PODCAST

CodeCast | Medical Billing and Coding Insights

Terry Fletcher

Taking the Business of Medicine to the next level

business

All Episodes

15:41

How do MUEs Work in Coding?

CodeCast | Medical Billing and Coding Insights ·

2025/02/11

Some coders remain confused about Medically Unlikely Edits (MUEs) — but that’s about to change. In this episode, Terry discusses denials from Part B MACs for what you may think is an undetermined reason. However, a possibility is running up against MUEs. The edits, which are designed to prevent over-payments caused by serious billing errors, […]The post How do MUEs Work in Coding? appeared first on Terry Fletcher Consulting, Inc..

en-US

14:54

E/M MDM Third Element Complications

CodeCast | Medical Billing and Coding Insights ·

2025/02/04

The third element of MDM for E/M Services is “Risk of Complications and/or Morbidity or Mortality of Patient Management”. Many believe that only the risk in this element is how you level your E/M, but that is false. There are three elements to a E/M service when using MDM. There are several risks including the […]The post E/M MDM Third Element Complications appeared first on Terry Fletcher Consulting, Inc..

en-US

11:08

Professional Courtesy

CodeCast | Medical Billing and Coding Insights ·

2025/01/28

Everyone knows that you cannot routinely waive or fail to collect the obligation of patient cost-sharing. However, we know that there are instances where (1) the patient has a bad experience, (2) the patient will not pay or is not collectible, and (3) the patient has a hardship. Here are several policies your practices can […]The post Professional Courtesy appeared first on Terry Fletcher Consulting, Inc..

en-US

15:34

EMR Clinical Documentation Integrity

CodeCast | Medical Billing and Coding Insights ·

2025/01/21

The Electronic Medical Record (EMR) has many benefits over handwritten entries in a paper chart. EMR entries are always legible, dated, and timed. Patient information can be available at the point of care and remotely. Some EMR systems include computerized physician order entry and decision-support tools to improve patient care and safety. However, recent audits […]The post EMR Clinical Documentation Integrity appeared first on Terry Fletcher Consulting, Inc..

en-US

12:42

Audio-Only Telehealth in 2025

CodeCast | Medical Billing and Coding Insights ·

2025/01/14

There’s a lot of confusion – and conjecture – on what to do about audio-only Telehealth while the new CMS and HHS administrations settle in under a new President in 2025. The final rule, the federal register, and the last CR made things more vague for this transition. In this episode Terry attempts to clear […]The post Audio-Only Telehealth in 2025 appeared first on Terry Fletcher Consulting, Inc..

en-US

14:33

AWV and Medical Necessity Extras

CodeCast | Medical Billing and Coding Insights ·

2025/01/07

When auditing Annual Wellness Visits (AWV), is the concept still the same as preventive exams concerning modifier 25? The AWV does not include managing medications or managing conditions. However, the rules need to see medical necessity for the E/M on the same date with a -25 modifier. Remember, patients do not have a share of […]The post AWV and Medical Necessity Extras appeared first on Terry Fletcher Consulting, Inc..

en-US

21:43

Top 10 Tuesday Q&A – Happy New Year Edition

CodeCast | Medical Billing and Coding Insights ·

2024/12/31

This New Year’s Eve episode of the Top 10 Tuesday Q&A includes E/M Data questions, assistants at surgery, colon screenings, Telehealth extensions, and prescription drug management questions. It’s an episode you don’t want to miss. Happy New Year Everyone! Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627 Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX […] The post Top

en-US

6:18

Did We Get a Congressional Telehealth Gift for...

CodeCast | Medical Billing and Coding Insights ·

2024/12/24

In the final hour, Congress passed the American Relief Act. Telehealth was addressed and the geographical location was extended through March 2025. Terry give us the details from this HR bill in this short but sweet episode so you can enjoy your Christmas holiday. Subscribe and Listen You can subscribe to our podcasts via: Apple […] The post Did We Get a Congressional Telehealth Gift for Christmas? appeared first on Terry Fletcher Consulting, Inc..

en-US

19:01

Data Point – Review of Test or Independent...

CodeCast | Medical Billing and Coding Insights ·

2024/12/17

E/M Coding still has confusion when capturing “data points” elements. When deciding to give credit for either an independent interpretation (CAT 2) or a review of test results (CAT 1) is an often misunderstood component of the Medical Decision Making (MDM) table. Proper documentation of independent interpretation is required to impact the MDM, and consequently, […] The post Data Point – Review of Test or Independent Interpretation? appeared first on Terry Fletcher Consulting, Inc..

en-US

20:51

CPT 2025 Looksee

CodeCast | Medical Billing and Coding Insights ·

2024/12/10

The 2025 CPT® codes will impact billing and coding across various specialties. The annual CPT® updates include new, revised, and deleted codes and coding guidelines effective Jan 1st, 2025. CPT® 2025 includes 270 new codes, 112 revised codes, and 49 deleted codes. There are no code changes for anesthesia, respiratory, or auditory services. The most […]The post CPT 2025 Looksee appeared first on Terry Fletcher Consulting, Inc..

en-US

22:44

Coding Career Opportunities and Challenges

CodeCast | Medical Billing and Coding Insights ·

2024/12/03

Becoming a certified medical coder can be very exciting but also disheartening if you thought a job in coding would magically appear once you got your certification. In this episode of the CodeCast podcast, Terry discusses studying and test-taking tips for your certification, common misconceptions of job opportunities, and what it takes to persevere for […]The post Coding Career Opportunities and Challenges appeared first on Terry Fletcher Consulting, Inc..

en-US

5:10

Thanksgiving ICD-10-CM: Be Safe and Thankful!

