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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Understanding the difference between medical necessity and MDM

Understanding the difference between medical necessity and MDM

July 14, 2020

Medical Decision Making specifically refers to the complexity of establishing a diagnosis and/or selecting a management option. Medical necessity refers to the appropriateness of the service provided for a certain …

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Medicare Prior Authorization Program

Medicare Prior Authorization Program

July 7, 2020

Medicare has adopted a new prior authorization program effective July 1st. Also, as of June 17th, the Medicare Administrative Contractors (MACs) were required to start accepting requests. It is important …

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The top 10 HIPAA violations of 2020

The top 10 HIPAA violations of 2020

June 30, 2020

In the past 12 months, there were 393 protected health information breach incidents reported to HHS. The incidences included malicious email hacking, unauthorized access to EHRs, and medical records as …

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Provider Contract Negotiations with Commercial Payers

Provider Contract Negotiations with Commercial Payers

June 23, 2020

Whether you are a novice or a seasoned negotiator, payer contracts can be complicated and difficult to interpret: even with an attorney or a consultant by your side. Terry Fletcher …

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Addendums, Late Entries, and Medical Record Corrections

Addendums, Late Entries, and Medical Record Corrections

June 16, 2020

On the latest CodeCast, Terry discusses physician and medical provider addendums, late entries and corrections. CMS and their MAC carriers have referred to this practice as legitimate and are aware …

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The ins and outs of coronavirus funding for physicians

The ins and outs of coronavirus funding for physicians

June 9, 2020

There are three main sources of funding for mitigating the impact of the COVID-19 pandemic on your healthcare business. Before you being, however, there’s fine print that needs to be …

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Best Practices: How to Avoid an Audit

Best Practices: How to Avoid an Audit

June 2, 2020

Brace yourself: medical audits are coming. With the currently relaxed rules, it is inevitable. The lack of oversight on HHS monies given to practices, and the liberties many are taking …

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Top 10 Tuesday Q&A – The top billing and coding questions of May

Top 10 Tuesday Q&A – The top billing and coding questions of May

May 26, 2020

This week, Terry Fletcher closes out May by answering the top coding and billing questions of the month. Terry tackles topics such as wound care, debridement coding, multiple-day audio-only phone calls, …

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Is "Incident to" possible under Telehealth?

Is “Incident to” possible under Telehealth?

May 19, 2020

Medicare is doing their own thing when it comes to adjusting the meaning of the coding rules. This week the incident to concept was up for discussion with the CMS …

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