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.

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Revenue Cycle Transparency: Do you really know what's going on?

Revenue Cycle Transparency: Do you really know what’s going on?

It is important to know how well your practice performs, not just compared to last year, but more importantly, compared to what you expect based on current conditions. The more data transparency you have, the better you can diagnose why it is you are on or off target. In today’s episode, Terry discusses how to […]

Modifier Spotlight 24 and 57

Modifier Spotlight 24 and 57

In episode 112, Terry navigates highly-audited Modifier 24 and the mistakes that are often made with appending the Modifier 57 to the wrong E/M codes. The RAC audits are monitoring the use of these modifiers: since they afford payment on visit codes that may not get paid without them. Learn the right way, the compliant […]

Music regulations and add-on code clarifications

Music regulations and add-on code clarifications

Music in your waiting rooms, exam rooms, and rehab areas can reduce anxiety and promote healing… but by playing tunes, are you courting legal trouble? Federal Copyright Law says, possibly! Terry also addresses using social media as a way of offering employment and how you may be limiting your reach with their tools, as well […]

Top 10 Tuesday Q&A – Answers to Frequently Asked Questions

Top 10 Tuesday Q&A – Answers to Frequently Asked Questions

In this month’s Top Ten Tuesday episode, Terry answers common coding questions relating to “punch” biopsies, palliative care, ACP and pediatrics. Join us for our popular monthly segment of the top coding questions of the month. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts/iTunes – https://itunes.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627 Google Podasts/Google Play Music – […]

Working Holidays in Healthcare

Working Holidays in Healthcare

There’s no denying the many benefits that come with working in healthcare. Job security is sound, the pay is good and the work can make you feel satisfied and accomplished. While there are many positives, the medical field also has some drawbacks. Sickness doesn’t take vacations or holidays, which makes working in healthcare harder to […]

Seasonal ICD10 Codes for the Fall

Seasonal ICD10 Codes for the Fall

Were you aware that there are codes for falling from an apple tree, injuries occurring during a football game or getting hurt performing household chores? Terry covers these codes and clarifies the difference between Supervision Guidelines and Incident To, as confusion between the two is causing a lot of non-compliance issues which could lead to […]

Breaking News! CMS could revoke your Medicare billing privileges

Breaking News! CMS could revoke your Medicare billing privileges

Effective November 4th, 2019, the Federal Register posted that CMS has new authority to revoke physicians’ billing and reporting privileges if they find that they have any direct or indirect affiliation with other providers, or entities that have had their privileges revoked in the past or if they have past due money due the government. […]

Top 10 Tuesday Q&A – SDOH ,HCC ,ICD-10-CM and more

Top 10 Tuesday Q&A – SDOH ,HCC ,ICD-10-CM and more

In this month’s Top Ten Tuesday episode, Terry dives into coding questions regarding SDOH and HCC capture, along with the new ICD-10-CM for vaping injuries. Also on this broadcast is the discussion of patient portals and how HIPAA protected are they really? This is an information-packed episode you do not want to miss! Subscribe and […]

If we are not careful, Incident To may be eliminated

If we are not careful, Incident To may be eliminated

There are many ways in which mid-level provider visits can violate the incident-to rules. Without an audit, your Medicare carrier won’t know that the rules have been violated since a claim for an incident-to service looks exactly like a claim from the supervising provider. However, audits are triggered when CMS sees a significant number of […]

Modifier 22 Spotlight

Modifier 22 Spotlight

This week Terry spotlights the 22-modifier in claims that need an extra reimbursement from an “Increased Procedural Service”. She will give you tips on how to be successful in the use of the 22-modifier, along with some insight on how to show your credibility with payers. Also, Terry discusses how to deal with information overload […]