CodeCast | Medical Billing and Coding Insights

Terry Fletcher
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  • TOUTES LES 2 SEMAINES

Taking the Business of Medicine to the next level

  1. -1 J

    Claim Denials: Coding Mistake or Billing Oversight?

    Medical billing and coding encompasses a wide range of responsibilities—from patient registration and claim reimbursement to final payment delivery to the provider. Navigating this process requires close collaboration among billers, coders, insurance companies, patients, and various healthcare professionals. Although often grouped together as a single discipline, billing and coding are distinct roles that work in […] The post Claim Denials: Coding Mistake or Billing Oversight? appeared first on Terry Fletcher Consulting, Inc..

    11 min

  2. 28 OCT.

    Understanding Who Can Bill Preventive G Codes

    As more practices begin offering screening services, questions around billing for Medicare-specific G codes are becoming more common. In this episode, Terry breaks down when it’s appropriate to bill for preventive services, which providers are eligible, and what requirements must be met. To bill G codes, providers must be enrolled as Medicare suppliers and follow […] The post Understanding Who Can Bill Preventive G Codes appeared first on Terry Fletcher Consulting, Inc..

    18 min

  3. 21 OCT.

    What the Shutdown Means for Medicare and Telehealth

    CMS has updated its stance on Medicare payments during the federal shutdown, confirming that only certain claims will be held—reversing earlier guidance that hinted at a wider pause. But what does this mean for Telehealth and other temporary policies that expired on October 1? Terry breaks down the latest developments, what’s at risk, and what […] The post What the Shutdown Means for Medicare and Telehealth appeared first on Terry Fletcher Consulting, Inc..

    20 min

  4. 14 OCT.

    Tips on Reviewing MRs for Coding Accuracy

    In this episode, Terry tackles a common pitfall in coding and CDI workflows: skipping straight to the Assessment and Plan (A/P) section of an E/M note to determine service level. Are you overlooking key documentation that could support medical decision-making, risk, or time? She also calls out a frequent habit among surgery coders—coding from the […] The post Tips on Reviewing MRs for Coding Accuracy appeared first on Terry Fletcher Consulting, Inc..

    12 min

  5. 7 OCT.

    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

  6. 30 SEPT.

    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

  7. 23 SEPT.

    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

  8. 23 SEPT.

    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
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Taking the Business of Medicine to the next level

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