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

    • Business
    • 4.7 • 181 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.

    What does “separate procedure” mean in CPT?

    What does “separate procedure” mean in CPT?

    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.

    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/

    • 16 min
    Is This Really Medically Necessary?

    Is This Really Medically Necessary?

    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.

    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/

    • 12 min
    Revisiting SDoH G0136 Reporting

    Revisiting SDoH G0136 Reporting

    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/

    • 14 min
    Top 10 Tuesday Q&A – Auditing Telehealth

    Top 10 Tuesday Q&A – Auditing Telehealth

    In this Top Ten Q&A episode, Terry tackles what the focus of any telehealth audit should be.

    Auditing Telehealth encounters is more that just looking at the coding. It should also include medical necessity, the technical and procedural aspects of the service, and on patient satisfaction and outcomes.

    She also recommends an external audit if internal audits find any irregularities: and Terry Fletcher Consulting, Inc. is here to help if you need us!

    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
    Compliance Issues With MD/QHP Collaboration Agreements

    Compliance Issues With MD/QHP Collaboration Agreements

    You must have a collaboration agreement in place when hiring mid-level providers or QHPs (such as nurse practitioners, physician assistants, or clinical nurse specialists) to act on your behalf with treating patients.

    Collaboration agreements are mandatory in most states but rules differ from state to state. Also, due to failed compliance policies, lack of understanding of state laws, and providers forgetting to report when this relationship ends, the physician may still listed as their supervising physician.

    Terry uncovers these issues that cost physicians not only money, but possibly their license to practice.

    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/

    • 19 min
    Critical Care Inclusions and Carve-Outs

    Critical Care Inclusions and Carve-Outs

    Critical care in 2024 can be tricky, with inclusions, carve-outs, and a time component.

    Are there exceptions when PA/NPs are involved in critical care services? What has to be documented? You may find some rules you didn’t know about.

    Terry has all of the answers in this episode of the CodeCast podcast, sponsored by Decision Health, LLC.

    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/

    • 19 min

Customer Reviews

4.7 out of 5
181 Ratings

181 Ratings

MissyBr_1 ,

Great podcast!

Terry does a great job breaking things down to be easily understandable in the often hard to understand coding and billing world.

HappyApple1 ,

Stop talking politics that's not what we're here for

The information about medical coding and billing appears accurate, but delivered as it is with petty and poorly informed political ramblings makes one wonder how trustworthy and knowledgeable the podcaster really is.

Puzzlehappy ,

Great podcast!

Very helpful information for the medical coder. Terry does a great job explaining things.

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