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.

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: https://www.terryfletcher.net/contact/

The Top 10 Tuesday Q&A returns this week with coding insights into the new ICD-10-CM update for 2019 and CCM OIG warnings.

Terry also covers a full list of the most common acronyms to make your job of coding, billing and auditing easier.

Subscribe and Listen

You can subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

This episode focuses on an important update for the 3rd quarter of 2018. Terry welcomes you to a roundtable discussion on current healthcare happenings from around the country. Terry discusses the physicians’ response to the Medicare 2019 Fee Schedule proposed changes, if ICD-11 is coming soon and how to explain the EOB to the patient and the RA to your staff.

Subscribe and Listen

You can subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

Everyone gets a little nervous speaking and/or presenting in front of their peers: especially if it is your first time!

This week, Terry provides public speaking tips, focusing on the subject of healthcare. Learn how you can build confidence, sharpen your professional career skills, and share your expertise of coding, billing, and reimbursement…

You will also discover how to overcome the fear of sharing audit results that need to be presented to your multiple physician practices.

You have what it takes! The only thing stopping you from presenting is your own anxiety of doing something that is outside of your comfort zone. Today’s show will give you the encouragement and useful tips you need to transform your speaking jitters into a dynamic presentation.

Subscribe and Listen

You can subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

Voice-activated virtual assistants are rising in popularity with doctors but they can create legal headaches when used in a physician practice.

This week Terry discusses seven real risks of virtual voice assistants and what physicians need to do to protect themselves against privacy and HIPAA violations.

Terry will also cover a coding question about diabetic patients and “shoes”.

Subscribe and Listen

You can subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

The Top 10 Tuesday Q&A returns this week with questions from all over the country as Terry touches on user-submitted questions. Answers include coding specifics of extremity x-rays, anemia coding with malignancy, and 99211 guidelines. (To name a few!)

Terry will also address updated CMS info with the 2019 proposal as well as some other important information.

Subscribe and Listen

You can subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

This week’s program is about medical collections. The fresher the claim denial is, the better your chances are of it not being archived in the payer’s system.

However, you may need more help. Terry has some quick tips for collectors, billers and coders to have a successful appeals process. Some helpful notes include citing regulations, and looking at CPT language, and verifying if you have to use the payer reconsideration form.

This may be obvious, but it’s necessary: make sure you have the correct mailing address for appeals!

These collection tips and more important information will be covered in this episode.

Subscribe and Listen

You can subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

In the medical field, August is when coders and billers get a bit of a breather. They can catch up on work since most physicians are on vacation. As such, we invite you to tune in as we get back to the basics and the fundamentals of physician practice coding and billing.

In the spirit of getting things done, today’s episode talks about the differences in coding versus billing: and where the two intersect. While providing patient care is the number one priority of a medical practice, best practices in the coding and billing office are part of patient care.

Terry will also discuss the process of translating diagnoses to ICD-10 Codes, Procedures and Services to CPT and HCPCS Codes, and how to avoid common coding and billing errors.

Subscribe and Listen

You can subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

All HIM leaders know that coding and quality audits are critical. Consequences of substandard coding, lost revenue, increased denials, and greater compliance risk make the development of a coding audit program a priority for healthcare providers of all sizes.

Unfortunately, scarce resources and conflicting priorities force many providers to compromise their compliance and auditing programs: or never even think about performing an audit.

This week, Terry Fletcher dives into proving why audits of coding and documentation quality are critical to the success of healthcare providers. While it may seem a daunting task, the benefits and money you can immediately see outweigh those concerns.

Subscribe and Listen

You can subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

In what would be the biggest change in two decades, CMS is proposing to re-define the documentation requirements for E&M Coding in 2019. They are proposing to forego the 1995 and 1997 guidelines for what is being reported as a “simpler model” and a “patient over paperwork” concept.

But what isn’t being addressed is the huge financial impact this will have for specialty physicians across the board. There is only a 60-day window where physicians, specialty societies and AMA can comment on these changes.

That window ends September 10th, 2018: so time is of the essence!

Terry breaks down everything you need to know so that you are informed when you fight for what is rightfully yours.

Subscribe and Listen

You can subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

A medical practice is a business: and like any other business, customer satisfaction is a key component to success.

Your social media presence is an important factor in your customer’s satisfaction. More than 40% of consumers say that information found via social media affects the way they deal with their health.

In other words, having social media profiles is not enough!

There are many benefits to remaining active on the various platforms out there, as social media can increase your search results, boost reviews, draw in new leads, target ideal patients for unique high revenue services, drive traffic to your website, increase your brand awareness, and so much more!

Social media is a powerful marketing tool but all too often it is done wrong when it comes to the healthcare industry.

The Codecast podcast this week will draw your attention to some of the most common social media mistakes healthcare professionals make and how to correct them.

Subscribe and Listen

You can subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/