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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Data Point - Review of Test or Independent Interpretation?

Data Point – Review of Test or Independent Interpretation?

December 17, 2024

E/M Coding still has confusion when capturing “data points” elements. When deciding to give credit for either an independent interpretation (CAT 2) or a review of test results (CAT 1) …

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CPT 2025 Looksee

CPT 2025 Looksee

December 10, 2024

The 2025 CPT® codes will impact billing and coding across various specialties. The annual CPT® updates include new, revised, and deleted codes and coding guidelines effective Jan 1st, 2025. CPT® …

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Coding Career Opportunities and Challenges

Coding Career Opportunities and Challenges

December 3, 2024

Becoming a certified medical coder can be very exciting but also disheartening if you thought a job in coding would magically appear once you got your certification. In this episode …

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Thanksgiving ICD-10-CM: Be Safe and Thankful!

Thanksgiving ICD-10-CM: Be Safe and Thankful!

November 26, 2024

Terry makes it quick and to the point in this Thanksgiving Day episode of the CodeCast Podcast. Terry gives you a fun list of ICD-10-CM related to our beloved family …

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Top 10 Tuesday Q&A – RCM Workflow Mistakes

Top 10 Tuesday Q&A – RCM Workflow Mistakes

November 19, 2024

Terry is back with another Top Ten Tuesday discussion. In this episode, she discusses front desk to billing office workflow mistakes, looking at patient demographics, insurance information, HMO referrals, PA’s, …

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The 25 Modifier and More

The 25 Modifier and More

November 12, 2024

Today on the CodeCast podcast, Terry discusses best practices for the -25 Modifier, where to find her latest blog on the AAPC website, and what the MAHA (Make America Healthy …

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CMS final rule is out and Telehealth is an issue

CMS final rule is out and Telehealth is an issue

November 5, 2024

CMS published the 2025 Final Rule on November 1st. Terry breaks down the highlights and gives you the facts on the Telehealth “mess” that could have 85% of Medicare patients …

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Why are TCM services receiving more denials than payments?

Why are TCM services receiving more denials than payments?

October 29, 2024

Many practices have engaged in coding for TCM (Transitional Care Management) services but are finding that they are receiving more denials than payments. Terry breaks down why that is, and …

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AI in Medical Coding: What's the Reality?

AI in Medical Coding: What’s the Reality?

October 22, 2024

Artificial intelligence (AI) has the potential to make substantial progress toward the goal of making healthcare more personalized, predictive, preventative, and interactive. However, AI-based systems raise concerns regarding data security …

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HIPAA violations your organizations should avoid

HIPAA violations your organizations should avoid

October 15, 2024

HIPAA has many privacy issues that most practices have in their HIPAA compliance manuals. However, current HIPAA violations are coming to light when employees purposefully search patient PHI for personal …

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RCM Updates For 4th Quarter

RCM Updates for 4th Quarter

October 8, 2024

In this edition of the CodeCast podcast, Terry discusses the “subtle changes” to look for in the ICD-10-CM updates effective October 1st. Also, Terry clears up understanding the UHC Gold …

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Telemedicine "Webside Manner"

Telemedicine “Webside Manner”

October 1, 2024

According to the AMA, most physicians lack training in “webside manner.” Researchers from the University of Michigan Medical School and the Veterans Affairs Ann Arbor Healthcare System surveyed 1,213 patients …

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Charging patients cash for "insurance covered" services

Charging patients cash for “insurance covered” services

September 24, 2024

Many practices offer cash payment options to avoid insurance billing, hoping to reduce administrative burden or boost revenue. However, this practice of charging cash for services that could be billed …

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Sometimes the rules are as "clear as mud"

Sometimes the rules are as “clear as mud”

September 17, 2024

Sometimes there are coding, compliance, and billing questions that we struggle to find answers to in any published guidance or specific regulatory rules. This week on the CodeCast podcast, Terry …

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Does ICD-10-CM Codes Claim Position Matter?

Does ICD-10-CM Codes Claim Position Matter?

September 10, 2024

In this episode Terry discusses the importance of ICD-10-CM codes on billing claims. She also clarifies the ICD-10-CM General Guidelines on Borderline Diagnoses, Laterality, Acute versus Chronic Conditions, and when …

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G2211 CMS FAQ Sheet Released

G2211 CMS FAQ Sheet Released

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 …

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Top 10 Tuesday Q&A – Coding, Billing, and Compliance Questions

Top 10 Tuesday Q&A – Coding, Billing, and Compliance Questions

August 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 …

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Transfer of Care Modifiers

Transfer of Care Modifiers

August 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 …

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