show episodes
 
Throughout his three-decade long career with the NFL, Michael Lombardi worked as an NFL executive with the San Francisco 49ers, Cleveland Browns, Philadelphia Eagles, and Oakland Raiders alongside NFL legends including Bill Belichick, Bill Walsh and Al Davis. On The GM Shuffle, Lombardi and co-host Femi Abebefe will tackle a wide range of topics weekly within the world of the NFL and break down everything listeners and fans need to know about players, coaches, organizations, the draft, free ...
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show series
 
On The GM Shuffle, hosts Michael Lombardi and Femi Abebefe break down their takeaways from episode two of "Hard Knocks" with the New York Giants, including how Michael believes the organization should've handled re-signing Saquon Barkley. Plus, Lombardi reveals his Red & Blue Chip defensive backs. Learn more about your ad choices. Visit podcastchoi…
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In today’s episode of the CodeCast podcast, Terry updates you on the latest CMS NCCI Edits, effective July 1st. She gives you the insight on the PTP and MUEs expected, along with some commentary and best practices on charging patients for no-show appointments. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podc…
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On The GM Shuffle, hosts Michael Lombardi and Femi Abebefe react to the first episode of "Hard Knocks: Offseason with the New York Giants." Michael breaks down the fault in their team building and what they need to do to establish a strong culture. Plus, Lombardi reacts to his 76ers adding Paul George and re-signing Tyrese Maxey. Learn more about y…
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Principal Care Management (PCM) services are services for a single high-risk disease, 30 minutes a month, personally provided by a physician or NPP. This is for patients with one complex chronic condition expected to last three months which places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decl…
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On The GM Shuffle, Tone Digs of "The Pat McAfee Show" joins hosts Michael Lombardi and Femi Abebefe to share his thoughts on the upcoming NFL season. Tone breaks down teams he's high on, some of his best bets for the upcoming season and his true feelings on the Steelers outlook. Plus, the guys chat about Tone's Pittsburgh fandom and early thoughts …
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On The GM Shuffle, VSiN Betting Analyst Matt Youmans joins hosts Michael Lombardi for an early betting preview of the NFL season. The guys go over some of their best bets, what bookmakers are saying about the Super Bowl and which division races they're keeping an eye on. To get access to the VSiN NFL Betting Guide visit vsin.com/subcribe and use pr…
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Can you guess the main reason why medical billing claims are rejected? According to recent studies, most clinics account for 15-25% of inaccurately submitted monthly claims. Those inaccuracies must be corrected, resulting in an annual loss of revenue worth tens of thousands of dollars. Among the most popular reasons medical claims return to a clini…
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On The GM Shuffle, Colts GM Chris Ballard joins hosts Michael Lombardi and Femi Abebefe to break down Indy's offseason. Beginning with a heartbreaking loss to the Texans in Week 18 and going through the draft, free agency and what he's seen from the team so far in practice. Plus, Ballard shares what his job entails at this point in the year as well…
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On The GM Shuffle, hosts Femi Abebefe and Michael Lombardi break down what NFL teams can learn from Brad Stevens and the way the NBA Champion Boston Celtics were built. Plus, the guys debate who'll be the next QB to sign a new deal and update the Brandon Aiyuk contract sage. Michael also shares his take on the new rules for Comeback Player of the Y…
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You must make sure your providers and coders understand the overarching LCD criteria for reporting TPIs (Trigger Point Injections). As of April 1st, five MACs have tightened their rules for TPI coding and reporting. There are new frequencies, ICD-10-CM, anatomical territories, and MUE rules for these services. Terry outlines the rules and reminds p…
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On The GM Shuffle, hosts Michael Lombardi and Femi Abebefe break down Trevor Lawrence's new $275M deal and the importance of this year in Jacksonville. The guys also mention Tee Higgins' signing of the franchise tender. Plus, former NFL QB and current analyst Phil Simms joins the show to share his thoughts on young quarterbacks and some great memor…
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On The GM Shuffle, hosts Michael Lombardi and Femi Abebefe break down breaking news involving the NFL's tampering investigation of the Atlanta Falcons and Philadelphia Eagles. Plus, the Jets circus continues with Aaron Rodgers skipping mini camp. Michael also breaks down what we should be looking at when breaking down NFL QB contracts. Learn more a…
