CodeCast | Medical Billing and Coding Insights

Terry Fletcher

Taking the Business of Medicine to the next level

  1. HÁ 1 DIA

    Top 10 Tuesday Q&A – Coding, Billing, and Compliance Questions

    Join Terry on the latest CodeCast podcast as she tackles your most pressing medical coding and compliance questions in our “Top Ten Tuesday” segment! Terry clears up common misunderstandings and provides clarity on complex ICD-10-CM coding scenarios. Get expert tips to improve your diagnostic coding accuracy. She also discusses how navigating the nuances of telehealth […] The post Top 10 Tuesday Q&A – Coding, Billing, and Compliance Questions appeared first on Terry Fletcher Consulting, Inc..

    28min

  2. 22 DE JUL.

    Navigating Split/Shared Visit Audit Risks

    In this essential episode, we dive deep into the heightened scrutiny surrounding split/shared visits, particularly high-level 99223 initial hospital visits. Join Terry as she breaks down the latest payer audits impacting these services. We’ll explore critical compliance issues and offer actionable strategies to help your providers and practices proactively protect themselves from unwanted scrutiny and […] The post Navigating Split/Shared Visit Audit Risks appeared first on Terry Fletcher Consulting, Inc..

    14min

  3. 15 DE JUL.

    Revisiting G2211 with a Change of Provider

    Determining whether HCPCS code G2211 can be billed when a patient sees a different physician or practitioner within the same group practice, even colleagues in the same specialty, presents an interesting coding challenge. The key consideration revolves around whether the new provider serves as the “continuing focal point for all needed services or provides ongoing […] The post Revisiting G2211 with a Change of Provider appeared first on Terry Fletcher Consulting, Inc..

    10min

  4. 8 DE JUL.

    HIPAA and Workers Comp Patients

    In today’s episode of the CodeCast podcast, Terry untangles the complexities of Protected Health Information (PHI) and HIPAA as they relate to workers’ compensation cases. She’ll clarify the rights of both patients and employers when requests for PHI reach a healthcare provider’s office. This can be a tricky area, especially given potential state-specific regulations. This […] The post HIPAA and Workers Comp Patients appeared first on Terry Fletcher Consulting, Inc..

    14min

  5. 1 DE JUL.

    Can physicians charge whatever they want to Insurance Payers?

    A question I’m often asked is, “Why do physicians charge so much?” There’s no easy answer, as there isn’t a fixed price list for medical services. Due to the healthcare system’s complexity and the absence of set prices, providers are largely free to charge what the market will bear. However, can there be consequences for […] The post Can physicians charge whatever they want to Insurance Payers? appeared first on Terry Fletcher Consulting, Inc..

    14min

  6. 24 DE JUN.

    Watch out for “bad actors” on billing advice

    Engaging with “bad actors” in medical billing can have serious consequences for both patients and healthcare providers. More and more providers are engaging without checking. Here’s what could happen. Terry discusses it all with examples. Legal repercussions: Providers can face hefty fines, civil or criminal charges, and even loss of their medical license for engaging […] The post Watch out for “bad actors” on billing advice appeared first on Terry Fletcher Consulting, Inc..

    15min

  7. 17 DE JUN.

    Is the provider “prepared” to see the patient?

    In this episode, Terry challenges all medical professionals. What is your role in managing the patient experience? A lack of patient prep can lead to an incomplete encounter for the physician including excessive visits. It can also lead to leakage in all departments, including the RCM staff’s ability to perform their job. Terry offers her […] The post Is the provider “prepared” to see the patient? appeared first on Terry Fletcher Consulting, Inc..

    16min

  8. 10 DE JUN.

    No Surprises Act and OON Claims

    Since the implementation of the No Surprises Act (NSA) in January 2022, out-of-network (OON) reimbursement has become a complex and resource-heavy challenge for hospital and health system revenue cycle leaders. Although designed to shield patients from unexpected medical bills, the legislation has placed continuous financial pressure on physician practices and hospital systems. It has led […] The post No Surprises Act and OON Claims appeared first on Terry Fletcher Consulting, Inc..

    21min
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Taking the Business of Medicine to the next level

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