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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EM 101 Burning Questions: Answered!

EM 101 Burning Questions: Answered!

Do you have “burning” E/M questions that you can’t get a straight answer to? Terry covers many of those “burning” topics in today’s episode, such as: Can I use HPI elements for my ROS scoring? Can I get a point if I order an EKG and read the EKG? What if the patient is just […]

Coding "yes?" or coding "no?" You are the judge

Coding “yes?” or coding “no?” You are the judge

Sometimes as coders and billers we tend to look at a report and think, “Well, what my physician meant to say was…” We then code from that assumption… and there is nothing more dangerous than assumptive coding! Yet, it happens all of the time, especially when a coder gets comfortable in their job or with […]

Transitional Care Management

Transitional Care Management

Transitional Care Management (TCM) is increasing in its utilization and billing… but are you doing it right? Is your patient eligible? It is worth the administrative work versus the revenue generated? Tune in to the CodeCast this week as Terry answers these questions and more. Plus, there’s a bonus discussion on finding your professional bliss. […]

Top 10 Tuesday Q&A – April 30th, 2019

Top 10 Tuesday Q&A – April 30th, 2019

Among one of the most popular questions Terry receives is about reducing prior authorization hassles. Primary care providers and specialty physicians alike rank prior authorizations as one of the greatest frustrations in clinical practice. Aimed at reducing unnecessary or unwarranted spending, the practice of requiring prior authorizations has been blamed by clinicians for delaying or […]

Insurance Claim Denials

Insurance Claim Denials

What are the most common claim denials? In this episode of the CodeCast Podcast, Terry looks at a recent survey of over 100 medical insurance payers to determine 13 of the most common reasons claims are denied and how practices can eliminate them. The survey, based on over 100 insurance payers (including Medicare Contractors) reveals […]

Interoperability and HIPAA information exchange between providers

Interoperability and HIPAA information exchange between providers

Interoperability refers to the basic ability of computerized systems to connect and communicate with one another readily: even if they were developed by widely different manufacturers in different industries. Being able to exchange information between applications, databases, and other computer systems is crucial for the modern economy and healthcare today. But is this HIPAA compliant? […]

Concierge versus DPC Medicine: are you compliant?

Concierge versus DPC Medicine: are you compliant?

There are many similarities between the two models of Concierge Medicine and DPC (Direct Primary Care). While the differences are basic: but, in my opinion, they can make or break a physician’s practice if you are not clear on how it works. You must learn how to follow the letter of the law and how […]

Breaking News! E/M 2021 approved changes are here!

Breaking News! E/M 2021 approved changes are here!

The AMA Editorial Panel made a final ruling to overhaul the entire E/M section of CPT: and Medicare is on board with these changes. History and Exam may no longer factor in scoring a level of services, and the definition of medical decision making will be revised. “Time” will be a factor in choosing most […]

Top 10 Tuesday Q&A – March 25th, 2019

Top 10 Tuesday Q&A – March 25th, 2019

Terry gets creative with her Top 10 Tuesday this week, and brings to you “The Coder’s Top 10 Pet Peeves”. Pet peeves are minor annoyances that can cause major irritation, and she has a list specific to healthcare professionals! However, pet peeves aren’t just “complaining”: they are an “out-of-the-box” form of communication. Rather than treat […]

MACRA and Patient Satisfaction Surveys

MACRA and Patient Satisfaction Surveys

To achieved the highest bonus threshold using the 2019 rule for the Quality Payment Program (QPP – also known as MACRA) there are eight objectives physicians need to know. In this episode of the CodeCast podcast Terry Fletcher talks about these eight guidelines as well as why patient satisfaction surveys should be implemented into your […]