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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September 3, 2024
CMS released their FAQ sheet for the add-on code HCPCS G2211, to office visits. The sheet clarifies where denials and grey areas for reporting. Tune in as Terry goes over …
Podcast: Play in new window | Download (Duration: 17:33 — 24.3MB)
More InfoAugust 27, 2024
In this episode of the CodeCast podcast, Terry discusses ABI billing, Level 5 Drug Toxicity options, Aortic Stenosis ICD-10-CM coding, and some questions related to the 2025 CMS proposals. Listen …
Podcast: Play in new window | Download (Duration: 22:12 — 30.7MB)
More InfoAugust 20, 2024
CMS proposes expanding the transfer of care modifiers, -54, -55, and -56 to better “value” the global surgery CPT codes. However, this may cause more confusion for surgeons and medical …
Podcast: Play in new window | Download (Duration: 15:04 — 20.9MB)
More InfoAugust 13, 2024
This edition of the CodeCast podcast focuses on coding heart caths. When coding for cardiac catheterizations, if you don’t have a working knowledge of this specialty it can be a …
Podcast: Play in new window | Download (Duration: 18:57 — 26.2MB)
More InfoAugust 6, 2024
Terry takes us down memory lane in an E/M refresher. She covers what changed with the CPT E/M section – that was updated in 2019, 2020, and 2021 – to …
Podcast: Play in new window | Download (Duration: 15:06 — 20.9MB)
More InfoJuly 30, 2024
This week on the CodeCast podcast Terry returns with her Top 10 Tuesday Q&A series. Join us as Terry covers questions covering risk support for E/M, Telehealth in the hospital setting, …
Podcast: Play in new window | Download (Duration: 20:39 — 28.5MB)
More InfoJuly 23, 2024
CMS published their PFS on July 10th. You have 90 days to comment and be heard on these changes including the proposed 2.93% reduction to the Physician Fee schedule. In …
Podcast: Play in new window | Download (Duration: 21:39 — 29.9MB)
More InfoJuly 16, 2024
Terry discusses when it is and isn’t appropriate to report a preventative visit with an office visit on the same date. How did the patient present? What is the share …
Podcast: Play in new window | Download (Duration: 16:37 — 23.0MB)
More InfoJuly 9, 2024
In today’s episode of the CodeCast podcast, Terry updates you on the latest CMS NCCI Edits, effective July 1st. She gives you the insight on the PTP and MUEs expected, …
Podcast: Play in new window | Download (Duration: 10:56 — 15.2MB)
More InfoJuly 2, 2024
Principal Care Management (PCM) services are services for a single high-risk disease, 30 minutes a month, personally provided by a physician or NPP. This is for patients with one complex …
Podcast: Play in new window | Download (Duration: 13:32 — 18.8MB)
More InfoJune 25, 2024
Can you guess the main reason why medical billing claims are rejected? According to recent studies, most clinics account for 15-25% of inaccurately submitted monthly claims. Those inaccuracies must be …
Podcast: Play in new window | Download (Duration: 22:06 — 30.5MB)
More InfoJune 18, 2024
You must make sure your providers and coders understand the overarching LCD criteria for reporting TPIs (Trigger Point Injections). As of April 1st, five MACs have tightened their rules for …
Podcast: Play in new window | Download (22.7MB)
More InfoJune 11, 2024
How do you know if your role is classified as a Coder or a Biller? Coders typically work in the back end of the facility, focused on interpreting medical records …
Podcast: Play in new window | Download (27.8MB)
More InfoJune 4, 2024
All CPT codes have an expected range of complexity and uses, but when a particular procedure or surgery performed has exceeded the normal range of complexity, modifier -22 can come …
Podcast: Play in new window | Download (18.3MB)
More InfoMay 28, 2024
This week on the CodeCast podcast Terry returns with her Top 10 Tuesday Q&A series. Join us as Terry covers questions from Urgent Care to the ER, infusion charges, behavioral …
Podcast: Play in new window | Download (28.2MB)
More InfoMay 21, 2024
Are you a “Subject Matter Expert?” Are you taking on clients, presenting to physicians, or looking for a coding job: with no expertise? Do not “wing it” in the healthcare …
Podcast: Play in new window | Download (Duration: 16:40 — 23.1MB)
More InfoMay 14, 2024
Many of the records Terry audits include a disclaimer to protect a physician from liability. However, does this disclaimer shield a physician who has signed a note or authenticated an electronic …
Podcast: Play in new window | Download (Duration: 15:36 — 21.6MB)
More InfoMay 7, 2024
In this episode of the CodeCast podcast, Terry discusses the frequent urgent care center encounters that elevate to the patient going to the ER. Is this considered automatically high risk? …
Podcast: Play in new window | Download (Duration: 12:26 — 17.3MB)
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