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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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)
More InfoMarch 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)
More InfoFebruary 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)
More InfoFebruary 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)
More InfoFebruary 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)
More InfoFebruary 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)
More InfoJanuary 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)
More InfoJanuary 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)
More InfoJanuary 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)
More InfoJanuary 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)
More InfoJanuary 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)
More InfoDecember 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)
More InfoDecember 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)
More InfoDecember 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)
More InfoDecember 5, 2023
In the ICD-10-CM guidelines, there is an entry for only history codes at I.C.21.c.4, and there are two types of history Z codes: personal and family. History codes can be …
Podcast: Play in new window | Download (Duration: 17:41 — 24.5MB)
More InfoNovember 28, 2023
Care Management services are being reported at an all-time high but they are not all alike. Before submitting claims, many providers have not read the directions — or CPT-published guidance …
Podcast: Play in new window | Download (Duration: 17:20 — 24.0MB)
More InfoNovember 21, 2023
After all of the CMS continued updates for Telehealth, we finally got an update from the AMA, that was added to CPT 2024. This gives us the “criteria” on how …
Podcast: Play in new window | Download (Duration: 13:05 — 18.1MB)
More InfoNovember 14, 2023
Leveling an E/M visit can be considered very subjective. Clinicians and auditors alike can come to one conclusion or another. It is important that when you take online advice, you …
Podcast: Play in new window | Download (Duration: 13:50 — 19.2MB)
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