CodeCast | Medical Billing and Coding Insights

CodeCast | Medical Billing and Coding Insights

Taking the Business of Medicine to the next level

Episodes

May 17, 2022 20 min

This week on the CodeCast Podcast, Terry discusses some important tips to successfully negotiate your payer contracts. By the way: this should include your coders as part of the negotiating process! Terry also covers other topics such as focusing on payers that are below the Medicare fee schedule, ancillary services coverage, and incorporating coverage policies […]

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In this episode of the CodeCast Podcast, Terry gives regulatory guidance for Fee-For-Service Time Compensation (previously known as Locum Tenens) billing and coding. She also covers the rules surrounding how to document these services. Plus, CMS updated their COVID-19 FAQ sheet again, and this time it includes HCC’s and Telehealth inclusion for Risk Adjustment. You […]

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May 3, 2022 22 min

There should be several goals to meet during a Telehealth patient encounter, such as replicating an in-person clinical encounter as closely as possible. The strategies for incorporating learners into the visit should be the same as for in-person encounters. Proponents of Telehealth have not addressed this issue, however, Telehealth should be expanded. Terry discusses the […]

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April 26, 2022 25 min

The PHE was extended for another 90-days, but not all waivers made the cut. Tune in to find out what waivers will expire, what is still in play, and how state rules versus federal rules play out when physicians cross state lines via Telehealth. Subscribe and Listen You can subscribe to our podcasts via: Apple […]

The post PHE Extended But Some Waivers Expired appeared first on Terry Fletcher Consulting, Inc..

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April 19, 2022 24 min

Medical Acronyms like LVEDP or HIPAA or PHE are now an everyday part of a medical coder’s and biller’s life. Do you know what they mean and do you have a reference guide for your desk? Listen this week as Terry does a run-through of what you need to do your job and also answers […]

The post Medical Acronyms Defined appeared first on Terry Fletcher Consulting, Inc..

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April 12, 2022 25 min

Remote working is here to stay, so today’s episode of the CodeCast podcast is about how to not only manage your remote workforce but how to be successful as a remote healthcare worker. This episode also includes coding questions regarding MUEs and Carotid Stenting. Subscribe and Listen You can subscribe to our podcasts via: Apple […]

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For healthcare professionals that appeal claims as their job, it can feel like a futile and unrewarding act. In this episode of the CodeCast, Terry Fletcher discusses the five facts of successful claims appeals and collections, and how to focus on what is important in the process. Also, Terry talks about the latest updates for […]

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Terry Fletcher continues the coding tips and answers from CMS series in the latest episode of the CodeCast. This show focuses on how to interpret the rules for the 2021 E/M Guidelines, as well as Prolonged Services, Time vs MDM, and clarifying the carve-outs for time. Subscribe and Listen You can subscribe to our podcasts […]

The post Top 10 Tuesday Q&A – 2021 E/M Documentation Tips Continued appeared first on Terry Fletc...

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Administrators, coders, and physicians should periodically conduct a patient chart audit to assess whether your doctors code accurately and to make sure all services are being captured. But how do you know, that they know, what they’re doing? Terry discusses her methods when beginning and engaging in an audit. She’ll talk about what she has […]

The post Has your practice ever had a patient MR audit? appeared first on Terry Fl...

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This week’s CodeCast podcast spotlights the Gastroenterology Specialty. Terry discusses colonoscopies, screenings, diagnostics, therapeutics, and surveillance. She also gives definitions, coding guidance (for both Medicare and Commercial plans), and what to look for when adding modifiers for maximized reimbursement. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.apple.com/us/podc...

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Terry Fletcher focuses on billing an E/M service on the same date as a minor procedure in this packed episode of the CodeCast Podcast. There are Medicare rules about this, and we receive denials when this is incorrectly billed. That’s why it’s important to take a look at when it is appropriate for different specialties. […]

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March 1, 2022 21 min

In this episode of the CodeCast podcast, Terry is responding to many listeners’ requests for auditing tips when auditing E/M services. She focuses on what to look for when moderate visits are being coded under “Prescription Drug Management” and also clarification on how to report Critical Care time. Subscribe and Listen You can subscribe to […]

The post Auditing Tips for Auditors appeared first on Terry Fletcher Consulting, I...

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Due to the continued confusion on how to document office visit codes 99202-99215 from the 2021 rules, Terry’s Top Ten Tuesday segments over the next few months will be dedicated to these services. Questions and answers will be from CMS sites and best practices, however, these do not apply to other categories or procedure codes. […]

The post Top 10 Tuesday Q&A – E/M 2022 Office Visit Documentation Tips appeared first on Te...

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February 15, 2022 21 min

In this episode of the CodeCast podcast, Terry gives a rundown of the 2022 updates for POS (Place of Service) codes and modifiers, plus when they should be implemented for Medicare and commercial plans. Terry also clears up any confusion on the start dates with the PHE still continuing until April. Subscribe and Listen You […]

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The No Surprise Billing Act may be the most poorly written, difficult to understand set of regulations that have ever been rushed to publications. This is why, much of the guidance out there is misleading, if not entirely wrong. This week’s CodeCast features Terry discussing the true definition of “balance billing” and what four things […]

The post No Surprise Act: What you need to know now appeared first on Terry Fletcher Co...

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Medicare has clearly lost their minds, allowing split/shared visits in a hospital setting where it is “optional” to have a physician provide a face-to-face. As if that isn’t going to cause bad actors to come out! Yes, a face-to-face is still needed, but according to the new 2022 rules: “…the FTF doesn’t necessarily have to […]

The post What was Medicare thinking? Split/shared visits revisited appeared first on Terry Fletcher ...

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With the PHE extended for the eighth time during the pandemic, now through April 18th, 2022, it is more important than ever to do a coding and compliance fact check to avoid scrutiny during an OIG Audit. Terry Fletcher shares her top ten coding, billing, and compliance questions of the month, focusing directly on Telehealth. […]

The post Top 10 Tuesday Q&A – Telehealth Coding Questions appeared first on Terry Fletcher Con...

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January 18, 2022 22 min

In 2022, CMS is no longer allowing shared services to be billed in an office setting and updated their 2022 definition of Split and/or Shared visits to be primarily in a facility setting. In this week’s podcast, Terry dives into this topic, pulling from not only her rules interpretations but also industry-trusted sources. This important […]

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January 11, 2022 15 min

CMS is ramping up their audit focus with new funding and personnel to handle the work. Incorrect coding and overpayments, or CERT Audits, becomes the CodeCast topic of the day as Terry Fletcher dives into each aspect so you’re best prepared to handle what’s coming. Cardiology had a 5.2% error rate for the 2018-2019 year […]

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What breaking news for CMS and other payers do we need to be aware of as 2022 begins? Terry discusses the new PFS, the AUC implementation, and the COVID mandates under the Omnibus rules. As healthcare professionals, we have to be on top of the flow of information and ready for it to be implemented. […]

The post Happy New Year and what’s on tap for 2022 appeared first on Terry Fletcher Consulting, Inc..

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