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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Hospice Modifiers and Remote Workspace

Hospice Modifiers and Remote Workspace

August 23, 2022

Terry Fletcher returns with another episode of the CodeCast Podcast to discuss hospice modifiers when Part B services are performed during a Part A hospice stay. Remote or work-from-home employee …

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Information Blocking Realities

Information Blocking Realities

August 16, 2022

The HIPAA Right of Access gives people the right to inspect their protected health information that is held by a HIPAA-covered entity, check the information for errors, and request that …

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ICD-10-CM coding for migraines, arrhythmias, and more

ICD-10-CM coding for migraines, arrhythmias, and more

August 9, 2022

This edition of the CodeCast podcast defines migraine, arrhythmia, and signs or symptoms language with ICD-10-CM rules, so that diagnosis coding can be easier to capture. It’s all a puzzle …

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CMS Strategic Plan for 2022

CMS Strategic Plan for 2022

August 2, 2022

In this episode of the CodeCast Podcast Terry Fletcher goes over the published CMS Strategic Plan. This plan will affect provider practice workflows, along with clarifications on EM Data Points, …

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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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