PODCAST

CodeCast | Medical Billing and Coding Insights

Terry Fletcher

Taking the Business of Medicine to the next level

business

All Episodes

15:04

Can Pre-Op Visits Be Billed?

CodeCast | Medical Billing and Coding Insights ·

2023/08/08

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 discusses the difference between pre-op visits and pre-op clearances. Is it a visit performed by the surgeon or the surgeon’s QHP? Or a provider not […] The post Can Pre-Op Visits Be Billed? appeared first on Terry Fletcher Consulting, Inc..

en-US

14:31

Registered Dietitians and Nutritionist Coding and...

CodeCast | Medical Billing and Coding Insights ·

2023/08/01

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, have to pay for it themselves. Medicare is clear that they will pay for an obesity screening, and two behavioral health visits, if qualified, but […] The post Registered Dietitians and Nutritionist Coding and Billing appeared first on Terry Fletcher Consulting, Inc..

en-US

13:15

Using SDoH (Social Determinates of Health) Correctly

CodeCast | Medical Billing and Coding Insights ·

2023/07/25

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 could hinder care. However, many practices are reporting these codes without a direct relationship to the problems addressed in the encounter. This week Terry discusses […] The post Using SDoH (Social Determinates of Health) Correctly appeared first on Terry Fletcher Consulting, Inc..

en-US

13:12

Documentation Requirements for Audio-Only Visits

CodeCast | Medical Billing and Coding Insights ·

2023/07/18

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 audits. Terry will also talks about when E/M services are partially complete: is there anything to bill? Subscribe and Listen You can subscribe to our […] The post Documentation Requirements for Audio-Only Visits appeared first on Terry Fletcher Consulting, Inc..

en-US

13:52

ICD10CM Revisited on Laterality

CodeCast | Medical Billing and Coding Insights ·

2023/07/11

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 bonus, Terry also updates us on the latest “No Surprises Act” protections. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – […] The post ICD10CM Revisited on Laterality appeared first on Terry Fletcher Consulting, Inc..

en-US

12:16

Defining a QHP

CodeCast | Medical Billing and Coding Insights ·

2023/07/04

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 you could find yourself in hot water for false billing practices. Terry offers clear guidelines to steer clear of these issues on this episode of […] The post Defining a QHP appeared first on Terry Fletcher Consulting, Inc..

en-US

7:23

Revisiting The EMR E/M Template

CodeCast | Medical Billing and Coding Insights ·

2023/06/27

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 to E/M 2023 coding. The post Revisiting The EMR E/M Template appeared first on Terry Fletcher Consulting, Inc..

en-US

17:36

What are you looking for in an audit?

CodeCast | Medical Billing and Coding Insights ·

2023/06/20

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 SMEs for your practice? What is the scope you need? It’s time to get some piece of mind in your coding, billing and compliance processes. […] The post What are you looking for in an audit? appeared first on Terry Fletcher Consulting, Inc..

en-US

12:23

Patient Initiated Services: What does it mean?

CodeCast | Medical Billing and Coding Insights ·

2023/06/13

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 episode, Terry attempts to clarify that definition and help listeners understand how to document that discussion. PIFU is when a patient initiates an appointment […] The post Patient Initiated Services: What does it mean? appeared first on Terry Fletcher Consulting, Inc..

en-US

14:04

Appropriately Reporting 99211 Services

CodeCast | Medical Billing and Coding Insights ·

2023/06/06

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 an established patient, the encounter must be F2F and more. Listen for your tips on how to ensure compliance when reporting the 99211. As a […] The post Appropriately Reporting 99211 Services appeared first on Terry Fletcher Consulting, Inc..

en-US

13:31

Top 10 Telehealth Changes NOW!

CodeCast | Medical Billing and Coding Insights ·

2023/05/30

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 time to wait to make sure you are compliant with your Telehealth delivery of care. Subscribe and Listen You can subscribe to our podcasts via: […] The post Top 10 Telehealth Changes NOW! appeared first on Terry Fletcher Consulting, Inc..

en-US

17:23

Should you code the definitive condition or...

CodeCast | Medical Billing and Coding Insights ·

2023/05/23

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 appropriate to code both? Do the payers really look at diagnoses? And how does this affect MA and value-based care and HCC capture? Tune in […] The post Should you code the definitive condition or signs/symptoms? [Fixed Audio] appeared first on Terry Fletcher Consulting, Inc..

en-US

15:47

A Warning About AI Charting

CodeCast | Medical Billing and Coding Insights ·

2023/05/16

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 (such as ChatGPT) are known to have what the coders call “hallucinations” or making up words that might follow another word. Do we want the […] The post A Warning About AI Charting appeared first on Terry Fletcher Consulting, Inc..

en-US

22:27

Can I Really Bill For That?

CodeCast | Medical Billing and Coding Insights ·

2023/05/09

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 post-PHE regulations. On this episode of the CodeCast Podcast, Terry Fletcher addresses concerns over what practices can and cannot bill for. “Can I code for […] The post Can I Really Bill For That? appeared first on Terry Fletcher Consulting, Inc..

en-US

24:10

Denials Management and EM Realities

CodeCast | Medical Billing and Coding Insights ·

2023/05/02

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 to patients. The post Denials Management and EM Realities appeared first on Terry Fletcher Consulting, Inc..

en-US

27:58

Top 10 Tuesday Q&A – Are You Compliant With...

CodeCast | Medical Billing and Coding Insights ·

2023/04/25

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 do not. What happens when there is an infraction of regulatory rules? Do you have a plan, policy, or legal team in place to help? […] The post Top 10 Tuesday Q&A – Are You Compliant With Regulatory Guidance? appeared first on Terry Fletcher Consulting, Inc..

en-US

22:49

Reporting add-on codes with no base code

CodeCast | Medical Billing and Coding Insights ·

2023/04/18

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, and if it is appropriate to follow incident-to for these entities. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627 […] The post Reporting add-on codes with no base code appeared first on Terry

en-US

14:12

Modifiers JZ and JW Discarded Drugs

CodeCast | Medical Billing and Coding Insights ·

2023/04/11

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 the drug was used in its entirety. CMS originally had one modifier – the JW – to represent single-dose containers or single-use packages. Because of […] The post Modifiers JZ and JW Discarded Drugs appeared first on Terry Fletcher Consulting, Inc..

en-US

21:28

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

CodeCast | Medical Billing and Coding Insights ·

2023/04/04

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 our own Terry Fletcher Consulting. If that’s not enough, the AMA webinar on technical corrections added more clarification in key areas! In this episode, Terry […] The post 2023 E/M Frequently Asked Questions (And Answers!) appeared first on Terry Fletcher Consulting, Inc..

en-US

22:26

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

CodeCast | Medical Billing and Coding Insights ·

2023/03/28

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 rules for screening tests, what codes can be used for shared or split visits, and different rules for similar services. Don’t miss this episode packed full of information […] The post Top 10 Tuesday Q&A – Coding Questions of the Month appeared first on Terry Fletcher Consulting, Inc..

en-US

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CodeCast | Medical Billing and Coding Insights

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