Healthcare Consultant, Auditor and Educator, Terry Fletcher CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, , ACS-CA, SCP-CA, QMGC, QMCRC, QMPM, PACS, CPA®-TH knows from over 35 years in the healthcare industry, that Coding, Billing, and Compliance for physician practices and hospitals can be tough to navigate. Her CodeCast™ Podcast series will share insights into CPT® and ICD-10-CM coding, will discuss current rules and regulations the Medicare payer requires, along with Commercial Insurance plans’ rules and reimbursement challenges that all RCM staff deal with every day. Discover revenue opportunities to maximize reimbursement in your medical practice, hear complicated published federal payer rules broken down into easy-to-understand concepts, with a focus on different medical specialties and platforms in each episode.
The weekly CodeCast™ Podcast has run since the fall of 2017. Be sure to catch each episode that drops every #TerryTuesday™ on most popular podcast platforms.
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September 15, 2026
How does documentation specificity affect diabetes code assignment? The details included in a medical record can significantly affect ICD-10-CM code assignments. Terry discusses several examples to show how documentation specificity, …
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September 8, 2026
Terry gives us scenarios that are examples of work that doesn’t amount to an E/M service or can’t be counted toward an E/M service, followed by discussion of the reason …
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September 1, 2026
The AMA specifically states that the risk element concerns patient-management decisions made by the physician/QHP reporting the E/M service. It also emphasizes that surgical risk depends on the particular patient’s circumstances …
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August 25, 2026
Terry discusses the 1op 10 Coding Corner Membership questions of the quarter, including Telehealth, the reality of voice recognition transcription disclaimers and some of the new proposals from CMS slated …
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August 18, 2026
Today on the CodeCast Podcast, Terry discusses a topic that comes up in auditing conversations frequently: “that an auditor needs to specialize in a certain specialty before they can audit …
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August 11, 2026
What are we anticipating for 2027 in the MPFS? This week Terry gives us a rundown on what to expect, how to respond before the comment period ends, and what …
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August 4, 2026
Incident-to Billing Update: More Blue Cross Blue Shield plans, along with the three largest commercial insurance carriers, are tightening their policies on the reporting and reimbursement of services billed under …
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July 28, 2026
With more patients turning to large-language models such as ChatGPT, Gemini, Claude and others to answer their questions about symptoms, medical conditions and more, the American Medical Association (AMA) is …
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July 21, 2026
In today’s episode of the CodeCast podcast, we’re breaking down why E/M time belongs to the physician or qualified healthcare professional performing the service, why time from other team members …
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July 14, 2026
Terry tackles a growing compliance issue in telehealth: where the patient is located at the time of the visit. While physicians generally must be licensed or otherwise authorized to practice …
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July 7, 2026
Artificial intelligence is advancing faster than the laws designed to regulate it. While individual states continue to enact legislation governing the development and use of AI, the federal government is …
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June 30, 2026
Every CMS-1500 claim includes a set of certifications, attestations, and legal statements printed on the reverse side of the form. While these statements may seem like standard administrative language that …
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June 23, 2026
Released on June 5, 2026, the ICD-10-CM update includes 190 new codes, 30 deleted codes, and four revised codes. While these changes take effect on October 1, 2026, they are …
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June 16, 2026
A growing concern among auditors, coders, and compliance professionals is the increasing reliance on template driven documentation. While electronic health records have improved efficiency, copied, carried-forward, and pre-populated information can …
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June 9, 2026
At some point, we have to stop and ask ourselves: What are we truly building for our future? Where is our career in healthcare going? I have all of these …
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June 1, 2026
Auditors, coders, billers, and even physicians often find themselves searching through pages of documentation trying to answer one basic question: what was actually evaluated, managed, and medically necessary during a …
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May 26, 2026
Text messaging for communicating orders is not prohibited by CMS or The Joint Commission, but there are important HIPAA privacy and security considerations that healthcare organizations must understand before using …
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May 19, 2026
HHS recently released updated Notices of Privacy Practices (NPPs), introducing changes that go far beyond standard template revisions. The update includes new requirements for health care providers, health plans, and …
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