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.

You can also subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast® Podcast please contact us directly for pricing.

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 …

More Info
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 …

More Info
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 …

More Info
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 …

More Info
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 …

More Info
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 …

More Info
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 …

More Info
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 …

More Info
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 …

More Info
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 …

More Info
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 …

More Info
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 …

More Info
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 …

More Info
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 …

More Info
Has your practice ever had a patient MR audit?

Has your practice ever had a patient MR audit?

March 22, 2022

Administrators, coders, and physicians should periodically conduct a patient chart audit to assess whether your doctors code accurately and to make sure all services are being captured. But how do …

More Info
Specialty Spotlight: Gastro Screening and Endo Coding

Specialty Spotlight: Gastro Screening and Endo Coding

March 15, 2022

This week’s CodeCast podcast spotlights the Gastroenterology Specialty. Terry discusses colonoscopies, screenings, diagnostics, therapeutics, and surveillance. She also gives definitions, coding guidance (for both Medicare and Commercial plans), and what …

More Info
Billing an E/M service on the same date as a minor procedure

Billing an E/M service on the same date as a minor procedure

March 8, 2022

Terry Fletcher focuses on billing an E/M service on the same date as a minor procedure in this packed episode of the CodeCast Podcast. There are Medicare rules about this, …

More Info
Auditing Tips for Auditors

Auditing Tips for Auditors

March 1, 2022

In this episode of the CodeCast podcast, Terry is responding to many listeners’ requests for auditing tips when auditing E/M services. She focuses on what to look for when moderate …

More Info