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How do you know if your role is classified as a Coder or a Biller? Coders typically work in the back end of the facility, focused on interpreting medical records and assigning appropriate codes. Billers interact directly with patients, collecting payments and entering patient information into the appropriate systems. However, there is also a crosso…
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On The GM Shuffle, longtime NFL coordinator and current Michigan DC Wink Martindale joins hosts Michael Lombardi and Femi Abebefe. Wink discusses the transition from college to the NFL, the foundations of his defensive system and what it's like to go up against great QBs like Patrick Mahomes. Plus, Wink shares plenty of memories from his time in Oa…
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On The GM Shuffle, hosts Femi Abebefe and Michael Lombardi break down minicamp absences and if they're an effective negotiating tactic. The guys also discuss the Jets' bungling of the Haason Reddick acquisition and Christian McCaffrey's new deal with the 49ers. Plus, Michael shares the problems he sees with the Miami Dolphins that could affect the …
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All CPT codes have an expected range of complexity and uses, but when a particular procedure or surgery performed has exceeded the normal range of complexity, modifier -22 can come into play. Modifier -22 is defined as increased procedural services and demonstrates when a physician has gone above and beyond the typical framework of a particular pro…
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On The GM Shuffle, hosts Michael Lombardi and Femi Abebefe react to Justin Jefferson's market-setting deal and speculate on what it could mean for the other WRs looking for contracts. Plus, ESPN NFL Analyst Booger McFarland joins the show to break down the teams he's been most impressed with through the draft and free agency. Learn more about your …
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Hosts Michael Lombardi and Femi Abebefe analyze Jaylen Waddle's new deal and what it means for Tua's pending contract. And is Justin Jefferson available for a trade at the right price? The guys also get into the Bengals & 49ers WR rooms. Plus, Michael shares his take on the potential offseason overhaul and the Kansas City Chiefs' chances at a three…
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This week on the CodeCast podcast Terry returns with her Top 10 Tuesday Q&A series. Join us as Terry covers questions from Urgent Care to the ER, infusion charges, behavioral health, billing for unlisted codes, preventative med group codes, and more. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.apple…
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On The GM Shuffle, NFL Network Analyst and former offensive lineman Brian Baldinger joins Michael Lombardi and Femi Abebefe to break down his impressions of teams this offseason including the Eagles, Dolphins, Jets and more. Plus, the guys get into which team will have the #1 pick in the 2025 draft and if Antonio Pierce will succeed in his first ye…
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On The GM Shuffle, hosts Michael Lombardi and Femi Abebefe break down the Cowboys' contract dilemmas along with Dak Prescott's comments at OTAs. Plus, the guys get into other storylines from this week including: Aaron Rodgers feeling the pressure, Justin Fields' chances at the starting job in Pittsburgh and Roger Goodell discussing a potential 18-g…
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Are you a “Subject Matter Expert?” Are you taking on clients, presenting to physicians, or looking for a coding job: with no expertise? Do not “wing it” in the healthcare field. You will hurt yourself or your credibility unless you disclose your limitations to the person you are doing business with. (Not to mention potentially hurting the physician…
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On The GM Shuffle, hosts Michael Lombardi and Femi Abebefe break down the start of OTAs for NFL teams, including some news that Tua is with the Dolphins despite ongoing contract negotiations. Plus, the guys revisit offseason coaching changes, discuss the most important coordinator hires, head coaches that move the needle and the legacy of "Mr. Raid…
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On The GM Shuffle, hosts Michael Lombardi and Femi Abebefe react to the NFL schedule release including marquee matchups, international games, the Thanksgiving and Christmas slate, as well as their early thoughts on Week 1. Plus, the guys break down Jared Goff's new deal and if the Lions will remain hungry after getting paid. Learn more about your a…
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Many of the records Terry audits include a disclaimer to protect a physician from liability. However, does this disclaimer shield a physician who has signed a note or authenticated an electronic encounter? (Under the assumption the physician reviewed it?) In this episode of the CodeCast podcast, Terry discusses the protections of a disclaimer and w…
