canceled their “office hours” call on April 30th! A free-for-all …

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Top 10 Tuesday Q&A – Urgent COVID-19 ICD-10CM Coding Update

Top 10 Tuesday Q&A – Urgent COVID-19 ICD-10CM Coding Update

April 28, 2020

This week, Terry closes out April with a Top 10 Q&A for COVID-19 ICD10-CM: hopefully, her last COVID-related podcast for awhile! In an unprecedented move, the CDC added new directions …

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CMS updates and making yourself invaluable to your practice

CMS updates and making yourself invaluable to your practice

April 21, 2020

In the last week, information pertaining to the recent pandemic has been coming in from all directions! Terry Fletcher covers updates on Telehealth: what you can (and cannot) do. She …

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10 ways physicians (and staff) can improve cash flow during the COVID pandemic

10 ways physicians (and staff) can improve cash flow during the COVID pandemic

April 14, 2020

We all must work together to get through this PHE. During these times of tightening expenses, looking for financial relief, and hoping our medical practices stay afloat during the pandemic, …

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The Delivery of Telehealth to Patients

The Delivery of Telehealth to Patients

April 7, 2020

In today’s episode of the CodeCast podcast, Terry Fletcher changes gears from the coding of Telehealth, to the delivery of Telehealth. No one is really talking about the delivery of …

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Top 10 Tuesday Q&A – Expert Tips for Healthcare Professionals Working from Home

Top 10 Tuesday Q&A – Expert Tips for Healthcare Professionals Working from Home

March 31, 2020

With federal and state mandates forcing many to “shelter in place” or practice social distancing, remote work is the new “normal” for many healthcare professionals On this week’s CodeCast, Terry …

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