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.
You can also subscribe to our podcasts via:
- Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627
- Google Podcasts – https://play.google.com/music/listen#/ps/Ia47t6quqphhsanlzpajk37yiga
- Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX
- Stitcher – http://www.stitcher.com/s?fid=156874
- TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/
- YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg
- Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights
- iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/
If you’d like to become a sponsor of the CodeCast® Podcast please contact us directly for pricing.
Final Rule 2024 Shared/Split Visit
November 7, 2023
The 2024 Medicare Final Rule was published on November 2nd, and the Split/Shared visit guidance will parallel the CPT guidance. However, CMS will still expect the -FS modifier from the …
Podcast: Play in new window | Download (Duration: 15:16 — 21.2MB)
More Info
Top 10 Tuesday Q&A – Halloween Episode
October 31, 2023
Join us for a great Halloween episode as Terry provides the top ten spookiest ICD-10-CM codes. She also discusses preventative and OV on the same date. And what happens when …
Podcast: Play in new window | Download (Duration: 12:24 — 17.2MB)
More Info
CMS clarifies how to respond to a CERT audit
October 24, 2023
CMS recently updated their published guidance, MLN909160 July 2023, with further examples and instructions on how to gather information and documentation when a CERT Audit issues a request for an …
Podcast: Play in new window | Download (Duration: 16:57 — 23.5MB)
More Info
Is your CDI compromised by dated EMR entries?
October 17, 2023
Clinical Documentation Integrity, or CID, is important. Outdated information, or information that doesn’t make sense for that date of service encounter, brings into question the reliability of the entire patient …
Podcast: Play in new window | Download (Duration: 16:29 — 22.8MB)
More Info
A Look ahead to the 2024 CPT codes
October 10, 2023
The 2024 CPT codes have been released. Terry briefly looks at the additions, revisions, and deletions and what the E/M code descriptors are revising. Terry will also offer her last …
Podcast: Play in new window | Download (Duration: 11:21 — 15.8MB)
More Info
Modifier 25
October 3, 2023
The CPT definition of a significant, separately identifiable service relies on determining the correct level of E/M service to be reported. Terry discusses what questions should be asked before you …
Podcast: Play in new window | Download (Duration: 18:26 — 25.5MB)
More Info
Are you blurring the lines on who’s a doctor or a nurse?
September 26, 2023
Physicians are educated and trained more extensively than any other healthcare professional. A misrepresentation of a practitioner’s level of licensing, i.e., using the clinical term “doctor” when there is no …
Podcast: Play in new window | Download (Duration: 14:04 — 19.5MB)
More Info
Understanding Prior Authorization
September 19, 2023
Prior authorization in health care is a requirement that a healthcare provider gets approval from an insurance plan before prescribing their patient medication or doing a medical procedure. Insurance providers …
Podcast: Play in new window | Download (Duration: 20:46 — 28.7MB)
More Info
EM Data Points Confusion Clarifications
September 12, 2023
The AMA MDM directions when leveling an E/M (Evaluation and Management) code (also known as office and/or hospital visits) are still confusing many providers, coders and auditors. In this week’s …
Podcast: Play in new window | Download (Duration: 16:46 — 23.2MB)
More Info
What is the G2211 complexity add-on for 2024?
September 5, 2023
In 2024, there will be a new add-on code for Medicare. This is a complexity code for specific long-term patients, where the provider is taking the treatment journey with the …
Podcast: Play in new window | Download (Duration: 17:33 — 24.1MB)
More Info
Top 10 Tuesday Q&A – Coding, Billing and Compliance Questions
August 29, 2023
In this week’s CodeCast podcast, Terry discusses the top ten coding, billing, and compliance questions from the last month. In this information-filled episode, she covers coding for staff prolonged services …
Podcast: Play in new window | Download (Duration: 21:57 — 30.3MB)
More Info
Waiving Co-Pays and Deductibles
August 22, 2023
Providers sometimes waive patients’ cost‐sharing amounts (e.g., copays or deductibles) as an accommodation to the patient. However, doing so may violate fraud and abuse laws and/or payor contracts. From a …
Podcast: Play in new window | Download (Duration: 19:45 — 27.3MB)
More Info
What’s The Latest Medicare Update?
August 15, 2023
Medicare has been making some under-the-radar updates that provider practices need to know. You could be seeing ineligible patients, with no current ID card, coming in for services. You could …
Podcast: Play in new window | Download (Duration: 12:45 — 17.7MB)
More Info
Can Pre-Op Visits Be Billed?
August 8, 2023
A question that Terry often fields is one regarding billing for pre-op visits. Should these visits be billing? There is conflicting published guidance on this question from different sources. Terry …
Podcast: Play in new window | Download (Duration: 15:04 — 20.9MB)
More Info
Registered Dietitians and Nutritionist Coding and Billing
August 1, 2023
When a dietician or nutritionist sees a patient, their services may not covered for bariatric patients aka obesity. It is a nice option to have, but patients, would most likely, …
Podcast: Play in new window | Download (Duration: 14:31 — 20.1MB)
More Info
Using SDoH (Social Determinates of Health) Correctly
July 25, 2023
Social Determinates of Health are important secondary diagnoses to help explain a patient’s circumstances when it comes to access to medical care, adherence to medical advice, and environmental factors that …
Podcast: Play in new window | Download (Duration: 13:15 — 18.4MB)
More Info
Documentation Requirements for Audio-Only Visits
July 18, 2023
CMS has not addressed a template for audio-only Telehealth visits. Therefore, Terry offers some best practices for audio-only documentation in order to stand up to and be compliant with payer …
Podcast: Play in new window | Download (Duration: 13:12 — 18.3MB)
More Info
ICD10CM Revisited on Laterality
July 11, 2023
Terry revisits the rule on reporting specificity in the laterality of a diagnosis, when the physician or QHP only gives us unspecified. What can we do as coders? As a …
Podcast: Play in new window | Download (Duration: 13:52 — 19.2MB)
More Info