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, 2019
There’s no denying the many benefits that come with working in healthcare. Job security is sound, the pay is good and the work can make you feel satisfied and accomplished. …
Podcast: Play in new window | Download (Duration: 24:29 — 33.8MB)
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Were you aware that there are codes for falling from an apple tree, injuries occurring during a football game or getting hurt performing household chores? Terry covers these codes and …
Podcast: Play in new window | Download (Duration: 19:27 — 26.9MB)
More InfoNovember 5, 2019
Effective November 4th, 2019, the Federal Register posted that CMS has new authority to revoke physicians’ billing and reporting privileges if they find that they have any direct or indirect …
Podcast: Play in new window | Download (Duration: 26:29 — 36.5MB)
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In this month’s Top Ten Tuesday episode, Terry dives into coding questions regarding SDOH and HCC capture, along with the new ICD-10-CM for vaping injuries. Also on this broadcast is …
Podcast: Play in new window | Download (Duration: 34:21 — 47.3MB)
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There are many ways in which mid-level provider visits can violate the incident-to rules. Without an audit, your Medicare carrier won’t know that the rules have been violated since a …
Podcast: Play in new window | Download (Duration: 25:33 — 35.2MB)
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This week Terry spotlights the 22-modifier in claims that need an extra reimbursement from an “Increased Procedural Service”. She will give you tips on how to be successful in the …
Podcast: Play in new window | Download (Duration: 27:18 — 37.6MB)
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ICD-10-CM introduced new concepts that were both straightforward, and confusing. One concept that is often debated is how to select the correct 7th digit character, which represents the episode of …
Podcast: Play in new window | Download (Duration: 20:06 — 27.8MB)
More InfoOctober 1, 2019
Did you know Prescription Drug Management MUST include an actual prescription? There is a constant struggle to explain to physicians that providing a “script” to a patient does not always …
Podcast: Play in new window | Download (Duration: 23:10 — 32.0MB)
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Terry discusses the need for coding audits on the staff; to ensure quality along with good production efforts. What is being looked at in these audits? And how it can …
Podcast: Play in new window | Download (Duration: 17:40 — 24.5MB)
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In the latest edition of the CodeCast Top 10 Tuesday, the “Modifier Spotlight” series returns. On this edition, Terry will focus on Modifiers, 51, 52 and 53: appropriate use, best …
Podcast: Play in new window | Download (Duration: 27:18 — 37.6MB)
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There are 6 after-hours/special services codes in the Special Service, Procedures, and Reports section of CPT. Four of these codes tend to present a challenge for coders because the vagueness …
Podcast: Play in new window | Download (Duration: 28:35 — 39.4MB)
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What are the patient’s expectations in medical practices today? Terry lists all of the “wants” of patients and discusses whether they are really “needs” of your practice. ‘ Also, it …
Podcast: Play in new window | Download (Duration: 33:06 — 45.6MB)
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In today’s spotlight series episode, the focus is on the trickiest modifier of them all: Modifier 59. Terry dedicates an entire episode to this modifier, which also includes the X-modifiers …
Podcast: Play in new window | Download (Duration: 35:39 — 49.1MB)
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In today’s ever-changing patient profile, it is important that healthcare professionals embrace an attitude of change. We must recognize that staff needs training on more than the ICD-10-CM associated conditions …
Podcast: Play in new window | Download (Duration: 21:49 — 30.1MB)
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CPT Modifiers are valuable coding tools that explain to payers the specific work that was done by a physician during treatment of a patient. CPT modifiers 25 and 26, are …
Podcast: Play in new window | Download (Duration: 26:59 — 37.2MB)
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Changes are coming for ICD-10-CM. Terry summarizes the new, revised, and deleted codes for 2020, along with a frequently asked question: “Can we use the result of a diagnostic test …
Podcast: Play in new window | Download (Duration: 28:33 — 39.4MB)
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The rules surrounding signing a physician note are from the general E/M documentation guidelines. The main concern is the timely completion of medical records. This issue has both billing and …
Podcast: Play in new window | Download (Duration: 24:22 — 33.6MB)
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In the latest edition of the CodeCast Top 10 Tuesday, Terry takes us through Spine ICD-10 coding challenges. From Critical Care situations to Transgender coding (that has been a new …
Podcast: Play in new window | Download (Duration: 33:14 — 45.8MB)
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