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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ICD10CM Official Guidelines Release With New 2022 Codes

ICD10CM Official Guidelines Release With New 2022 Codes

July 20, 2021

The 2022 Official Coding and Reporting Guidelines, including the fiscal year 2022 ICD-10-CM codes, were released last week by the Centers for Disease Control and Prevention (CDC). Terry gives you …

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Telephone Etiquette in a Medical Practice

Telephone Etiquette in a Medical Practice

July 13, 2021

Since most people initially dial in to make an appointment, the first impression of your medical practice isn’t through the front door: it’s your voice on the phone. If you …

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Accounts Receivable: Where is your A/R?

Accounts Receivable: Where is your A/R?

July 6, 2021

As physicians are taking summer vacations and time is freeing up for billing departments, it’s as important as ever to remain sharp. For example, do you know how much outstanding …

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Top 10 Tuesday Q&A – ICD-10-CM Coding Mistakes

June 29, 2021

On the latest episode of the CodeCast podcast, Terry Fletcher goes over the top ten ICD-10-CM errors and how to make sure you are careful not to make them. Terry …

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Telehealth Patient Queries

Telehealth Patient Queries

June 22, 2021

Telehealth has served as a lifeline for many during the pandemic, ramping up from a minority share of office visits to a majority, at least for a while. Still, Telehealth …

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Trusted Resources for Compliance and Legal Blogs

Trusted Resources for Compliance and Legal Blogs

June 15, 2021

On the latest CodeCast, Terry Fletcher references some trusted legal blogs and resources for SMRC Audits and the PHE State level June expirations. if you are not on top of …

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5 Tips to True Interoperability and SDoH links to COVID

5 Tips to True Interoperability and SDoH links to COVID

June 8, 2021

Terry Fletcher returns with reasons to implement and update your IT to have true Interoperability for patient-centric care: Cloud access, IT upgrades, ease of Prior Authorizations, and new CURES Act …

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Telehealth Best Practices for post pandemic expansion

Telehealth Best Practices for post pandemic expansion

June 1, 2021

Are you ready to continue offering Telehealth once the PHE ends? Have you assessed your policies and procedures to make sure you are using “Best Practices” standards? The PHE will …

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Top 10 Tuesday Q&A – Coding & Reimbursement Questions

Top 10 Tuesday Q&A – Coding & Reimbursement Questions

May 25, 2021

Terry Fletcher returns with her Top 10 Tuesday coding, billing and reimbursement questions for the month. There is a lot to cover from EM Errata clarifications, HIPAA violations on patient …

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Accreditation surveys and state laws versus PHE

May 18, 2021

States are reopening sooner than the federal PHE is ending. If your healthcare organization has taken advantage of Federal 1135 blanket waivers during the National Public Health Emergency (PHE), be …

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HHS-OIG WorkPlan: COVID-19 Discharges

HHS-OIG WorkPlan: COVID-19 Discharges

May 11, 2021

OIG is to Audit Medicare Payments for COVID-19 Discharges to determine, and investigate, whether hospitals billed for the 20% add-on Medicare payment for COVID-19 discharges correctly. OIG’s work plan now …

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Insurers have started rollbacks of patient share of cost

Insurers have started rollbacks of patient share of cost

May 4, 2021

Many commercial payers voluntarily waived all deductibles, co-pays, and other costs for insured patients who fell sick with COVID-19. Many of these patients were hospitalized and needed intensive care, doctor …

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Medical Necessity: What rules are you following?

Medical Necessity: What rules are you following?

April 27, 2021

We all know that Medicare has their definition of “Medical Necessity” under Title 18 of the Social Security Act. But did you know that the AMA, The American College of …

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PHE Extended and more EM2021 MDM Clarifications

PHE Extended and more EM2021 MDM Clarifications

April 20, 2021

Terry discusses the recent CMS alerts and new coding questions relating to the 2021 EM Rules. Medical Decision Making has everyone confused. Can vaccines and immunizations be considered in the …

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Information Blocking: Cures Act 2021

Information Blocking: Cures Act 2021

April 13, 2021

This week’s CodeCast focuses on the 21st Century Cures Act or the “Information Blocking” regulations. The regulation became effective last Monday, April 5th, so you must know what is necessary …

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Medicare alerts: AAP, COVID vaccines, and more

Medicare alerts: AAP, COVID vaccines, and more

April 6, 2021

March Madness wasn’t only about college basketball! Medicare made the first quarter of 2021 all about announcements. Listen to this week’s episode as Terry runs down the new CMS/Medicare announcements, …

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Home and work boundaries blurred for remote healthcare workers

Home and work boundaries blurred for remote healthcare workers

March 30, 2021

We are working so many hours since the pandemic hit in January 2020. Over a year into the COVID Public Health Emergency, healthcare professionals, like other employees, had to emergently …

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What is an "Inpatient-Only Surgery List"?

What is an “Inpatient-Only Surgery List”?

March 23, 2021

Every year CMS releases an updated inpatient-only surgery list: and the surgeries on this list are not arbitrarily selected. Due to the complexity of the procedure, the risk for complications, …

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