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.

What's The Latest Medicare Update?

What’s The Latest Medicare Update?

August 15, 2023

Medicare has been making some under-the-radar updates that provider practices need to know. You could be seeing ineligible patients, with no current ID card, coming in for services. You could …

More Info
Can Pre-Op Visits Be Billed?

Can Pre-Op Visits Be Billed?

August 8, 2023

A question that Terry often fields is one regarding billing for pre-op visits. Should these visits be billing? There is conflicting published guidance on this question from different sources. Terry …

More Info
Registered Dietitians and Nutritionist Coding and Billing

Registered Dietitians and Nutritionist Coding and Billing

August 1, 2023

When a dietician or nutritionist sees a patient, their services may not covered for bariatric patients aka obesity. It is a nice option to have, but patients, would most likely, …

More Info
Using SDoH (Social Determinates of Health) Correctly

Using SDoH (Social Determinates of Health) Correctly

July 25, 2023

Social Determinates of Health are important secondary diagnoses to help explain a patient’s circumstances when it comes to access to medical care, adherence to medical advice, and environmental factors that …

More Info
Documentation Requirements for Audio-Only Visits

Documentation Requirements for Audio-Only Visits

July 18, 2023

CMS has not addressed a template for audio-only Telehealth visits. Therefore, Terry offers some best practices for audio-only documentation in order to stand up to and be compliant with payer …

More Info
ICD10CM Revisited on Laterality

ICD10CM Revisited on Laterality

July 11, 2023

Terry revisits the rule on reporting specificity in the laterality of a diagnosis, when the physician or QHP only gives us unspecified. What can we do as coders? As a …

More Info
Defining a QHP

Defining a QHP

July 4, 2023

QHPs are often certified and must be licensed. Trying to use clinicians that cannot “independently report services to payers” as QHPs will not only flag you for an audit, but …

More Info
Revisiting The EMR E/M Template

Revisiting The EMR E/M Template

June 27, 2023

On an abbreviated edition of the CodeCast, it’s “out with the old and in with the new” as Terry gives some quick tips on updating your outdated EMR template relating …

More Info
What are you looking for in an audit?

What are you looking for in an audit?

June 20, 2023

This week on the CodeCast podcast, Terry discusses external audits, and what you should be looking for when moving from internal to external audits. What are your objectives? Are they …

More Info
Patient Initiated Services: What does it mean?

Patient Initiated Services: What does it mean?

June 13, 2023

Many virtual visit options are available to patients when they initiate patient-to-physician contact. The definition seems to be lost in all of the Telehealth visits, so in this week’s CodeCast …

More Info
Appropriately Reporting 99211 Services

Appropriately Reporting 99211 Services

June 6, 2023

Reporting 99211 can bring additional revenue into your practice. Appropriately reporting 99211 services can also improve documentation in a practice. Terry discusses the qualifiers for the 99211, such as having …

More Info
Top 10 Telehealth Changes NOW!

Top 10 Telehealth Changes NOW!

May 30, 2023

On this edition of the CodeCast Podcast, Terry gives you the top ten Telehealth changes to implement or get ready for now. Now that the PHE is over, there’s no …

More Info
Should you code the definitive condition or signs/symptoms?

Should you code the definitive condition or signs/symptoms? [Fixed Audio]

May 23, 2023

There is an ongoing debate about ICD-10-CM and diagnosis coding: should we code the patient complaints, the signs and symptoms, or go straight to the definitive diagnosis? When is it …

More Info
A Warning About AI Charting

A Warning About AI Charting

May 16, 2023

It’s important to take stock of what could be lost in a technological transition from physician charting to “Dr. Echo” charting as it is referred to. AI (Artificial Intelligence) chatbots …

More Info
Can I really bill for that?

Can I Really Bill For That?

May 9, 2023

With the current climate of audits, medical practices must have knowledgeable healthcare professionals who are up-to-date with regulatory guidance, CPT rules, ICD-10-CM rules, and all things related to pre-PHE and …

More Info
Denials Management and EM Realities

Denials Management and EM Realities

May 2, 2023

In this episode of the CodeCast Podcast, Terry talks about denial management codes, finding the patient’s MBI number, and understanding the realities of some Digital EM visits and ChatGBT responses …

More Info
Top 10 Tuesday Q&A – Are You Compliant With Regulatory Guidance?

Top 10 Tuesday Q&A – Are You Compliant With Regulatory Guidance?

April 25, 2023

There is so much published guidance out there for medical practices and professionals to use when setting policies in their offices. Every practice should have a compliance program, but most …

More Info
Reporting add-on codes with no base code

Reporting add-on codes with no base code

April 18, 2023

In this episode of the CodeCast, Terry discusses the challenges of reporting an add-on service when no base code was performed. Terry also covered urgent care versus retail care rules, …

More Info