CodeCast | Medical Billing and Coding Insights ·

2024/11/26

Terry makes it quick and to the point in this Thanksgiving Day episode of the CodeCast Podcast. Terry gives you a fun list of ICD-10-CM related to our beloved family and friends’ holiday. Be safe and careful out there this holiday weekend: and enjoy! Subscribe and Listen You can subscribe to our podcasts via: Apple […]The post Thanksgiving ICD-10-CM: Be Safe and Thankful! appeared first on Terry Fletcher Consulting, Inc..

en-US

14:51

Top 10 Tuesday Q&A – RCM Workflow Mistakes

CodeCast | Medical Billing and Coding Insights ·

2024/11/19

Terry is back with another Top Ten Tuesday discussion. In this episode, she discusses front desk to billing office workflow mistakes, looking at patient demographics, insurance information, HMO referrals, PA’s, and data backups. Tune in to reset your RCM workflows. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627 Spotify […] The post Top 10 Tuesday Q&A – RCM Workflow Mistakes

en-US

12:03

The 25 Modifier and More

CodeCast | Medical Billing and Coding Insights ·

2024/11/12

Today on the CodeCast podcast, Terry discusses best practices for the -25 Modifier, where to find her latest blog on the AAPC website, and what the MAHA (Make America Healthy Again) movement means to our country. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627 Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX TuneIn –

en-US

23:56

CMS final rule is out and Telehealth is an issue

CodeCast | Medical Billing and Coding Insights ·

2024/11/05

CMS published the 2025 Final Rule on November 1st. Terry breaks down the highlights and gives you the facts on the Telehealth “mess” that could have 85% of Medicare patients without access to virtual care. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627 Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX TuneIn –

en-US

15:07

Why are TCM services receiving more denials than...

CodeCast | Medical Billing and Coding Insights ·

2024/10/29

Many practices have engaged in coding for TCM (Transitional Care Management) services but are finding that they are receiving more denials than payments. Terry breaks down why that is, and sheds light on what is needed to qualify billing for these services. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – […]The post Why are TCM services receiving more denials than payments? appeared first on Terry Fletcher Consulting, Inc..

en-US

15:11

AI in Medical Coding: What’s the Reality?

CodeCast | Medical Billing and Coding Insights ·

2024/10/22

Artificial intelligence (AI) has the potential to make substantial progress toward the goal of making healthcare more personalized, predictive, preventative, and interactive. However, AI-based systems raise concerns regarding data security and privacy. Because health records are important and vulnerable, hackers often target them during data breaches. The absence of standard guidelines for the moral use […] The post AI in Medical Coding: What’s the Reality? appeared first on Terry Fletcher

en-US

15:39

HIPAA violations your organizations should avoid

CodeCast | Medical Billing and Coding Insights ·

2024/10/15

HIPAA has many privacy issues that most practices have in their HIPAA compliance manuals. However, current HIPAA violations are coming to light when employees purposefully search patient PHI for personal use or curiosity. This is not only a violation of privacy laws but could have a cascading effect if not stopped in its tracks. In […] The post HIPAA violations your organizations should avoid appeared first on Terry Fletcher Consulting, Inc..

en-US

18:13

RCM Updates for 4th Quarter

CodeCast | Medical Billing and Coding Insights ·

2024/10/08

In this edition of the CodeCast podcast, Terry discusses the “subtle changes” to look for in the ICD-10-CM updates effective October 1st. Also, Terry clears up understanding the UHC Gold Card Program, and what CMS looks at when they send you a denial. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts […] The post RCM Updates for 4th Quarter appeared first on Terry Fletcher Consulting, Inc..

en-US

14:23

Telemedicine “Webside Manner”

CodeCast | Medical Billing and Coding Insights ·

2024/10/01

According to the AMA, most physicians lack training in “webside manner.” Researchers from the University of Michigan Medical School and the Veterans Affairs Ann Arbor Healthcare System surveyed 1,213 patients from their respective institutions to measure preferences regarding the visual background seen during a video visit. Today’s CodeCast podcast brings you the survey results, with […]The post Telemedicine “Webside Manner” appeared first on Terry Fletcher Consulting, Inc..

en-US

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CodeCast | Medical Billing and Coding Insights

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