49 episodes

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.

CodeCast | Medical Billing and Coding Insights Terry Fletcher

    • Health & Fitness
    • 4.7 • 134 Ratings

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.

    Insurers have started rollbacks of patient share of cost

    Insurers have started rollbacks of patient share of cost

    Many commercial payers voluntarily waived all deductibles, co-pays, and other costs for insured patients who fell sick with COVID-19. Many of these patients were hospitalized and needed intensive care, doctor visits, medications, or other treatments.

    Setting aside those fees was a good move from a public relations standpoint. The industry got credit for helping customers during tough times. And it had political and financial benefits for insurers, too. But nothing lasts forever.

    Starting at the end of last year, and continuing through the first quarter of 2021, many insurers are quietly ending those fee waivers for COVID treatment and patients are finding out after the fact. Terry discusses how to be proactive in making sure you and your patients are informed and why this will be the theme of 2021.

    Subscribe and Listen

    You can subscribe to our podcasts via:



    * Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627

    * Google Podcasts – https://play.google.com/music/listen#/ps/Ia47t6quqphhsanlzpajk37yiga

    * Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX

    * Stitcher – http://www.stitcher.com/s?fid=156874

    * TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/

    * YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg

    * 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/

    • 20 min
    Medical Necessity: What rules are you following?

    Medical Necessity: What rules are you following?

    We all know that Medicare has their definition of “Medical Necessity” under Title 18 of the Social Security Act.

    But did you know that the AMA, The American College of Medical Quality, AAFP, and many Payer Contracts have their own defined language of what “Medical Necessity” means?

    This week Terry discusses all of them to make sure that you are clear, legal, and compliant when submitting claims for services for your patients. You want to be right the first time!

    Subscribe and Listen

    You can subscribe to our podcasts via:



    * Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627

    * Google Podcasts – https://play.google.com/music/listen#/ps/Ia47t6quqphhsanlzpajk37yiga

    * Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX

    * Stitcher – http://www.stitcher.com/s?fid=156874

    * TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/

    * YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg

    * 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/

    • 27 min
    PHE Extended and more EM2021 MDM Clarifications

    PHE Extended and more EM2021 MDM Clarifications

    Terry discusses the recent CMS alerts and new coding questions relating to the 2021 EM Rules.

    Medical Decision Making has everyone confused.

    Can vaccines and immunizations be considered in the management of a patient? Where does a pre-op visit for surgery fall in the presenting problems addressed?

    Terry discusses these topics and more 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

    * Google Podcasts – https://play.google.com/music/listen#/ps/Ia47t6quqphhsanlzpajk37yiga

    * Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX

    * Stitcher – http://www.stitcher.com/s?fid=156874

    * TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/

    * YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg

    * 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/

    • 18 min
    Information Blocking: Cures Act 2021

    Information Blocking: Cures Act 2021

    This week’s CodeCast focuses on the 21st Century Cures Act or the “Information Blocking” regulations.

    The regulation became effective last Monday, April 5th, so you must know what is necessary when a patient requests their records and how you could get into monetary trouble if not compliant with their request.

    Also, when coding for Atherosclerotic Heart Disease, be alert to the details when you choose an ICD-10-CM code.

    Subscribe and Listen

    You can subscribe to our podcasts via:



    * Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627

    * Google Podcasts – https://play.google.com/music/listen#/ps/Ia47t6quqphhsanlzpajk37yiga

    * Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX

    * Stitcher – http://www.stitcher.com/s?fid=156874

    * TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/

    * YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg

    * 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/

    • 15 min
    Medicare alerts: AAP, COVID vaccines, and more

    Medicare alerts: AAP, COVID vaccines, and more

    March Madness wasn’t only about college basketball! Medicare made the first quarter of 2021 all about announcements.

    Listen to this week’s episode as Terry runs down the new CMS/Medicare announcements, regulation effective dates, and the AAP repayment start.

    Subscribe and Listen

    You can subscribe to our podcasts via:



    * Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627

    * Google Podcasts – https://play.google.com/music/listen#/ps/Ia47t6quqphhsanlzpajk37yiga

    * Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX

    * Stitcher – http://www.stitcher.com/s?fid=156874

    * TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/

    * YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg

    * 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/

    • 18 min
    Home and work boundaries blurred for remote healthcare workers

    Home and work boundaries blurred for remote healthcare workers

    We are working so many hours since the pandemic hit in January 2020.

    Over a year into the COVID Public Health Emergency, healthcare professionals, like other employees, had to emergently pivot to working remotely. This has blurred the boundaries between work and home.

    Let’s talk about how to “Zoom” out our Fridays with Terry this week as she talks about your mental weariness and how to refresh and refocus.

    Subscribe and Listen

    You can subscribe to our podcasts via:



    * Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627

    * Google Podcasts – https://play.google.com/music/listen#/ps/Ia47t6quqphhsanlzpajk37yiga

    * Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX

    * Stitcher – http://www.stitcher.com/s?fid=156874

    * TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/

    * YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg

    * 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/

    • 17 min

Customer Reviews

4.7 out of 5
134 Ratings

134 Ratings

charis520 ,

Terry is the best! Helpful/Relavent “bombs” every episode!

I stumbled over your podcast on a hunt for coding and billing related platforms. Much to my surprise, there isn’t a lot out there. Terry is a God-send to us medical coders and billers with a wealth of updated knowledge and expertise in her field. I’m so grateful for you and the time you spend putting into these podcasts (I even admire your courage for saying what you want and defending your right to do it)! Keep it up, Terry! I think you’re amazing and you’ve helped me grow more in my medical billing field and also helping me sharpen my own skills!!! You rock!! I would give you 10 stars if I could ⭐️⭐️✨✨🌟🌟

sandraaa deee ,

Good but unsubscribing

Yes, it seems that every time I listen to an episode your political opinion offered. I’m not interested in that.

Jen 1979 ,

A wealth of information

First off I’d like to say thank you Terry for the great content you provide every week. I learn something new every time I listen. I work as a Medical Billing & Compliance Auditor for a large university that employees about 3,000 practitioners within a large health network. I’m very involved in Telehealth and I currently serve as the Education Officer for our local AAPC Chapter. I have referred to you many times in our local chapter meetings and in regards to ever changing rules during the PHE. I find your knowledge and easily relatable style so helpful. Keep doing what you are doing..you inspire me to do the same!

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