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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July 2, 2019
Use care when using “time” to support an E/M service: The Documentation Guidelines are clear that there are History, Exam and MDM elements necessary to support each level of service. …
Podcast: Play in new window | Download (Duration: 29:59 — 41.3MB)
More InfoJune 25, 2019
In this latest Q&A, Terry gives advice on how to email like a boss and own your job in healthcare. Also, Terry talks about the new wave of AI (Artificial …
Podcast: Play in new window | Download (Duration: 30:43 — 42.3MB)
More InfoJune 18, 2019
The AMA has published the 2021 E/M changes that they intend to make in 2021. We’ve seen when Medicare and CPT do not agree on how to report a specific …
Podcast: Play in new window | Download (Duration: 31:13 — 43.0MB)
More InfoJune 11, 2019
The practice of cloned (or copy and pasted) documentation is a significant issue in the use of Electronic Health Records (EHRs). AMA found in a recent study that only 18% …
Podcast: Play in new window | Download (Duration: 22:46 — 31.4MB)
More InfoJune 4, 2019
Arguably the most important of the three key components of E/M Coding, the Medical Decision-Making ( MDM ) reflects the intensity of the cognitive labor performed by the physician. There …
Podcast: Play in new window | Download (Duration: 27:00 — 37.2MB)
More InfoMay 28, 2019
In the latest Top 10 Tuesday, Terry discusses the top things you must have for your medical billing software to be efficient, effective, and generate revenue success. Terry also shares …
Podcast: Play in new window | Download (Duration: 29:06 — 40.1MB)
More InfoMay 21, 2019
Do you have “burning” E/M questions that you can’t get a straight answer to? Terry covers many of those “burning” topics in today’s episode, such as: Can I use HPI …
Podcast: Play in new window | Download (Duration: 30:36 — 42.2MB)
More InfoMay 14, 2019
Sometimes as coders and billers we tend to look at a report and think, “Well, what my physician meant to say was…” We then code from that assumption… and there …
Podcast: Play in new window | Download (Duration: 24:15 — 33.5MB)
More InfoMay 7, 2019
Transitional Care Management (TCM) is increasing in its utilization and billing… but are you doing it right? Is your patient eligible? It is worth the administrative work versus the revenue …
Podcast: Play in new window | Download (Duration: 27:44 — 38.2MB)
More InfoApril 30, 2019
Among one of the most popular questions Terry receives is about reducing prior authorization hassles. Primary care providers and specialty physicians alike rank prior authorizations as one of the greatest …
Podcast: Play in new window | Download (Duration: 29:59 — 41.3MB)
More InfoApril 23, 2019
What are the most common claim denials? In this episode of the CodeCast Podcast, Terry looks at a recent survey of over 100 medical insurance payers to determine 13 of …
Podcast: Play in new window | Download (Duration: 27:44 — 38.2MB)
More InfoApril 16, 2019
Interoperability refers to the basic ability of computerized systems to connect and communicate with one another readily: even if they were developed by widely different manufacturers in different industries. Being …
Podcast: Play in new window | Download (Duration: 26:48 — 37.0MB)
More InfoApril 9, 2019
There are many similarities between the two models of Concierge Medicine and DPC (Direct Primary Care). While the differences are basic: but, in my opinion, they can make or break …
Podcast: Play in new window | Download (Duration: 22:26 — 31.0MB)
More InfoApril 2, 2019
The AMA Editorial Panel made a final ruling to overhaul the entire E/M section of CPT: and Medicare is on board with these changes. History and Exam may no longer …
Podcast: Play in new window | Download (Duration: 25:45 — 35.5MB)
More InfoMarch 26, 2019
Terry gets creative with her Top 10 Tuesday this week, and brings to you “The Coder’s Top 10 Pet Peeves”. Pet peeves are minor annoyances that can cause major irritation, …
Podcast: Play in new window | Download (Duration: 25:01 — 34.5MB)
More InfoMarch 19, 2019
To achieved the highest bonus threshold using the 2019 rule for the Quality Payment Program (QPP – also known as MACRA) there are eight objectives physicians need to know. In …
Podcast: Play in new window | Download (Duration: 27:16 — 37.6MB)
More InfoMarch 12, 2019
Medicare does not treat all surgeries the same. An inpatient-only surgery list is released every year by CMS. These procedures are automatically approved for Part A coverage and must be …
Podcast: Play in new window | Download (Duration: 26:56 — 37.1MB)
More InfoMarch 5, 2019
A hot button topic that needs to be discussed is the the waiving of deductibles, copays, and any patient share of cost. It is becoming a problem in medical practices …
Podcast: Play in new window | Download (Duration: 33:31 — 46.2MB)
More Info