CodeCast | Medical Billing and Coding Insights Terry Fletcher

In this episode of the CodeCast podcast, Terry discusses the frequent urgent care center encounters that elevate to the patient going to the ER. Is this considered automatically high risk?

So many providers want level 5, but what if it’s to get testing or services unavailable at the UC?

Terry discusses the complexities and compliance issues with this encounter. Join us.

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If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

This week’s CodeCast Podcast is all about coding and billing. Join Terry for a full deck of important information on Coding, Billing, and Compliance.

Get answers to our top ten questions including eVisit POS, LE Thombectomy services, SDoH assessment codes, Data Point E/M clarifications, and more.

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* 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

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* 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/

This week on the CodeCast Podcast Terry dives into the new rules for hernia repair codes.

Terry discusses when the 0-global-days and 90-day-global-days services are billed on the same date. What applies? What about co-surgery? What about follow-up visits, or add-on codes for staple/suture removal?

Tune in to find out details about these topics and more in our latest episode.

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* 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

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If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

Some procedures in the CPT book are listed as “separate procedures” meaning they are commonly carried out as an integral component of a total service or procedure that has already been identified.

In this episode, Terry discusses if, and when, you can report these with a code for the total procedure if modifiers will help, and what details to pay attention to.

As a bonus, the coding question of the day relates to PV procedures.

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* 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

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* 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/

TPE audits from Medicare, along with private and commercial payer audits are on the rise. It is more important than ever to monitor physician records and make sure that when they submit any level of E/M. (Especially level 4’s and level 5’s.)

In this episode, Terry reinforces making sure the visit not only meets the level of service billed, but also that the visit is even medically necessary to be able to be billed.

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* 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

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* 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/

There will be more over-coding and overreaching with the additional codes Medicare provides to capture services. This episode explains the distinction for code G0136 and why it isn’t a “screening” service (as per CMS) but an assessment.

Terry discusses the new SDoH assessment code and when it should and shouldn’t be billed.

We previously discussed how to use this code, but now after a quarter of usage, let’s look at the “when” to report it.

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/