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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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, …
Podcast: Play in new window | Download (Duration: 14:51 — 20.6MB)
More InfoNovember 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 …
Podcast: Play in new window | Download (Duration: 12:03 — 16.7MB)
More InfoNovember 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 …
Podcast: Play in new window | Download (Duration: 23:56 — 33.0MB)
More InfoOctober 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 …
Podcast: Play in new window | Download (Duration: 15:07 — 20.9MB)
More InfoOctober 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 …
Podcast: Play in new window | Download (Duration: 15:11 — 21.0MB)
More InfoOctober 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 …
Podcast: Play in new window | Download (Duration: 15:39 — 21.7MB)
More InfoOctober 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 …
Podcast: Play in new window | Download (Duration: 18:13 — 25.2MB)
More InfoOctober 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 …
Podcast: Play in new window | Download (Duration: 14:23 — 19.9MB)
More InfoSeptember 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 …
Podcast: Play in new window | Download (Duration: 15:26 — 21.4MB)
More InfoSeptember 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 …
Podcast: Play in new window | Download (Duration: 19:17 — 26.7MB)
More InfoSeptember 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 …
Podcast: Play in new window | Download (Duration: 24:41 — 34.1MB)
More InfoSeptember 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)
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