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On The GM Shuffle, hosts Michael Lombardi and Femi Abebefe react to the Chiefs-Ravens season opener and break down what really goes on a Rookie Mini Camps. The guys also answer several "GM Shuffle Mailbag" questions, including: Why do teams overdraft QBs? Does Michael want to go back to the NFL? & Who's Michael's favorite Sopranos villain? Learn mo…
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On The GM Shuffle hosts Michael Lombardi and Femi Abebefe react Joe Burrow throwing at Bengals practice and the latest legal issues surrounding Chiefs WR Rashee Rice. Plus, the Titans add Tyler Boyd to round out one of the oldest WR corps in the league. The guys also look back a the 2021 NFL Draft including the fifth-year options that got picked up…
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In this episode of the CodeCast podcast, Terry discusses the frequent urgent care center encounters that elevate to the patient going to the ER. Is this considered automatically high risk? So many providers want level 5, but what if it’s to get testing or services unavailable at the UC? Terry discusses the complexities and compliance issues with th…
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Hosts Michael Lombardi and Femi Abebefe react to Odell Beckham Jr. signing with the Miami Dolphins. Plus, Michael breaks down the importance of having a player development plan for rookie QBs. The guys also discuss which rookie QBs will start Week 1 with odds from DraftKings Sportsbook. Learn more about your ad choices. Visit podcastchoices.com/adc…
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On The GM Shuffle, hosts Michael Lombardi and Femi Abebefe analyze the post-draft spin coming out of the Giants and Falcons organizations. Plus, the guys break down Offensive and Defensive Rookie of the Year Odds, Travis Kelce's new deal with the Chiefs and the handful of disgruntled Bengals players. Learn more about your ad choices. Visit podcastc…
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This week’s CodeCast Podcast is all about coding and billing. Join Terry for a full deck of important information on Coding, Billing, and Compliance. Get answers to our top ten questions including eVisit POS, LE Thombectomy services, SDoH assessment codes, Data Point E/M clarifications, and more. Subscribe and Listen You can subscribe to our podcas…
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On The GM Shuffle, hosts Michael Lombardi and Femi Abebefe recap Days 2 & 3 of the NFL Draft. Michael shares which teams he thinks are approaching team building the right way and which mistakes were made over the weekend. Plus, the guys react to the Cowboys signing Ezekiel Elliott, the 49ers leaving the weekend without trading Aiyuk or Samuel and a…
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On The GM Shuffle, hosts Michael Lombardi and Femi Abebefe break down the team-building malpractice on display in Atlanta after selecting QB Michael Penix Jr. in the top 10. Plus, Michael reacts to a historic start to the draft with 14 consecutive offensive players taken and a record six QBs off the board in the top 12 picks. The guys also break do…
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On The GM Shuffle, hosts Michael Lombardi and Femi Abebefe preview Round 1 of the NFL Draft. Michael breaks down what he'd do with each of the Top 10 picks and shares what he thinks will happen Thursday night. The guys also discuss how many QBs they expect to go off the board and debate drafting OLs vs WRs early. Learn more about your ad choices. V…
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This week on the CodeCast Podcast Terry dives into the new rules for hernia repair codes. Terry discusses when the 0-global-days and 90-day-global-days services are billed on the same date. What applies? What about co-surgery? What about follow-up visits, or add-on codes for staple/suture removal? Tune in to find out details about these topics and …
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On The GM Shuffle, hosts Michael Lombardi and Femi Abebefe kick off draft week by going over potential draft day trades and how they're made. Plus, the guys take a look at the latest "Lying Season" entries from NFL GMs. Michael also shares his top 5 most critical drafts from across the league. Learn more about your ad choices. Visit podcastchoices.…
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On The GM Shuffle, hosts Michael Lombardi and Femi Abebefe react to the ESPN's report detailing Bill Belichick's offseason search for an HC job including: Robert Kraft's comments to Arthur Blank, Belichick not making the top 3 candidates and Rich McCay's power in the Falcons' organization. Plus, the guys discuss the latest NFL Draft news and Michae…
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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 a…
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