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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Insurers have started rollbacks of patient share of cost

Insurers have started rollbacks of patient share of cost

May 4, 2021

Many commercial payers voluntarily waived all deductibles, co-pays, and other costs for insured patients who fell sick with COVID-19. Many of these patients were hospitalized and needed intensive care, doctor …

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Medical Necessity: What rules are you following?

Medical Necessity: What rules are you following?

April 27, 2021

We all know that Medicare has their definition of “Medical Necessity” under Title 18 of the Social Security Act. But did you know that the AMA, The American College of …

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PHE Extended and more EM2021 MDM Clarifications

PHE Extended and more EM2021 MDM Clarifications

April 20, 2021

Terry discusses the recent CMS alerts and new coding questions relating to the 2021 EM Rules. Medical Decision Making has everyone confused. Can vaccines and immunizations be considered in the …

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Information Blocking: Cures Act 2021

Information Blocking: Cures Act 2021

April 13, 2021

This week’s CodeCast focuses on the 21st Century Cures Act or the “Information Blocking” regulations. The regulation became effective last Monday, April 5th, so you must know what is necessary …

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Medicare alerts: AAP, COVID vaccines, and more

Medicare alerts: AAP, COVID vaccines, and more

April 6, 2021

March Madness wasn’t only about college basketball! Medicare made the first quarter of 2021 all about announcements. Listen to this week’s episode as Terry runs down the new CMS/Medicare announcements, …

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Home and work boundaries blurred for remote healthcare workers

Home and work boundaries blurred for remote healthcare workers

March 30, 2021

We are working so many hours since the pandemic hit in January 2020. Over a year into the COVID Public Health Emergency, healthcare professionals, like other employees, had to emergently …

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What is an "Inpatient-Only Surgery List"?

What is an “Inpatient-Only Surgery List”?

March 23, 2021

Every year CMS releases an updated inpatient-only surgery list: and the surgeries on this list are not arbitrarily selected. Due to the complexity of the procedure, the risk for complications, …

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OBL vs ASC: Are you ready to invest in your own?

OBL vs ASC: Are you ready to invest in your own?

March 16, 2021

So many providers have been looking into setting up either an OBL (Office-Based Lab) or an ASC (Ambulatory Surgery Center) with their partners. Terry discusses the topic in general terms …

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Virtual Check-Ins: "G-We Are Watching You!"

Virtual Check-Ins: “G-We Are Watching You!”

March 9, 2021

Virtual Check-ins have been confusing: not only on when to use them, but CMS added more to the list in 2021! The confusion continues for physicians, NPs, PAs and therapy …

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When should I report the 99211 Code?

When should I report the 99211 Code?

March 2, 2021

This week Terry talks about 99211 compliance, and when it is appropriate to report the “nurse” code. Also, Medicare as a Secondary Payer (MSP) can see many denials. CMS issued …

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Top 10 Tuesday Q&A – Screening, ABN Use, and Hot Sauce!

Top 10 Tuesday Q&A – Screening, ABN Use, and Hot Sauce!

February 23, 2021

It’s Top Ten Tuesday time as Terry answers questions on depression screening, alcohol misuse screening, and smoking cessation. There are also ABN compliance questions along with coding for burning your …

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Cardiology Coding Spotlight for Heart Health Month

Cardiology Coding Spotlight for Heart Health Month

February 16, 2021

On this episode of the CodeCast, Terry focuses on February’s Heart Health Month, where many of us are wearing red to bring awareness to good cardiovascular habits and good heart …

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COVID-19 ICD-10-CM Coding Timeline For Outpatient Services

COVID-19 ICD-10-CM Coding Timeline For Outpatient Services

February 9, 2021

When COVID-19 emerged in early 2020, new ICD-10-CM codes to identify this condition were not available. Subsequently, they were added by the CDC mid-year, and the guidelines for reporting COVID-19 …

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Incident To Rules Revisited

Incident To Rules Revisited

February 2, 2021

Incident to rules have been a target of compliance lately with payers. Terry revisits the rules and gives some scenarios on when services can be billed under the physician and/or …

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Top 10 Tuesday Q&A – 2021 E/M Guidelines

Top 10 Tuesday Q&A – 2021 E/M Guidelines

January 26, 2021

After presenting over 30 Webinars on the 2021 E/M Guidelines, Terry continues receiving questions about clarifications on what AMA and CMS are expecting when medical providers are documenting in a …

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Will The New Administration Keep Existing Policies?

Will The New Administration Keep Existing Policies?

January 19, 2021

With a new administration coming into the White House, what CMS policies will continue and which ones will be halted or rolled back? Terry discusses what a new administration could …

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PHE Extended and EM 2021 Clarifications

PHE Extended and EM 2021 Clarifications

January 12, 2021

This week on the CodeCast Podcast, CMS once again threw us for a loop by not only doubling the 3.75% increase to the 2021 Fee Schedule but also the extending …

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Myths and Realities of 2021 Medicare Final Rule and Fee Schedule

Myths and Realities of 2021 Medicare Final Rule and Fee Schedule

January 5, 2021

Join us for this important update, as we are now into the New Year. It’s time to make sure we understand the Myths and Realities of the MPFS and what …

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