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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September 29, 2020
Terry’s latest Top Ten Tuesday continues her focus on specialty coding. This time the spotlight is on getting you started with cardiology procedures and services with CPT and ICD-10 coding: …
Podcast: Play in new window | Download (Duration: 26:10 — 36.1MB)
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This week Terry Fletcher focuses on the Gastroenterology specialty and more importantly: how to code and report a “screening colonoscopy” to Medicare or a commercial plan. Terry also brings you …
Podcast: Play in new window | Download (Duration: 27:10 — 37.5MB)
More InfoSeptember 15, 2020
Medical coders will get a bit of a reprieve next year when it comes to learning new procedure codes. The CPT® Editorial Panel approved fewer new codes for 2021 than …
Podcast: Play in new window | Download (Duration: 23:59 — 33.1MB)
More InfoSeptember 8, 2020
CMS considers returning to previous rules and polices for Telehealth before the PHE. . Many services will be expiring once the PHE ends, and there is a surprised in the …
Podcast: Play in new window | Download (Duration: 24:03 — 33.2MB)
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CMS has issued new mandates for the additional 20% payment for COVID-19 related services. APP payments are now due and robotic surgery has its challenges. Terry covers all of those …
Podcast: Play in new window | Download (Duration: 19:08 — 26.4MB)
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Terry’s Top Ten Tuesday focus this month includes a mixed bag of topics. Terry has some new ground to cover including shoulder surgery coding, non-binary patient services, and COVID-19 ICD-10 …
Podcast: Play in new window | Download (Duration: 20:22 — 28.1MB)
More InfoAugust 18, 2020
CMS will allow the reporting of existing evaluation and management payment codes to reimburse eligible providers to bill Medicare for counseling services, at the time of testing. By making reimbursement …
Podcast: Play in new window | Download (Duration: 17:46 — 24.5MB)
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In the last week, CMS proposed Medicare payment rules for outpatient services and physicians for 2021, including finalized payment rules for inpatient rehabilitation hospitals and psychiatric facilities. Looking specifically at …
Podcast: Play in new window | Download (Duration: 29:00 — 40.0MB)
More InfoAugust 4, 2020
Compliance: it’s a “dirty word” in Healthcare that haunts practice managers day-in and day-out as they try to avoid denials, audits, and recoupments. Achieving compliance is no small task given …
Podcast: Play in new window | Download (Duration: 19:33 — 27.0MB)
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Terry’s Top Ten Tuesday focus this month is on breaking healthcare news. From PHE being extended at the last minute, to CMS audits starting in a week, and HHS plans …
Podcast: Play in new window | Download (Duration: 23:42 — 32.7MB)
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Now that most states are experiencing a surge of COVID-19 cases, many states are also on the verge of a second lockdown as well. Terry Fletcher helps guide you in …
Podcast: Play in new window | Download (Duration: 21:01 — 29.0MB)
More InfoJuly 14, 2020
Medical Decision Making specifically refers to the complexity of establishing a diagnosis and/or selecting a management option. Medical necessity refers to the appropriateness of the service provided for a certain …
Podcast: Play in new window | Download (Duration: 24:47 — 34.2MB)
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Medicare has adopted a new prior authorization program effective July 1st. Also, as of June 17th, the Medicare Administrative Contractors (MACs) were required to start accepting requests. It is important …
Podcast: Play in new window | Download (Duration: 24:23 — 33.6MB)
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In the past 12 months, there were 393 protected health information breach incidents reported to HHS. The incidences included malicious email hacking, unauthorized access to EHRs, and medical records as …
Podcast: Play in new window | Download (Duration: 24:44 — 34.1MB)
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Whether you are a novice or a seasoned negotiator, payer contracts can be complicated and difficult to interpret: even with an attorney or a consultant by your side. Terry Fletcher …
Podcast: Play in new window | Download (Duration: 32:09 — 44.3MB)
More InfoJune 16, 2020
On the latest CodeCast, Terry discusses physician and medical provider addendums, late entries and corrections. CMS and their MAC carriers have referred to this practice as legitimate and are aware …
Podcast: Play in new window | Download (Duration: 18:06 — 25.0MB)
More InfoJune 9, 2020
There are three main sources of funding for mitigating the impact of the COVID-19 pandemic on your healthcare business. Before you being, however, there’s fine print that needs to be …
Podcast: Play in new window | Download (Duration: 24:40 — 34.0MB)
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Brace yourself: medical audits are coming. With the currently relaxed rules, it is inevitable. The lack of oversight on HHS monies given to practices, and the liberties many are taking …
Podcast: Play in new window | Download (Duration: 20:02 — 27.7MB)
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