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CodeCast is a Zambian podcast that focuses on everything technology. We highlight innovations in AI and Machine Learning as well as the latest in data science. We cover releases from major technology companies and the effect these releases have on the developer and consumer community. We celebrate the role developers play in shaping the future of technology, both from a uniquely Zambian perspective to the repercussions on a global scale.
 
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This week on the CodeCast Podcast, Terry discusses some important tips to successfully negotiate your payer contracts. By the way: this should include your coders as part of the negotiating process! Terry also covers other topics such as focusing on payers that are below the Medicare fee schedule, ancillary services coverage, and incorporating cove…
 
In this episode of the CodeCast Podcast, Terry gives regulatory guidance for Fee-For-Service Time Compensation (previously known as Locum Tenens) billing and coding. She also covers the rules surrounding how to document these services. Plus, CMS updated their COVID-19 FAQ sheet again, and this time it includes HCC’s and Telehealth inclusion for Ris…
 
There should be several goals to meet during a Telehealth patient encounter, such as replicating an in-person clinical encounter as closely as possible. The strategies for incorporating learners into the visit should be the same as for in-person encounters. Proponents of Telehealth have not addressed this issue, however, Telehealth should be expand…
 
The PHE was extended for another 90-days, but not all waivers made the cut. Tune in to find out what waivers will expire, what is still in play, and how state rules versus federal rules play out when physicians cross state lines via Telehealth. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – Google Podcasts – Spotify – …
 
Medical Acronyms like LVEDP or HIPAA or PHE are now an everyday part of a medical coder’s and biller’s life. Do you know what they mean and do you have a reference guide for your desk? Listen this week as Terry does a run-through of what you need to do your job and also answers some questions about Split or Shared Visits. Subscribe and Listen You c…
 
Remote working is here to stay, so today’s episode of the CodeCast podcast is about how to not only manage your remote workforce but how to be successful as a remote healthcare worker. This episode also includes coding questions regarding MUEs and Carotid Stenting. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – Google …
 
For healthcare professionals that appeal claims as their job, it can feel like a futile and unrewarding act. In this episode of the CodeCast, Terry Fletcher discusses the five facts of successful claims appeals and collections, and how to focus on what is important in the process. Also, Terry talks about the latest updates for telehealth under the …
 
Terry Fletcher continues the coding tips and answers from CMS series in the latest episode of the CodeCast. This show focuses on how to interpret the rules for the 2021 E/M Guidelines, as well as Prolonged Services, Time vs MDM, and clarifying the carve-outs for time. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – Goog…
 
Administrators, coders, and physicians should periodically conduct a patient chart audit to assess whether your doctors code accurately and to make sure all services are being captured. But how do you know, that they know, what they’re doing? Terry discusses her methods when beginning and engaging in an audit. She’ll talk about what she has found i…
 
This week’s CodeCast podcast spotlights the Gastroenterology Specialty. Terry discusses colonoscopies, screenings, diagnostics, therapeutics, and surveillance. She also gives definitions, coding guidance (for both Medicare and Commercial plans), and what to look for when adding modifiers for maximized reimbursement. Subscribe and Listen You can sub…
 
Terry Fletcher focuses on billing an E/M service on the same date as a minor procedure in this packed episode of the CodeCast Podcast. There are Medicare rules about this, and we receive denials when this is incorrectly billed. That’s why it’s important to take a look at when it is appropriate for different specialties. Terry shares her best practi…
 
In this episode of the CodeCast podcast, Terry is responding to many listeners’ requests for auditing tips when auditing E/M services. She focuses on what to look for when moderate visits are being coded under “Prescription Drug Management” and also clarification on how to report Critical Care time. Subscribe and Listen You can subscribe to our pod…
 
Due to the continued confusion on how to document office visit codes 99202-99215 from the 2021 rules, Terry’s Top Ten Tuesday segments over the next few months will be dedicated to these services. Questions and answers will be from CMS sites and best practices, however, these do not apply to other categories or procedure codes. This week focuses on…
 
In this episode of the CodeCast podcast, Terry gives a rundown of the 2022 updates for POS (Place of Service) codes and modifiers, plus when they should be implemented for Medicare and commercial plans. Terry also clears up any confusion on the start dates with the PHE still continuing until April. Subscribe and Listen You can subscribe to our podc…
 
The No Surprise Billing Act may be the most poorly written, difficult to understand set of regulations that have ever been rushed to publications. This is why, much of the guidance out there is misleading, if not entirely wrong. This week’s CodeCast features Terry discussing the true definition of “balance billing” and what four things you need to …
 
Medicare has clearly lost their minds, allowing split/shared visits in a hospital setting where it is “optional” to have a physician provide a face-to-face. As if that isn’t going to cause bad actors to come out! Yes, a face-to-face is still needed, but according to the new 2022 rules: “…the FTF doesn’t necessarily have to be the physician.” Is tha…
 
With the PHE extended for the eighth time during the pandemic, now through April 18th, 2022, it is more important than ever to do a coding and compliance fact check to avoid scrutiny during an OIG Audit. Terry Fletcher shares her top ten coding, billing, and compliance questions of the month, focusing directly on Telehealth. Subscribe and Listen Yo…
 
In 2022, CMS is no longer allowing shared services to be billed in an office setting and updated their 2022 definition of Split and/or Shared visits to be primarily in a facility setting. In this week’s podcast, Terry dives into this topic, pulling from not only her rules interpretations but also industry-trusted sources. This important change need…
 
CMS is ramping up their audit focus with new funding and personnel to handle the work. Incorrect coding and overpayments, or CERT Audits, becomes the CodeCast topic of the day as Terry Fletcher dives into each aspect so you’re best prepared to handle what’s coming. Cardiology had a 5.2% error rate for the 2018-2019 year assessed. Terry covers the c…
 
What breaking news for CMS and other payers do we need to be aware of as 2022 begins? Terry discusses the new PFS, the AUC implementation, and the COVID mandates under the Omnibus rules. As healthcare professionals, we have to be on top of the flow of information and ready for it to be implemented. Find out what’s in and what’s out in this episode.…
 
Errors in physician billing are common. One of the most common errors is the failure to electronically file a clean claim. This week, as we end out the 2021 year, Terry gets back to basics with coders and billers in her Top 10 Tips for Clean Claims and how to make sure you have a Best Practices checklist for your coding and reporting staff. Subscri…
 
The PHE will eventually expire and with it the many waivers and exceptions to Telemedicine rules. A few efforts taken now can help reduce the risk a company will find itself on the receiving end of an overpayment demand or a False Claims Act investigation. Terry discusses the OIG 7 audits for Telehealth and what to look out for. Listen to be ready …
 
On this episode we welcome two brilliant individuals, Adebayo Amedu Olukayode, CEO as well as Cofounder of CKrowd and Nyemba Tembo a Broadcast Journalist and Zambian Youtuber. We discuss the african content creation landscape including challenges and opportunities that exist today. We discuss the CKrowd platform and what opportunities it provides f…
 
Medicare physicians can rest a little easier in 2022. The House and Senate came to a bipartisan agreement to put a band-aid on the severe cuts that were set to take effect on January 1st, 2022. The passing of the Bill comes as a major sigh of relief for physicians and providers that were looking at a very bleak 2022. Again, these “fixes” are only u…
 
The headlines have been dominated by vaccine mandates in recent weeks. Terry Fletcher is here to break down the reality between the OHSA and CMS/Omnibus mandates on the latest CodeCast, and where the country stands on this polarizing topic. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – Google Podcasts – Spotify – Stit…
 
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