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:
- Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627
- Google Podcasts – https://play.google.com/music/listen#/ps/Ia47t6quqphhsanlzpajk37yiga
- Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX
- Stitcher – http://www.stitcher.com/s?fid=156874
- TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/
- YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg
- Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights
- iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/
If you’d like to become a sponsor of the CodeCast® Podcast please contact us directly for pricing.
ADR Workflow Tips
April 15, 2025
An ADR (Additional Documentation Request) is a request from CMS or another insurance payer for additional documentation to review a claim. Most of these requests come from payer investigative units …
Podcast: Play in new window | Download (Duration: 18:26 — 25.5MB)
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Who Gets the Credit for MDM Risk Element?
April 8, 2025
If the provider discusses their preferred management options with the patient, do they receive the “risk” credit even if the patient declines it? If yes, how long do they get …
Podcast: Play in new window | Download (Duration: 10:48 — 15.0MB)
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APCM Focus
April 1, 2025
In this episode of the CodeCast podcast, Terry discusses the differences between APCM and CCM services and what is needed to report either. Compliance issues are seen with many care …
Podcast: Play in new window | Download (Duration: 16:22 — 22.6MB)
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The Crucial Role of the Coder in Quality Patient Care
March 25, 2025
Medical Coding provides standardized language that ensures all healthcare providers involved in a patient’s care are on the same page. The coder’s role is to be accurate, communicative, insightful and …
Podcast: Play in new window | Download (Duration: 9:15 — 12.9MB)
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ICD-10-CM April 1st Updates
March 18, 2025
This week’s CodeCast summarizes the recent ICD-10-CM documentation guidelines instructions on sepsis, obesity, and COVID-19 reporting. Terry also provides more guidance on E/M risk in prescription drug management and caution …
Podcast: Play in new window | Download (Duration: 14:49 — 20.5MB)
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Avoiding Insurance Denials
March 11, 2025
More medical claims denials could be avoided if coders took the extra minute to make sure that the diagnoses that need to be linked to a specific line item were …
Podcast: Play in new window | Download (Duration: 12:07 — 16.8MB)
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Acute Uncomplicated vs. Acute Complicated E/M Auditing
March 4, 2025
Terry takes some inspiration from Stephanie Allard’s February 27th for this edition of the CodeCast podcast. Terry discusses the differences and subjective issues between Acute Uncomplicated Illness (or Injury) versus …
Podcast: Play in new window | Download (Duration: 15:57 — 21.9MB)
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Top 10 Tuesday Q&A – Coding, Billing, and Compliance Questions
February 25, 2025
Terry’s answering your coding questions in this week’s “Top 10” Q&A. In this episode Terry’s covering APCM, E/M, skin procedures, lab billing, and even a Telehealth bonus. Tune in for …
Podcast: Play in new window | Download (Duration: 23:09 — 32.0MB)
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Independent Interpretations of E/M Data Points
February 18, 2025
Terry is under the weather this week, so she gives us a quick segment on the E/M Data point, “independent interpretation”. See page 12 of CPT® under independent interpretation, the …
Podcast: Play in new window | Download (Duration: 7:25 — 10.4MB)
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How do MUEs Work in Coding?
February 11, 2025
Some coders remain confused about Medically Unlikely Edits (MUEs) — but that’s about to change. In this episode, Terry discusses denials from Part B MACs for what you may think …
Podcast: Play in new window | Download (Duration: 15:41 — 21.7MB)
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E/M MDM Third Element Complications
February 4, 2025
The third element of MDM for E/M Services is “Risk of Complications and/or Morbidity or Mortality of Patient Management”. Many believe that only the risk in this element is how …
Podcast: Play in new window | Download (Duration: 14:54 — 20.6MB)
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Professional Courtesy
January 28, 2025
Everyone knows that you cannot routinely waive or fail to collect the obligation of patient cost-sharing. However, we know that there are instances where (1) the patient has a bad …
Podcast: Play in new window | Download (Duration: 11:08 — 15.5MB)
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EMR Clinical Documentation Integrity
January 21, 2025
The Electronic Medical Record (EMR) has many benefits over handwritten entries in a paper chart. EMR entries are always legible, dated, and timed. Patient information can be available at the …
Podcast: Play in new window | Download (Duration: 15:34 — 21.6MB)
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Audio-Only Telehealth in 2025
January 14, 2025
There’s a lot of confusion – and conjecture – on what to do about audio-only Telehealth while the new CMS and HHS administrations settle in under a new President in …
Podcast: Play in new window | Download (Duration: 12:42 — 17.6MB)
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AWV and Medical Necessity Extras
January 7, 2025
When auditing Annual Wellness Visits (AWV), is the concept still the same as preventive exams concerning modifier 25? The AWV does not include managing medications or managing conditions. However, the …
Podcast: Play in new window | Download (Duration: 14:33 — 20.2MB)
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Top 10 Tuesday Q&A – Happy New Year Edition
December 31, 2024
This New Year’s Eve episode of the Top 10 Tuesday Q&A includes E/M Data questions, assistants at surgery, colon screenings, Telehealth extensions, and prescription drug management questions. It’s an episode …
Podcast: Play in new window | Download (Duration: 21:43 — 30.0MB)
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Did We Get a Congressional Telehealth Gift for Christmas?
December 24, 2024
In the final hour, Congress passed the American Relief Act. Telehealth was addressed and the geographical location was extended through March 2025. Terry give us the details from this HR …
Podcast: Play in new window | Download (Duration: 6:18 — 8.8MB)
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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) …
Podcast: Play in new window | Download (Duration: 19:01 — 26.3MB)
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