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, 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/

Remote Coders: Are you equipped to work from home?

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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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/

Podcast: Play in new window | Download (Duration: 33:20 — 45.9MB)

What you don’t know can hurt you

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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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/

Podcast: Play in new window | Download (Duration: 22:14 — 30.7MB)

The CORRECT information for the 2019 E/M documentation update from CMS

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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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/

Podcast: Play in new window | Download (Duration: 22:02 — 30.4MB)

2019 Update: New vs. Established patient visit

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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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/

Podcast: Play in new window | Download (Duration: 24:02 — 33.2MB)

Just say NO: Not every medical-based vendor is good for your business!

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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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/

Podcast: Play in new window | Download (Duration: 24:16 — 33.5MB)

Supervision guidelines and clarifying answers for NPPs

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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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/

Podcast: Play in new window | Download (Duration: 25:35 — 35.3MB)

Incident to 2.0 and Payer Refunds

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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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/

Podcast: Play in new window | Download (Duration: 23:31 — 32.4MB)

Expanding Your Coding Knowledge

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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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/

Podcast: Play in new window | Download (Duration: 21:21 — 29.5MB)

Top 10 Tuesday Q&A – November 27th, 2018

The Top 10 Tuesday Q&A returns this week with medical coding and billing questions from all over the country.

Terry touches on client-submitted questions including, ASC vs Independent lab POS, food allergies, anemia coding with malignancy, 25 Modifier reductions on EMs and debridement coding.

She will also address CMS info with the 2019 updates and how you can be heard by Medicare as part of the conversation.

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/

Podcast: Play in new window | Download (Duration: 25:25 — 35.1MB)

We are not “The Coding Police”

Coders and billers are taught to focus provider education around coding concerns or problems: but are these the primary conversations a coder or auditor should have with a physician?

Today’s episode focuses on a better approach at building your reputation as a coding/billing professional. By taking preventative measures, rather than waiting to sound the alarm, you will earn the respect of, and build a better relationship with, your physician.

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/

Podcast: Play in new window | Download (Duration: 19:07 — 26.4MB)