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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- iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/
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Is This Really Medically Necessary?
April 9, 2024
TPE audits from Medicare, along with private and commercial payer audits are on the rise. It is more important than ever to monitor physician records and make sure that when …
Podcast: Play in new window | Download (Duration: 12:43 — 17.6MB)
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Revisiting SDoH G0136 Reporting
April 2, 2024
There will be more over-coding and overreaching with the additional codes Medicare provides to capture services. This episode explains the distinction for code G0136 and why it isn’t a “screening” service …
Podcast: Play in new window | Download (Duration: 14:13 — 19.7MB)
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Top 10 Tuesday Q&A – Auditing Telehealth
March 26, 2024
In this Top Ten Q&A episode, Terry tackles what the focus of any telehealth audit should be. Auditing Telehealth encounters is more that just looking at the coding. It should …
Podcast: Play in new window | Download (Duration: 18:06 — 25.0MB)
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Compliance Issues With MD/QHP Collaboration Agreements
March 19, 2024
You must have a collaboration agreement in place when hiring mid-level providers or QHPs (such as nurse practitioners, physician assistants, or clinical nurse specialists) to act on your behalf with …
Podcast: Play in new window | Download (Duration: 19:10 — 26.5MB)
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Critical Care Inclusions and Carve-Outs
March 12, 2024
Critical care in 2024 can be tricky, with inclusions, carve-outs, and a time component. Are there exceptions when PA/NPs are involved in critical care services? What has to be documented? …
Podcast: Play in new window | Download (Duration: 19:58 — 27.6MB)
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Can you bill an E/M service when the patient isn’t present?
March 5, 2024
What happens when a provider meets with a family to discuss and develop a care plan for patients? Providers will give the parent the option to have the patient present …
Podcast: Play in new window | Download (Duration: 12:37 — 17.5MB)
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2-Midnight Rule and MA plans
February 27, 2024
When a Medicare beneficiary arrives at a hospital in need of medical or surgical care, the physician or other qualified practitioner must decide whether to admit the beneficiary as an …
Podcast: Play in new window | Download (Duration: 14:06 — 19.5MB)
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Did you know this is a HIPAA violation?
February 20, 2024
In this week’s episode of the CodeCast podcast Terry discusses collecting information on medical practice websites. How you collect data on a website is equally as important as the data …
Podcast: Play in new window | Download (Duration: 13:33 — 18.8MB)
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E/M Services: Stable or Unstable Chronic Conditions?
February 13, 2024
Terry discusses how to be accurate in your documentation when picking the low, moderate or high element(s) of MDM. When listing “problems addressed” in your E/M record, and considering chronic …
Podcast: Play in new window | Download (Duration: 14:44 — 20.4MB)
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Coding and Billing The “Unlisted Code”
February 6, 2024
CPT says: “If no specific CPT or HCPCS code exists, then the procedure must be reported using an appropriate unlisted CPT code.” Unlisted CPT codes, when reported with appropriate documentation, …
Podcast: Play in new window | Download (Duration: 17:38 — 24.4MB)
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Top 10 Tuesday Q&A – Coding, Billing and Compliance Questions
January 30, 2024
Join Terry Fletcher on this week’s CodeCast as her Top 10 Tuesday returns. Terry has a packed podcast as she answers questions about G2211, 99459, and new versus established patients. This …
Podcast: Play in new window | Download (Duration: 21:08 — 29.2MB)
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Reporting eVisits 99421-99423
January 23, 2024
Did you know there are CPT codes for online digital E/M services? CPT codes 99421-99423 are for use by physicians, physician assistants, and advanced practice nurse practitioners performing brief online E/M …
Podcast: Play in new window | Download (Duration: 18:34 — 25.7MB)
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Revisiting the G2211 in 2024
January 16, 2024
We have received questions left and right regarding the new Medicare add-on code +G2211 – for complexity and serious condition provider/patient long-term relationship care. We discussed this code in September …
Podcast: Play in new window | Download (Duration: 16:39 — 23.0MB)
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2024 Telehealth Checklist
January 9, 2024
This episode of the CodeCast is sponsored by DecisionHealth LLC, Part B News. The PHE, public health emergency, ended on May 11th, 2023. However, the confusion on reporting Telehealth services …
Podcast: Play in new window | Download (Duration: 19:47 — 27.3MB)
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Concerns About AI in Healthcare for 2024
January 2, 2024
*** CORRECTED AUDIO *** The generative artificial intelligence (also known as “AI”) boom is in full swing now. Terry has been researching AI in healthcare: some people are thrilled with it, …
Podcast: Play in new window | Download (Duration: 16:39 — 23.1MB)
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2024 Pelvic Exam Add-On Code
December 26, 2023
This week on the CodeCast Podcast, Terry explains the new 2024 CPT add-on code +99459 for pelvic exams when assistant clinical staff is needed to help the physician. Check out …
Podcast: Play in new window | Download (Duration: 7:55 — 11.0MB)
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When to use the new SDoH add-on code
December 19, 2023
A physician, non-physician practitioner (NPP), or clinical psychologist can assess a patient who they suspect may have unmet needs (defined as Social Determinants of Health or SDoH. In 2024 CMS …
Podcast: Play in new window | Download (Duration: 12:05 — 16.8MB)
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7 Elements of a Successful Compliance Program via OIG
December 12, 2023
In this episode of the CodeCast Podcast, Terry Fletcher discusses the seven elements of an effective compliance program. Last month, HHS-OIG outlined and updated this guidance. With a broad spectrum …
Podcast: Play in new window | Download (Duration: 21:23 — 29.5MB)
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