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.

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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 …

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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 …

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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 …

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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 …

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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 …

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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 …

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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 …

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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 …

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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, …

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Modifiers JZ and JW Discarded Drugs

Modifiers JZ and JW Discarded Drugs

April 11, 2023

For physician practices that use injectable drugs for stress tests, paid injections, or therapeutic services, some modifiers can assist in reporting to Medicare if there were discarded vials or if …

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2023 E/M Frequently Asked Questions (And Answers!)

2023 E/M Frequently Asked Questions (And Answers!)

April 4, 2023

A variety of channels have produced education on the 2021 and 2021 AMA E/M changes. Those channels include articles in CPT Assistant, AMA’s live and on-demand webinars, NAMAS, and even …

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Top 10 Tuesday Q&A – Coding Questions of the Month

Top 10 Tuesday Q&A – Coding Questions of the Month

March 28, 2023

It’s time for another Top 10 Tuesday Q&A podcast, featuring our coding questions of the month. Terry Fletcher will discuss a variety of topics including timely documentation rules for screening …

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Prolonged Services: An Audit Trap?

Prolonged Services: An Audit Trap?

March 21, 2023

The CPT Errata came out this week to clear up some confusion on coding for prolonged services. Time can be an audit trap for E/M services Are you supporting your …

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Advance Care Planning OIG Watch List

Advance Care Planning OIG Watch List

March 14, 2023

Advance care planning (ACP) is a voluntary, face-to-face service between a physician or other Qualified Healthcare Professional (QHP) and a patient, family member, caregiver, or surrogate to discuss the patient’s …

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Is "Under-Coding" Considered FWA?

Is “Under-Coding” Considered FWA?

March 7, 2023

Can “under-coding” fall under the FWA (Fraud Waste and Abuse) regulations for CMS? If you are falsely submitting a claim, yes! Terry discusses the dangers of under-coding, how that could …

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Top 10 Tuesday Q&A – Spending too much time with patients

Top 10 Tuesday Q&A – Spending too much time with patients

February 28, 2023

Time has become a factor in almost every Healthcare patient encounter, It makes you wonder if physicians and providers are being baited into a false sense of security. When E/M …

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Claims Appeals Advice and More

Claims Appeals Advice and More (Fixed Audio)

February 23, 2023

This edition of the CodeCast Podcast dives into denial management and appeals assistance for EKGs, and how to handle medical necessity denials. Your host, Terry Fletcher, will also discuss some …

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SDoH for Moderate Risk EM

SDoH for Moderate Risk EM (Fixed Audio)

February 14, 2023

On this edition of the CodeCast Podcast, Terry Fletcher shares insights into the new SDoH ICD-10-CM coding when reporting a level 4 or moderate E/M service. Terry also talks about …

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