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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May 25, 2021
Terry Fletcher returns with her Top 10 Tuesday coding, billing and reimbursement questions for the month. There is a lot to cover from EM Errata clarifications, HIPAA violations on patient …
Podcast: Play in new window | Download (Duration: 23:54 — 33.0MB)
More InfoMay 18, 2021
States are reopening sooner than the federal PHE is ending. If your healthcare organization has taken advantage of Federal 1135 blanket waivers during the National Public Health Emergency (PHE), be …
Podcast: Play in new window | Download (Duration: 24:04 — 33.2MB)
More InfoMay 11, 2021
OIG is to Audit Medicare Payments for COVID-19 Discharges to determine, and investigate, whether hospitals billed for the 20% add-on Medicare payment for COVID-19 discharges correctly. OIG’s work plan now …
Podcast: Play in new window | Download (Duration: 19:54 — 27.5MB)
More InfoMay 4, 2021
Many commercial payers voluntarily waived all deductibles, co-pays, and other costs for insured patients who fell sick with COVID-19. Many of these patients were hospitalized and needed intensive care, doctor …
Podcast: Play in new window | Download (Duration: 20:43 — 28.6MB)
More InfoApril 27, 2021
We all know that Medicare has their definition of “Medical Necessity” under Title 18 of the Social Security Act. But did you know that the AMA, The American College of …
Podcast: Play in new window | Download (Duration: 27:09 — 37.4MB)
More InfoApril 20, 2021
Terry discusses the recent CMS alerts and new coding questions relating to the 2021 EM Rules. Medical Decision Making has everyone confused. Can vaccines and immunizations be considered in the …
Podcast: Play in new window | Download (Duration: 18:50 — 26.0MB)
More InfoApril 13, 2021
This week’s CodeCast focuses on the 21st Century Cures Act or the “Information Blocking” regulations. The regulation became effective last Monday, April 5th, so you must know what is necessary …
Podcast: Play in new window | Download (Duration: 15:29 — 21.4MB)
More InfoApril 6, 2021
March Madness wasn’t only about college basketball! Medicare made the first quarter of 2021 all about announcements. Listen to this week’s episode as Terry runs down the new CMS/Medicare announcements, …
Podcast: Play in new window | Download (Duration: 18:26 — 25.5MB)
More InfoMarch 30, 2021
We are working so many hours since the pandemic hit in January 2020. Over a year into the COVID Public Health Emergency, healthcare professionals, like other employees, had to emergently …
Podcast: Play in new window | Download (Duration: 17:43 — 24.5MB)
More InfoMarch 23, 2021
Every year CMS releases an updated inpatient-only surgery list: and the surgeries on this list are not arbitrarily selected. Due to the complexity of the procedure, the risk for complications, …
Podcast: Play in new window | Download (Duration: 19:19 — 26.7MB)
More InfoMarch 16, 2021
So many providers have been looking into setting up either an OBL (Office-Based Lab) or an ASC (Ambulatory Surgery Center) with their partners. Terry discusses the topic in general terms …
Podcast: Play in new window | Download (Duration: 23:35 — 32.5MB)
More InfoMarch 9, 2021
Virtual Check-ins have been confusing: not only on when to use them, but CMS added more to the list in 2021! The confusion continues for physicians, NPs, PAs and therapy …
Podcast: Play in new window | Download (Duration: 25:00 — 34.5MB)
More InfoMarch 2, 2021
This week Terry talks about 99211 compliance, and when it is appropriate to report the “nurse” code. Also, Medicare as a Secondary Payer (MSP) can see many denials. CMS issued …
Podcast: Play in new window | Download (Duration: 21:54 — 30.2MB)
More InfoFebruary 23, 2021
It’s Top Ten Tuesday time as Terry answers questions on depression screening, alcohol misuse screening, and smoking cessation. There are also ABN compliance questions along with coding for burning your …
Podcast: Play in new window | Download (Duration: 19:49 — 27.4MB)
More InfoFebruary 16, 2021
On this episode of the CodeCast, Terry focuses on February’s Heart Health Month, where many of us are wearing red to bring awareness to good cardiovascular habits and good heart …
Podcast: Play in new window | Download (Duration: 20:13 — 27.9MB)
More InfoFebruary 9, 2021
When COVID-19 emerged in early 2020, new ICD-10-CM codes to identify this condition were not available. Subsequently, they were added by the CDC mid-year, and the guidelines for reporting COVID-19 …
Podcast: Play in new window | Download (Duration: 25:05 — 34.6MB)
More InfoFebruary 2, 2021
Incident to rules have been a target of compliance lately with payers. Terry revisits the rules and gives some scenarios on when services can be billed under the physician and/or …
Podcast: Play in new window | Download (Duration: 17:29 — 24.2MB)
More InfoJanuary 26, 2021
After presenting over 30 Webinars on the 2021 E/M Guidelines, Terry continues receiving questions about clarifications on what AMA and CMS are expecting when medical providers are documenting in a …
Podcast: Play in new window | Download (Duration: 20:51 — 28.8MB)
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