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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Breaking News! Reimbursement slashed in 2018

Breaking News! The Modifier 25 may not be the revenue “protection” modifier it once was known as for many physician’s practices. Terry dives right in this week to the recent headlines from payers like Anthem Blue Cross, and Independence Blue Cross Blue Shield, and their new 2018 policy amendments: When a minor surgical procedure code […]

Collections and Appeals Medical Practice

Episode 15 of the CodeCast Podcast takes the topic of Medical Practice Collections and Appeals to the next level… literally. Terry discusses level 1, 2 and yes, a level 3 appeal, in the process of collecting and protecting your money. Her approach in the appeals process gives insight into a work product that is often […]

Billing Companies

Terry continues her theme with medical practices making sure they have done their due diligence to keep their practices healthy, in giving you a checklist for Billing Service Outsourcing. Are you considering outsourcing your billing and coding? Do you have a billing company in mind? What questions do you need to ask to make sure […]

The Importance of Medical Practice Assessment – Part 2

Continuing our discussion of the importance of a practice assessment and checkup, Ms. Fletcher gets into part two of this two-part series, to discuss industry benchmarks, the importance of crunching financial numbers and how to consider the culture in your practice as an invaluable investment in your medical practice’s success. By learning what inefficient processes, […]

The Importance of Medical Practice Assessment – Part 1

Can you say that you take care of your medical practice health as well as your patient’s health? Isn’t it time for a checkup there as well? For most provider groups the simple answer is, “yes”. This week Terry dives into part one of a two-part series to give some serious insight as to the […]

Hidden Revenue

Continuing with this month’s theme of revenue and where those sources can come from, Ms. Fletcher discusses the “Hidden Revenue” that already exists within your medical practice, and how coders, billers, administrators, and physicians can tape into these sources. Healthcare regulations continue to focus on ways to reduce costs and increase efficiency for both Providers […]

Revenue Opportunities

Happy New Year listeners. This week Terry rings in 2018 with some revenue opportunity gems, that many physician practices may not realize are billable services. With current reimbursements at a standstill, it is more important than ever to explore what revenue sources are available to physician practices with little or no cost to them to […]

EM Guideline Changes Coming

This week Terry tackles the topic of current E/M guidelines and how CMS has opened up the lines for current discussions and dialogue to update these very dated services. With the technological advancements of electronic medical record (EMR) and the administrative burden that goes with the current 1995 and 1997 documentation guidelines, Medicare is aware […]

Advanced Care Planning: Revenue Source

Physicians and mid-level providers are having some serious conversations with patients regarding their Advanced Care Planning, meaning the discussion of a serious illness and the next steps that they need to take regarding advanced directives, hospice, skilled nursing, pre and post-death arrangements, etc. These discussions are now payable under most health insurance plans including Medicare, […]

Time for a Computer-Assisted Coding (CAC) systems check-in?

The past three years has witnessed tremendous growth in the use of computer-assisted coding (CAC) systems. Many hospitals, physician practices, and health systems moved forward with CAC implementation after the ICD-10 rollout continued with delays. According to several, 2017 research reports, the CAC industry is expected to see continued adoption with the overall market rising […]