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.

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
Top 10 Tuesday Q&A – June 25th, 2019

Top 10 Tuesday Q&A – June 25th, 2019

June 25, 2019

In this latest Q&A, Terry gives advice on how to email like a boss and own your job in healthcare. Also, Terry talks about the new wave of AI (Artificial …

More Info
Breaking news: AMA finalizes EM changes for 2021

Breaking news: AMA finalizes EM changes for 2021

June 18, 2019

The AMA has published the 2021 E/M changes that they intend to make in 2021. We’ve seen when Medicare and CPT do not agree on how to report a specific …

More Info
Quit "Cloning Around" with cloned notes in the EMR

Quit “Cloning Around” with cloned notes in the EMR

June 11, 2019

The practice of cloned (or copy and pasted) documentation is a significant issue in the use of Electronic Health Records (EHRs). AMA found in a recent study that only 18% …

More Info
MDM the Driving Force of E/M coding

MDM the Driving Force of E/M coding

June 4, 2019

Arguably the most important of the three key components of E/M Coding, the Medical Decision-Making ( MDM ) reflects the intensity of the cognitive labor performed by the physician. There …

More Info
Top 10 Tuesday Q&A – May 28th, 2019

Top 10 Tuesday Q&A – May 28th, 2019

May 28, 2019

In the latest Top 10 Tuesday, Terry discusses the top things you must have for your medical billing software to be efficient, effective, and generate revenue success. Terry also shares …

More Info
EM 101 Burning Questions: Answered!

EM 101 Burning Questions: Answered!

May 21, 2019

Do you have “burning” E/M questions that you can’t get a straight answer to? Terry covers many of those “burning” topics in today’s episode, such as: Can I use HPI …

More Info
Coding "yes?" or coding "no?" You are the judge

Coding “yes?” or coding “no?” You are the judge

May 14, 2019

Sometimes as coders and billers we tend to look at a report and think, “Well, what my physician meant to say was…” We then code from that assumption… and there …

More Info
Transitional Care Management

Transitional Care Management

May 7, 2019

Transitional Care Management (TCM) is increasing in its utilization and billing… but are you doing it right? Is your patient eligible? It is worth the administrative work versus the revenue …

More Info
Top 10 Tuesday Q&A – April 30th, 2019

Top 10 Tuesday Q&A – April 30th, 2019

April 30, 2019

Among one of the most popular questions Terry receives is about reducing prior authorization hassles. Primary care providers and specialty physicians alike rank prior authorizations as one of the greatest …

More Info
Insurance Claim Denials

Insurance Claim Denials

April 23, 2019

What are the most common claim denials? In this episode of the CodeCast Podcast, Terry looks at a recent survey of over 100 medical insurance payers to determine 13 of …

More Info
Interoperability and HIPAA information exchange between providers

Interoperability and HIPAA information exchange between providers

April 16, 2019

Interoperability refers to the basic ability of computerized systems to connect and communicate with one another readily: even if they were developed by widely different manufacturers in different industries. Being …

More Info
Concierge versus DPC Medicine: are you compliant?

Concierge versus DPC Medicine: are you compliant?

April 9, 2019

There are many similarities between the two models of Concierge Medicine and DPC (Direct Primary Care). While the differences are basic: but, in my opinion, they can make or break …

More Info
Breaking News! E/M 2021 approved changes are here!

Breaking News! E/M 2021 approved changes are here!

April 2, 2019

The AMA Editorial Panel made a final ruling to overhaul the entire E/M section of CPT: and Medicare is on board with these changes. History and Exam may no longer …

More Info
Top 10 Tuesday Q&A – March 25th, 2019

Top 10 Tuesday Q&A – March 25th, 2019

March 26, 2019

Terry gets creative with her Top 10 Tuesday this week, and brings to you “The Coder’s Top 10 Pet Peeves”. Pet peeves are minor annoyances that can cause major irritation, …

More Info