CodeCast | Medical Billing and Coding Insights

Terry Fletcher
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Taking the Business of Medicine to the next level

  1. 17 G. TEMU

    Coders and Auditors Hold Providers Accountable

    Terry explores the critical role coders and auditors play in holding providers accountable. From reviewing clinical documentation and medical record notes to verifying patient eligibility, addressing cases where minors receive treatment without a parent present, and identifying excessive repeat visits lacking medical necessity, this episode highlights the detailed oversight that ensures provider compliance and quality […] The post Coders and Auditors Hold Providers Accountable appeared first on Terry Fletcher Consulting, Inc..

    12 min

  2. 30 WRZ

    Medicare’s Prior Auth Pilot: What It Means for You

    In this episode, Terry breaks down the upcoming Prior Authorization pilot programs launching for Medicare Part B Professional Services on January 1, 2026, and for Ambulatory Surgical Centers starting December 15, 2025. She outlines which medical services will be impacted and what providers need to know as these changes roll out. Terry also shares the […] The post Medicare’s Prior Auth Pilot: What It Means for You appeared first on Terry Fletcher Consulting, Inc..

    11 min

  3. 23 WRZ

    Are you documenting prescription drug management risk? (Fixed Audio)

    In this episode of the CodeCast Podcast, Terry addresses a common misconception among medical providers: the belief that simply listing a patient’s medications or repeatedly noting “continue meds” is enough to support a moderate-level evaluation and management visit, such as CPT codes 99214 or 99204. In reality, this documentation alone does not meet the criteria.= […] The post Are you documenting prescription drug management risk? (Fixed Audio) appeared first on Terry Fletcher Consulting, Inc..

    19 min

  4. 23 WRZ

    Are you documenting prescription drug management risk?

    In this episode of the CodeCast Podcast, Terry addresses a common misconception among medical providers: the belief that simply listing a patient’s medications or repeatedly noting “continue meds” is enough to support a moderate-level evaluation and management visit, such as CPT codes 99214 or 99204. In reality, this documentation alone does not meet the criteria.= […] The post Are you documenting prescription drug management risk? appeared first on Terry Fletcher Consulting, Inc..

    19 min

  5. 16 WRZ

    Split/Shared Visits Update

    A split or shared visit is an evaluation and management (E/M) service performed jointly by a physician and a non-physician practitioner (NPP) from the same group in a facility setting. Under applicable laws and regulations, either the physician or the NPP may bill for the service—provided they deliver it independently. Reimbursement goes to the practitioner […] The post Split/Shared Visits Update appeared first on Terry Fletcher Consulting, Inc..

    18 min

  6. 9 WRZ

    Telehealth October 2025 Preview

    In this week’s episode of the CodeCast Podcast, Terry Fletcher previews potential Telehealth updates and changes set to take effect on October 1. She also discusses how major surgery can be considered a risk factor in Evaluation and Management coding, and explains the importance of properly sequencing ICD-10-CM codes to ensure reimbursement success. Listeners are […] The post Telehealth October 2025 Preview appeared first on Terry Fletcher Consulting, Inc..

    15 min

  7. 2 WRZ

    Undercoding Is Real—And It’s Costing You

    In this episode of CodeCast, Terry takes a closer look at the growing issue of undercoding in healthcare. Often misunderstood or overlooked, undercoding involves reporting fewer services than were actually provided, assigning a lower-level code than warranted, or inaccurately documenting patient encounters. While some may view it as a conservative approach to avoid audits or […] The post Undercoding Is Real—And It’s Costing You appeared first on Terry Fletcher Consulting, Inc..

    12 min

  8. 26 SIE

    Bilateral Billing Under Fire: Modifier 50

    In this episode of CodeCast, Terry dives into the complexities of billing bilateral procedures and the growing tension between Medicare guidelines and commercial payer policies. Modifier 50 is used to report procedures performed on both sides of the body during the same operative session. When billed correctly, the procedure should appear on a single claim […] The post Bilateral Billing Under Fire: Modifier 50 appeared first on Terry Fletcher Consulting, Inc..

    14 min
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Taking the Business of Medicine to the next level

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