49 episodios
CodeCast | Medical Billing and Coding Insights Terry Fletcher
-
- Economía y empresa
National Speaker and Healthcare Consultant, Auditor and Educator, Terry Fletcher CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, CMCS, ACS-CA, SCP-CA, knows from over 25 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.
-
Top 10 Coding and Billing Mistakes – Let’s Fix It!
Can you guess the main reason why medical billing claims are rejected? According to recent studies, most clinics account for 15-25% of inaccurately submitted monthly claims. Those inaccuracies must be corrected, resulting in an annual loss of revenue worth tens of thousands of dollars.
Among the most popular reasons medical claims return to a clinic are due to incorrectly entered or missing information. When a clinic is unable to bill the insurance company properly, a rejected claim or frequent denials can put you in a position to provide an unexpected bill to the patient.
Too much confusion around the billing process can discourage patients from visiting your clinic or, much worse, make them put off necessary treatments.
In this episode, Terry discusses the top ten coding and billing mistakes and how to lessen those errors for successful claim submission.
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 – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/
* YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg
* YouTube Music – https://www.youtube.com/playlist?list=PLQ8tk23yZroZslhtTVe-PEIjQsAoJZJIQ
* Pandora – https://www.pandora.com/podcast/codecast-medical-billing-and-coding-insights/PC:1000156874
* Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights
* iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/
If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/ -
Trigger Point Injections and LCDs
You must make sure your providers and coders understand the overarching LCD criteria for reporting TPIs (Trigger Point Injections).
As of April 1st, five MACs have tightened their rules for TPI coding and reporting. There are new frequencies, ICD-10-CM, anatomical territories, and MUE rules for these services.
Terry outlines the rules and reminds practices that patients need to also be involved in these discussions.
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 – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/
* YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg
* YouTube Music – https://www.youtube.com/playlist?list=PLQ8tk23yZroZslhtTVe-PEIjQsAoJZJIQ
* Pandora – https://www.pandora.com/podcast/codecast-medical-billing-and-coding-insights/PC:1000156874
* Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights
* iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/
If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/ -
Are you a Coder or a Biller?
How do you know if your role is classified as a Coder or a Biller? Coders typically work in the back end of the facility, focused on interpreting medical records and assigning appropriate codes. Billers interact directly with patients, collecting payments and entering patient information into the appropriate systems.
However, there is also a crossover between the two roles!
Terry discusses that intersect today in her 346th episode of the CodeCast podcast.
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 – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/
* YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg
* YouTube Music – https://www.youtube.com/playlist?list=PLQ8tk23yZroZslhtTVe-PEIjQsAoJZJIQ
* Pandora – https://www.pandora.com/podcast/codecast-medical-billing-and-coding-insights/PC:1000156874
* Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights
* iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/
If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/ -
When To Use The -22 Modifier
All CPT codes have an expected range of complexity and uses, but when a particular procedure or surgery performed has exceeded the normal range of complexity, modifier -22 can come into play. Modifier -22 is defined as increased procedural services and demonstrates when a physician has gone above and beyond the typical framework of a particular procedure.
When used appropriately, modifier 22 reimburses the physician for unforeseen difficulties or additional time spent that are not usually anticipated for the procedure. However, as most coding staff know, it takes some savvy coding and insight for proper reimbursement, and will take more than simply attaching a modifier to a service code if your provider is to be compensated accordingly. Terry discusses how to be successful when using the 22 modifier.
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 – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/
* YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg
* YouTube Music – https://www.youtube.com/playlist?list=PLQ8tk23yZroZslhtTVe-PEIjQsAoJZJIQ
* Pandora – https://www.pandora.com/podcast/codecast-medical-billing-and-coding-insights/PC:1000156874
* Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights
* iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/
If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/ -
Top 10 Tuesday Q&A – Coding, Billing, and Compliance Questions
This week on the CodeCast podcast Terry returns with her Top 10 Tuesday Q&A series.
Join us as Terry covers questions from Urgent Care to the ER, infusion charges, behavioral health, billing for unlisted codes, preventative med group codes, and more.
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 – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/
* YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg
* YouTube Music – https://www.youtube.com/playlist?list=PLQ8tk23yZroZslhtTVe-PEIjQsAoJZJIQ
* Pandora – https://www.pandora.com/podcast/codecast-medical-billing-and-coding-insights/PC:1000156874
* Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights
* iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/
If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/ -
Are you a real SME?
Are you a “Subject Matter Expert?” Are you taking on clients, presenting to physicians, or looking for a coding job: with no expertise?
Do not “wing it” in the healthcare field. You will hurt yourself or your credibility unless you disclose your limitations to the person you are doing business with. (Not to mention potentially hurting the physician, client, or practice.)
Terry discusses this problem and how to overcome it in this episode of the CodeCast podcast.
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 – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/
* YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg
* YouTube Music – https://www.youtube.com/playlist?list=PLQ8tk23yZroZslhtTVe-PEIjQsAoJZJIQ
* Pandora – https://www.pandora.com/podcast/codecast-medical-billing-and-coding-insights/PC:1000156874
* Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights
* iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/
If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/