CodeCast | Medical Billing and Coding Insights

Terry Fletcher

Taking the Business of Medicine to the next level

  1. 2 NGÀY TRƯỚC

    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 phút

  2. 26 THG 8

    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 phút

  3. 19 THG 8

    G0101 and Preventative Billing

    Medicare has designated two HCPCS codes for women’s screening services: G0101 – Screening pelvic and clinical breast exam Q0091 – Collection of a screening Pap smear These codes are reimbursable every two years, but they’re not considered comprehensive preventive medicine services. In this episode, Terry breaks down how these screenings fit into the broader billing […] The post G0101 and Preventative Billing appeared first on Terry Fletcher Consulting, Inc..

    14 phút

  4. 12 THG 8

    CMS E/M Improper Payment Report

    In this episode, Terry dives into the latest findings from the Centers for Medicare & Medicaid Services (CMS) regarding Evaluation and Management (E/M) services. According to the 2023 CERT (Comprehensive Error Rate Testing) data: Insufficient documentation led to 34% of improper payments No documentation accounted for 7.5% Incorrect coding was responsible for a staggering 52.4% […] The post CMS E/M Improper Payment Report appeared first on Terry Fletcher Consulting, Inc..

    15 phút

  5. 5 THG 8

    ICD-10-CM Official Guidelines for FY 2026

    The FY 2026 ICD-10-CM Official Guidelines are out. In this episode, Terry breaks down the key updates and what they mean for your coding workflow. Tune in as she covers: New considerations for diagnosis coding in heart disease, HIV, and diabetes How to apply the latest guidance across multiple specialties A closer look at inpatient […] The post ICD-10-CM Official Guidelines for FY 2026 appeared first on Terry Fletcher Consulting, Inc..

    18 phút

  6. 29 THG 7

    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..

    28 phút

  7. 22 THG 7

    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..

    14 phút

  8. 15 THG 7

    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..

    10 phút
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Taking the Business of Medicine to the next level

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