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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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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Should All Healthcare Be Digital?

Should All Healthcare Be Digital?

February 7, 2023

It seems like the Telehealth ERA exploded not only virtual healthcare but also “digital healthcare” platforms. In this episode of the CodeCast Podcast, Terry discusses when virtual and digital should …

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Top 10 Tuesday Q&A – Fine Print of the Omnibus Bill

Top 10 Tuesday Q&A – Fine Print of the Omnibus Bill

January 31, 2023

With new legislation in the 2023 Omnibus Bill (signed into law 12/29/22), extending many 1135 PHE waivers through 2024, there are also some scaled-back rules that healthcare professionals will need …

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Elevated troponin levels: may not be what you think!

Elevated troponin levels: may not be what you think!

January 24, 2023

Many Coders tend to read a physician’s note and make assumptions without first reading the coding guidelines. One particular entry, which is found in many admission notes is “elevated troponin”. …

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ICD-10-CM "Code First" Clarifications

ICD-10-CM “Code First” Clarifications

January 17, 2023

Instructional notes in ICD-10-CM are there for a reason. “Code First” denials are happening more often, when these directions are not followed. In this jam-packed episode, Terry discusses when certain …

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Addendums, corrections and late entries to the medical record

Addendums, corrections and late entries to the medical record

January 10, 2023

In this episode, Terry discusses late entries, addendums, or corrections to a medical record that are legitimate occurrences in the documentation of clinical services. Compliance is always an issue in …

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Life as a Coder Equals Flexibility

Life as a Coder Equals Flexibility

January 3, 2023

As 2023 arrives, many coding professionals might be thinking about their career goals, maybe a career change, or just enhancing their current position in coding. In today’s work environment, it …

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2023 EM Data Points Reminders

2023 EM Data Points Reminders

December 27, 2022

For the last CodeCast podcast of 2022, Terry gives quick fire details on the new 2023 EM Rules for Data Points, plus reminders on what to make sure you are …

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Time-Based EM for 2023

Time-Based EM for 2023

December 20, 2022

When using time to level your E/M visit in 2023, you need to focus on the individual patient. In this week’s CodeCast, Terry talks “time” when giving auditing tips to …

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Fractures Defined

Fractures Defined

December 13, 2022

On this edition of the CodeCast, Terry Fletcher defines the laymen’s terms for definitions of all fractures, She also has an update on the 2023 rules for prolonged services. And …

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E/M: Prescription Drug Management Defined

E/M: Prescription Drug Management Defined

December 6, 2022

Terry tackles a challenging topic in the appropriate documentation of prescription drug management when reporting moderate level E/M codes. Doctors need to know that adding the current medication list to …

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Top 10 Tuesday Q&A – Multi-Specialty Questions

Top 10 Tuesday Q&A – Multi-Specialty Questions

November 29, 2022

In this Top Ten Tuesday edition of the CodeCast, Terry answers frequently asked questions about ACP and PHE extensions, Orthopedic procedures, and Gastro endoscopy. Tune in to to hear her …

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eVisits the Portal Connection

eVisits the Portal Connection

November 22, 2022

There has been a lot of confusion, on when it is appropriate to bill for e-Visits, using CPT codes 99421-99423 and HCPCS codes G2061-G2063, as applicable. The patient must verbally …

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Are they really extending the PHE again?

Are they really extending the PHE again?

November 15, 2022

The U.S. will extend the COVID-19 public health emergency through at least April 11, 2023, Biden administration officials confirmed to CNBC on November 11th. But why? Does this make sense …

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