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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Independent Interpretations of E/M Data Points

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 …

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How do MUEs Work in Coding?

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 …

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E/M MDM Third Element Complications

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 …

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Professional Courtesy

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 …

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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 …

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Audio-Only Telehealth in 2025

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 …

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AWV and Medical Necessity Extras

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 …

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Top 10 Tuesday Q&A – Happy New Year Edition

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 …

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Did We Get a Congressional Telehealth Gift for Christmas?

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 …

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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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