CodeCast | Medical Billing and Coding Insights

CodeCast | Medical Billing and Coding Insights

Taking the Business of Medicine to the next level


May 23, 2023 17 mins
Should you code the definitive condition or signs/symptoms?

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 t...

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A Warning About AI Charting

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...

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May 9, 2023 22 mins
Can I really bill for that?

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 relate...

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Denials Management and EM Realities

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 Digit...

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Top 10 Tuesday Q&A – Are You Compliant With Regulatory Guidance?

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 co...

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Reporting add-on codes with no base code

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 car...

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April 11, 2023 14 mins
Modifiers JZ and JW Discarded Drugs

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 ...

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2023 E/M Frequently Asked Questions (And Answers!)

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...

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Top 10 Tuesday Q&A – Coding Questions of the Month

It’s time for another Top 10 Tuesday Q&A podcast, featuring our coding questions of the month. Terry Fletcher will discuss a variety of topics including timely documentation rule...

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March 21, 2023 22 mins
Prolonged Services: An Audit Trap?

The CPT Errata came out this week to clear up some confusion on coding for prolonged services. Time can be an audit trap for E/M services Are you supporting your prolonged-services when ...

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March 14, 2023 20 mins
Advance Care Planning OIG Watch List

Advance care planning (ACP) is a voluntary, face-to-face service between a physician or other Qualified Healthcare Professional (QHP) and a patient, family member, caregiver, or surrogate to dis...

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March 7, 2023 18 mins

Can “under-coding” fall under the FWA (Fraud Waste and Abuse) regulations for CMS? If you are falsely submitting a claim, yes! Terry discusses the dangers of under-coding, how that could misrepresent...

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Top 10 Tuesday Q&A – Spending too much time with patients

Time has become a factor in almost every Healthcare patient encounter, It makes you wonder if physicians and providers are being baited into a false sense of security. Whe...

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Claims Appeals Advice and More

This edition of the CodeCast Podcast dives into denial management and appeals assistance for EKGs, and how to handle medical necessity denials. Your host, Terry Fletc...

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February 14, 2023 18 mins
SDoH for Moderate Risk EM

On this edition of the CodeCast Podcast, Terry Fletcher shares insights into the new SDoH ICD-10-CM coding when reporting a level 4 or moderate E/M service. Terry also talks about finding joy in ...

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February 7, 2023 17 mins
Should All Healthcare Be Digital?

It seems like the Telehealth ERA exploded not only virtual healthcare but also “digital healthcare” platforms. In this episode of the CodeCast Podcast, Terry discusses when virtual ...

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Top 10 Tuesday Q&A – Fine Print of the Omnibus Bill

With new legislation in the 2023 Omnibus Bill (signed into law 12/29/22), extending many 1135 PHE waivers through 2024, there are also some scaled-back rules that healthcare pro...

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Elevated troponin levels: may not be what you think!

Many Coders tend to read a physician’s note and make assumptions without first reading the coding guidelines. One particular entry, which is found in many adm...

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January 17, 2023 15 mins

Instructional notes in ICD-10-CM are there for a reason. “Code First” denials are happening more often, when these directions are not followed. In this jam-p...

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Addendums, corrections and late entries to the medical record

In this episode, Terry discusses late entries, addendums, or corrections to a medical record that are legitimate occurrences in the documentation of clin...

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