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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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 InfoJuly 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 InfoJuly 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 InfoJuly 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 InfoJuly 4, 2023
QHPs are often certified and must be licensed. Trying to use clinicians that cannot “independently report services to payers” as QHPs will not only flag you for an audit, but …
Podcast: Play in new window | Download (Duration: 12:16 — 17.0MB)
More InfoJune 27, 2023
On an abbreviated edition of the CodeCast, it’s “out with the old and in with the new” as Terry gives some quick tips on updating your outdated EMR template relating …
Podcast: Play in new window | Download (Duration: 7:23 — 10.3MB)
More InfoJune 20, 2023
This week on the CodeCast podcast, Terry discusses external audits, and what you should be looking for when moving from internal to external audits. What are your objectives? Are they …
Podcast: Play in new window | Download (Duration: 17:36 — 24.4MB)
More InfoJune 13, 2023
Many virtual visit options are available to patients when they initiate patient-to-physician contact. The definition seems to be lost in all of the Telehealth visits, so in this week’s CodeCast …
Podcast: Play in new window | Download (Duration: 12:23 — 17.2MB)
More InfoJune 6, 2023
Reporting 99211 can bring additional revenue into your practice. Appropriately reporting 99211 services can also improve documentation in a practice. Terry discusses the qualifiers for the 99211, such as having …
Podcast: Play in new window | Download (Duration: 14:04 — 19.5MB)
More InfoMay 30, 2023
On this edition of the CodeCast Podcast, Terry gives you the top ten Telehealth changes to implement or get ready for now. Now that the PHE is over, there’s no …
Podcast: Play in new window | Download (Duration: 13:31 — 18.7MB)
More InfoMay 23, 2023
There is an ongoing debate about ICD-10-CM and diagnosis coding: should we code the patient complaints, the signs and symptoms, or go straight to the definitive diagnosis? When is it …
Podcast: Play in new window | Download (Duration: 17:23 — 24.0MB)
More InfoMay 16, 2023
It’s important to take stock of what could be lost in a technological transition from physician charting to “Dr. Echo” charting as it is referred to. AI (Artificial Intelligence) chatbots …
Podcast: Play in new window | Download (Duration: 15:47 — 21.9MB)
More InfoMay 9, 2023
With the current climate of audits, medical practices must have knowledgeable healthcare professionals who are up-to-date with regulatory guidance, CPT rules, ICD-10-CM rules, and all things related to pre-PHE and …
Podcast: Play in new window | Download (Duration: 22:27 — 31.0MB)
More InfoMay 2, 2023
In this episode of the CodeCast Podcast, Terry talks about denial management codes, finding the patient’s MBI number, and understanding the realities of some Digital EM visits and ChatGBT responses …
Podcast: Play in new window | Download (Duration: 24:10 — 33.4MB)
More InfoApril 25, 2023
There is so much published guidance out there for medical practices and professionals to use when setting policies in their offices. Every practice should have a compliance program, but most …
Podcast: Play in new window | Download (Duration: 27:58 — 38.6MB)
More InfoApril 18, 2023
In this episode of the CodeCast, Terry discusses the challenges of reporting an add-on service when no base code was performed. Terry also covered urgent care versus retail care rules, …
Podcast: Play in new window | Download (Duration: 22:49 — 31.5MB)
More InfoApril 11, 2023
For physician practices that use injectable drugs for stress tests, paid injections, or therapeutic services, some modifiers can assist in reporting to Medicare if there were discarded vials or if …
Podcast: Play in new window | Download (Duration: 14:12 — 19.5MB)
More InfoApril 4, 2023
A variety of channels have produced education on the 2021 and 2021 AMA E/M changes. Those channels include articles in CPT Assistant, AMA’s live and on-demand webinars, NAMAS, and even …
Podcast: Play in new window | Download (Duration: 21:28 — 29.7MB)
More Info