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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Working Holidays in Healthcare

Working Holidays in Healthcare

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. …

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Seasonal ICD10 Codes for the Fall

Seasonal ICD10 Codes for the Fall

November 12, 2019

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 …

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Breaking News! CMS could revoke your Medicare billing privileges

Breaking News! CMS could revoke your Medicare billing privileges

November 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 …

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Top 10 Tuesday Q&A – SDOH ,HCC ,ICD-10-CM and more

Top 10 Tuesday Q&A – SDOH ,HCC ,ICD-10-CM and more

October 29, 2019

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 …

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If we are not careful, Incident To may be eliminated

If we are not careful, Incident To may be eliminated

October 22, 2019

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 …

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Modifier 22 Spotlight

Modifier 22 Spotlight

October 15, 2019

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 …

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Select the proper episode of care: every time

Select the proper episode of care: every time

October 8, 2019

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 …

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MDM and Prescription Drug Management

MDM and Prescription Drug Management

October 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 …

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Why can't we all just get along?

Why can’t we all just get along?

September 26, 2019

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 …

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Top 10 Tuesday Q&A – Special Edition Modifiers

Top 10 Tuesday Q&A – Special Edition Modifiers

September 24, 2019

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 …

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Can you charge/code for after hours and special services in your medical practice?

Can you charge/code for after hours and special services in your medical practice?

September 17, 2019

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 …

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Patient Expectations and Physician Burnout

Patient Expectations and Physician Burnout

September 10, 2019

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 …

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Modifier 59 Spotlight

Modifier 59 Spotlight

September 3, 2019

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 …

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Is your practice LGBTQ+ friendly?

Is your practice LGBTQ+ friendly?

August 27, 2019

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 …

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How to properly append modifiers 25 and 26

How to properly append modifiers 25 and 26

August 20, 2019

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 …

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ICD-10-CM Update 2020

ICD-10-CM Update 2020

August 13, 2019

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 …

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Late Physician Signatures

Late Physician Signatures

August 6, 2019

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 …

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Top 10 Tuesday Q&A – July 29th, 2019

Top 10 Tuesday Q&A – July 29th, 2019

July 30, 2019

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 …

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