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.

You can also subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast® Podcast please contact us directly for pricing.

If we are not careful, Incident To may be eliminated

If we are not careful, Incident To may be eliminated

October 22, 2019

There are many ways in which mid-level provider visits can violate the incident-to rules. Without an audit, your Medicare carrier won’t know that the rules have been violated since a …

More Info
Modifier 22 Spotlight

Modifier 22 Spotlight

October 15, 2019

This week Terry spotlights the 22-modifier in claims that need an extra reimbursement from an “Increased Procedural Service”. She will give you tips on how to be successful in the …

More Info
Select the proper episode of care: every time

Select the proper episode of care: every time

October 8, 2019

ICD-10-CM introduced new concepts that were both straightforward, and confusing. One concept that is often debated is how to select the correct 7th digit character, which represents the episode of …

More Info
MDM and Prescription Drug Management

MDM and Prescription Drug Management

October 1, 2019

Did you know Prescription Drug Management MUST include an actual prescription? There is a constant struggle to explain to physicians that providing a “script” to a patient does not always …

More Info
Why can't we all just get along?

Why can’t we all just get along?

September 26, 2019

Terry discusses the need for coding audits on the staff; to ensure quality along with good production efforts. What is being looked at in these audits? And how it can …

More Info
Top 10 Tuesday Q&A – Special Edition Modifiers

Top 10 Tuesday Q&A – Special Edition Modifiers

September 24, 2019

In the latest edition of the CodeCast Top 10 Tuesday, the “Modifier Spotlight” series returns. On this edition, Terry will focus on Modifiers, 51, 52 and 53: appropriate use, best …

More Info
Can you charge/code for after hours and special services in your medical practice?

Can you charge/code for after hours and special services in your medical practice?

September 17, 2019

There are 6 after-hours/special services codes in the Special Service, Procedures, and Reports section of CPT. Four of these codes tend to present a challenge for coders because the vagueness …

More Info
Patient Expectations and Physician Burnout

Patient Expectations and Physician Burnout

September 10, 2019

What are the patient’s expectations in medical practices today? Terry lists all of the “wants” of patients and discusses whether they are really “needs” of your practice. ‘ Also, it …

More Info
Modifier 59 Spotlight

Modifier 59 Spotlight

September 3, 2019

In today’s spotlight series episode, the focus is on the trickiest modifier of them all: Modifier 59. Terry dedicates an entire episode to this modifier, which also includes the X-modifiers …

More Info
Is your practice LGBTQ+ friendly?

Is your practice LGBTQ+ friendly?

August 27, 2019

In today’s ever-changing patient profile, it is important that healthcare professionals embrace an attitude of change. We must recognize that staff needs training on more than the ICD-10-CM associated conditions …

More Info
How to properly append modifiers 25 and 26

How to properly append modifiers 25 and 26

August 20, 2019

CPT Modifiers are valuable coding tools that explain to payers the specific work that was done by a physician during treatment of a patient. CPT modifiers 25 and 26, are …

More Info
ICD-10-CM Update 2020

ICD-10-CM Update 2020

August 13, 2019

Changes are coming for ICD-10-CM. Terry summarizes the new, revised, and deleted codes for 2020, along with a frequently asked question: “Can we use the result of a diagnostic test …

More Info
Late Physician Signatures

Late Physician Signatures

August 6, 2019

The rules surrounding signing a physician note are from the general E/M documentation guidelines. The main concern is the timely completion of medical records. This issue has both billing and …

More Info
Top 10 Tuesday Q&A – July 29th, 2019

Top 10 Tuesday Q&A – July 29th, 2019

July 30, 2019

In the latest edition of the CodeCast Top 10 Tuesday, Terry takes us through Spine ICD-10 coding challenges. From Critical Care situations to Transgender coding (that has been a new …

More Info
Establishing Care vs. Preventative Care Coding

Establishing Care vs. Preventative Care Coding

July 23, 2019

Are your physicians asking you to “Patient here to establish care” and trying to bill this as a Level 5 visit…  when it is actually Preventative Services? Terry clarifies the …

More Info
Multiple ways healthcare professionalism, or lack thereof, could be costing you patients

Multiple ways healthcare professionalism, or lack thereof, could be costing you patients

July 16, 2019

There are ways to represent professionalism: but what does it really mean to you? On today’s episode, Terry discusses ways to be inspired on the job to best show professionalism …

More Info
Critical Care Coding: Defined and Audit-Proof

Critical Care Coding: Defined and Audit-Proof

July 9, 2019

Despite the increased resources and references for critical care billing, critical care reporting issues persist. Medicare data analysis continues to identify 99291 as high risk for claim payment errors, perpetuating …

More Info
Time-based E/M Coding and how to employ the Counseling Exception

Time-based E/M Coding and how to employ the Counseling Exception

July 2, 2019

Use care when using “time” to support an E/M service: The Documentation Guidelines are clear that there are History, Exam and MDM elements necessary to support each level of service. …

More Info