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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Top 10 Tuesday Q&A – Mixed Bag of Coding Questions

Top 10 Tuesday Q&A – Mixed Bag of Coding Questions

July 26, 2022

In this episode of the CodeCast, Terry continues her Top 10 Tuesday series with allergy, orthopedic, 25 modifier, and cardiology questions, plus more. These responses can impact your workflows along …

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Are you a Coder or a Biller? Let's find out!

Are you a Coder or a Biller? Let’s find out!

July 19, 2022

There have been a lot of discussions lately on whether or not Coders are Billers and vice versa. In the grand scheme of things, what do you want your employer …

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Medicare PFS Announcements

Medicare PFS Announcements

July 12, 2022

On July 7, 2022, CMS issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other …

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Revisiting NPP Incident to Coding Rules

Revisiting NPP Incident to Coding Rules

July 5, 2022

This week’s CodeCast podcast revisits the topic of “Incident to.” The last time this was covered on the show was back in February 2021. That is well over a year …

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Top 10 Insurance Verification Tips

Top 10 Insurance Verification Tips

June 28, 2022

A healthcare practice must verify the patient’s coverage and eligibility for medical services being sought and determine their responsibility for payment. Through the patient eligibility and benefits verification process, physician …

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Breaking News: 25 Modifier Chaos Coming

Breaking News: 25 Modifier Chaos Coming

June 21, 2022

Many payers are starting to put restrictions on payment and submission requirements when billing the 25 modifier on E/M services with minor procedures on the same date. You will see …

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HCC Coding Compliance

HCC Coding Compliance

June 14, 2022

This week, Terry introduces a new ICD-10-CM topic of HCC (Hierarchical Condition Category) coding relies on ICD-10-CM coding to assign risk scores to patients. Each HCC is mapped to an …

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IPPE, AWV and other Preventative Payable Visits

IPPE, AWV and other Preventative Payable Visits

June 7, 2022

This week on the CodeCast Podcast, Terry Fletcher discusses the differences between the IPPE, AWV and a routine physical exam. Many providers are billing E/M services to “establish care” and …

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Top 10 Tuesday Q&A – E/M 2022 Q&A Continued

Top 10 Tuesday Q&A – E/M 2022 Q&A Continued

May 31, 2022

In this episode of the CodeCast, Terry continues her Top 10 Tuesday advice on clarifications to the 2021 EM Guidelines for Office and Other Outpatient visits. There is still a …

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Coding for Add-on Codes

Coding for Add-on Codes

May 24, 2022

This week Terry’s focus on “coding” looks into add on codes and their descriptors: mainly the three types of add-on codes as described by CMS. Is there ever a time …

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Tips for Negotiating Payer Contracts

Tips for Negotiating Payer Contracts

May 17, 2022

This week on the CodeCast Podcast, Terry discusses some important tips to successfully negotiate your payer contracts. By the way: this should include your coders as part of the negotiating …

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Locums Tenens Physicians

Locums Tenens Physicians

May 10, 2022

In this episode of the CodeCast Podcast, Terry gives regulatory guidance for Fee-For-Service Time Compensation (previously known as Locum Tenens) billing and coding. She also covers the rules surrounding how …

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Telehealth Webside Manner

Telehealth Webside Manner

May 3, 2022

There should be several goals to meet during a Telehealth patient encounter, such as replicating an in-person clinical encounter as closely as possible. The strategies for incorporating learners into the …

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PHE Extended But Some Waivers Expired

PHE Extended But Some Waivers Expired

April 26, 2022

The PHE was extended for another 90-days, but not all waivers made the cut. Tune in to find out what waivers will expire, what is still in play, and how …

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Medical Acronyms Defined

Medical Acronyms Defined

April 19, 2022

Medical Acronyms like LVEDP or HIPAA or PHE are now an everyday part of a medical coder’s and biller’s life. Do you know what they mean and do you have …

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How To Manage Remote Workers

How To Manage Remote Workers

April 12, 2022

Remote working is here to stay, so today’s episode of the CodeCast podcast is about how to not only manage your remote workforce but how to be successful as a …

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5 Facts for Successful Claims Appeals

5 Facts for Successful Claims Appeals

April 5, 2022

For healthcare professionals that appeal claims as their job, it can feel like a futile and unrewarding act. In this episode of the CodeCast, Terry Fletcher discusses the five facts …

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Top 10 Tuesday Q&A – 2021 E/M Documentation Tips Continued

Top 10 Tuesday Q&A – 2021 E/M Documentation Tips Continued

March 29, 2022

Terry Fletcher continues the coding tips and answers from CMS series in the latest episode of the CodeCast. This show focuses on how to interpret the rules for the 2021 …

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