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.
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June 25, 2024
Can you guess the main reason why medical billing claims are rejected? According to recent studies, most clinics account for 15-25% of inaccurately submitted monthly claims. Those inaccuracies must be …
Podcast: Play in new window | Download (Duration: 22:06 — 30.5MB)
More InfoJune 18, 2024
You must make sure your providers and coders understand the overarching LCD criteria for reporting TPIs (Trigger Point Injections). As of April 1st, five MACs have tightened their rules for …
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More InfoJune 11, 2024
How do you know if your role is classified as a Coder or a Biller? Coders typically work in the back end of the facility, focused on interpreting medical records …
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More InfoJune 4, 2024
All CPT codes have an expected range of complexity and uses, but when a particular procedure or surgery performed has exceeded the normal range of complexity, modifier -22 can come …
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More InfoMay 28, 2024
This week on the CodeCast podcast Terry returns with her Top 10 Tuesday Q&A series. Join us as Terry covers questions from Urgent Care to the ER, infusion charges, behavioral …
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More InfoMay 21, 2024
Are you a “Subject Matter Expert?” Are you taking on clients, presenting to physicians, or looking for a coding job: with no expertise? Do not “wing it” in the healthcare …
Podcast: Play in new window | Download (Duration: 16:40 — 23.1MB)
More InfoMay 14, 2024
Many of the records Terry audits include a disclaimer to protect a physician from liability. However, does this disclaimer shield a physician who has signed a note or authenticated an electronic …
Podcast: Play in new window | Download (Duration: 15:36 — 21.6MB)
More InfoMay 7, 2024
In this episode of the CodeCast podcast, Terry discusses the frequent urgent care center encounters that elevate to the patient going to the ER. Is this considered automatically high risk? …
Podcast: Play in new window | Download (Duration: 12:26 — 17.3MB)
More InfoApril 30, 2024
This week’s CodeCast Podcast is all about coding and billing. Join Terry for a full deck of important information on Coding, Billing, and Compliance. Get answers to our top ten …
Podcast: Play in new window | Download (Duration: 22:20 — 30.8MB)
More InfoApril 23, 2024
This week on the CodeCast Podcast Terry dives into the new rules for hernia repair codes. Terry discusses when the 0-global-days and 90-day-global-days services are billed on the same date. …
Podcast: Play in new window | Download (Duration: 19:13 — 26.6MB)
More InfoApril 16, 2024
Some procedures in the CPT book are listed as “separate procedures” meaning they are commonly carried out as an integral component of a total service or procedure that has already …
Podcast: Play in new window | Download (Duration: 16:02 — 22.2MB)
More InfoApril 9, 2024
TPE audits from Medicare, along with private and commercial payer audits are on the rise. It is more important than ever to monitor physician records and make sure that when …
Podcast: Play in new window | Download (Duration: 12:43 — 17.6MB)
More InfoApril 2, 2024
There will be more over-coding and overreaching with the additional codes Medicare provides to capture services. This episode explains the distinction for code G0136 and why it isn’t a “screening” service …
Podcast: Play in new window | Download (Duration: 14:13 — 19.7MB)
More InfoMarch 26, 2024
In this Top Ten Q&A episode, Terry tackles what the focus of any telehealth audit should be. Auditing Telehealth encounters is more that just looking at the coding. It should …
Podcast: Play in new window | Download (Duration: 18:06 — 25.0MB)
More InfoMarch 19, 2024
You must have a collaboration agreement in place when hiring mid-level providers or QHPs (such as nurse practitioners, physician assistants, or clinical nurse specialists) to act on your behalf with …
Podcast: Play in new window | Download (Duration: 19:10 — 26.5MB)
More InfoMarch 12, 2024
Critical care in 2024 can be tricky, with inclusions, carve-outs, and a time component. Are there exceptions when PA/NPs are involved in critical care services? What has to be documented? …
Podcast: Play in new window | Download (Duration: 19:58 — 27.6MB)
More InfoMarch 5, 2024
What happens when a provider meets with a family to discuss and develop a care plan for patients? Providers will give the parent the option to have the patient present …
Podcast: Play in new window | Download (Duration: 12:37 — 17.5MB)
More InfoFebruary 27, 2024
When a Medicare beneficiary arrives at a hospital in need of medical or surgical care, the physician or other qualified practitioner must decide whether to admit the beneficiary as an …
Podcast: Play in new window | Download (Duration: 14:06 — 19.5MB)
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