Podcasts

The CodeCast™ Podcast | Medical Billing & Coding Insights

The Business Side of Medicine ~ Coding, Reimbursement and Compliance for Physician Practices

Healthcare Consultant, Auditor and Educator, Terry Fletcher CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, , ACS-CA, SCP-CA, QMGC, QMCRC, QMPM, PACS, CPA®-TH knows from over 35 years in the healthcare industry, that Coding, Billing, and Compliance for physician practices and hospitals can be tough to navigate. Her CodeCast™ Podcast series will share insights into CPT® and ICD-10-CM coding, will discuss current rules and regulations the Medicare payer requires, along with Commercial Insurance plans’ rules and reimbursement challenges that all RCM staff deal with every day. Discover revenue opportunities to maximize reimbursement in your medical practice, hear complicated published federal payer rules broken down into easy-to-understand concepts, with a focus on different medical specialties and platforms in each episode.

The weekly CodeCast™ Podcast has run since the fall of 2017. Be sure to catch each episode that drops every #TerryTuesday™ on most popular podcast platforms.

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CMS-1500 Form Compliance

Every CMS-1500 claim includes a set of certifications, attestations, and legal statements printed on the reverse side of the form. While these statements may seem like standard administrative language that ...

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Note Bloat Is an Auditor’s Nightmare

Auditors, coders, billers, and even physicians often find themselves searching through pages of documentation trying to answer one basic question: what was actually evaluated, managed, and medically necessary during a ...

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Notice of Privacy Practices 2026

HHS recently released updated Notices of Privacy Practices (NPPs), introducing changes that go far beyond standard template revisions. The update includes new requirements for health care providers, health plans, and ...

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Telehealth Modifiers 95 and 93 Compliance

Watch the claims data behind telehealth modifier 95 and audio-only modifier 93 as denial trends for high-volume CPT codes and place of service combinations raise major compliance concerns. Terry breaks ...

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Incident to Physician Participation Rules

While Centers for Medicare & Medicaid Services does not explicitly define a strict "12-month rule," its guidance does require that the physician's involvement reflect ongoing, active participation in the patient's ...

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CCM and CoCM Compliance Risks on Social Media

Terry breaks down a recent social media post that exposed a practice’s compliance issues with time based care management services, drawing exactly the kind of attention no organization wants. Although ...

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Fracture Coding Accuracy

Coding fracture care using CPT and ICD-10-CM can be challenging—especially when documentation from providers lacks key details. In this episode of the CodeCast Podcast, Terry breaks down exactly what coders ...

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Top 10 Tuesday Medical Coding Q and A

In this episode of the CodeCast Podcast, Terry Fletcher answers key medical coding and billing questions in a detailed Q&A session designed for coders, billers, auditors, and healthcare providers. This ...

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Educating Physicians Without Scolding

You receive a payer inquiry questioning level 4 services… so you open the note and see: “Patient here for follow-up. Doing well.” That’s it. Now you’re stuck defending a level ...

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APCM Is Not a Gym Membership

A recurring question in Advanced Primary Care Management (APCM) is whether practices can bill every month for a patient once they’re enrolled — even if no services were provided during ...

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Pre‑Populated EMRs Are Not Templates

Are your EMR templates helping—or hurting—your documentation? Terry dives into the difference between pre‑formatted templates and pre‑populated medical records, and why that distinction matters more than most providers realize. Pre‑populated ...

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