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

First impressions are key to any medical facility. Setting the tone for the practice with the patient’s first impression. Every detail counts! The quality of your website to that of your location, outside areas, and even your reception area (waiting room), can reduce patient anxiety… and give them a good impression of your practice.

What first impression is your practice giving?

Remember the physician in the exam room is the last person the patient sees. Today’s episode focuses on how to make the best first impression to your patient before they meet with the physician, and how to embrace your community with a quality referral base.

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

Terry returns with January’s top ten coding and billing questions ranging from HCC’s, to assistant surgery documentation and submitting claims when documentation is not completed, to ICD-10-CM clarifications for fractures, and 25 and 53 modifier usage.

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

Remote medical coders are medical coders who work from home or locations outside of healthcare facilities. Remote medical coders may be self-employed or work for large coding firms that contract with hospitals or healthcare facilities. Self-discipline and accountability are key for working remotely.

If you fall into this category, Terry asks “Are you equipped?” in today’s episode, which also covers the new “Virtual Visit” from Medicare and what you need to know to bill for it.

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

What hidden information can hurt your practice and/or the patient?

Has your patient told you about ALL of their medicines?

Did you report all of the diagnoses a patient is being seen for in the hospital or only the ones you are treating?

Are you, the provider, asking the right questions in the HPI?

What you don’t know CAN hurt you: Terry covers these questions plus offers some tips on how to explain the EOB to a patient who thinks it’s a bill.

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

There is a lot of misinformation swirling around about 2019 E/M documentation requirements for physicians. On today’s program, Terry provides the CORRECT information on what CMS finalized for the E/M services for this year.

Tune in to get an accurate picture of how these changes will impact your practices, and what is on the table for coming years.

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How do you define the “New vs. Established” patient visit in 2019?

Terry discusses this topic today as well as residents roles in documentation and split visits with preventative services and E/M same day.

She will also cover how to identify a subspecialty versus “exact” same specialty and why your revenue depends on it!!

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

Often successful medical practices use outside help, such as third-party vendors, to assist with their daily operations. However, not all vendors are equal when it comes to disclosing hidden costs and fees!

In this episode of the CodeCast Podcast Terry Fletcher asks if the vendor’s availability and accessibility “enough” for how you practice medicine?

Terry also addresses which vendors to “Just say no” to, why you should avoid virtual credit cards payments, and what to look or ask for when contracting with an outside company for services before wrapping up with a talk about regulatory landmines: that is, Medicare and Healthcare regulations on coding and reimbursement. Terry will help make sure you can support what you submit to insurance payers and that you are aware of what CMS and OIG are looking for.

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

The latest episode of the CodeCast podcast reflects on supervision guidelines, as it relates to diagnostic testing, and what the NPP role in this process is.

Terry also responds to feedback from the last show on “incident to” rules for mid-level providers and how states love altering Federal mandates with their own interpretations.

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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, we revisit the “Incident to” topic for non-physician practitioners, making sure the rules are followed by the letter!

Terry will also address the painful topic of Payer Refunds and what your immediate obligation is when you find out you have been overpaid.

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

On today’s episode Terry takes you deeper into your skill set of ICD-10 and CPT Coding to expand your knowledge. Topics include medicine underdosing (an ICD-10-CM Diagnosis option) and more medical acronyms.

Also, what exactly is Critical Care?

Professional coders should give each of these topics special attention in order to understand them, rather than make assumptions!

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