أفضل بودكاسات Codec (2025)

1
Stardew Valley NPCs Revealed: Secrets, Stories & Relationships 26:27

19d ago26:27

26:27

This is an audio version of a blog post found over on the SuperPod Network. The SuperPod Network has a plethora of video game related podcasts, blogs, and other video game related content! The original blog post by Lucie: "Stardew Valley NPC's and their drastically different backstories despite living in the same tiny village." The music in the bac…

1
Are you documenting prescription drug management risk? (Fixed Audio) 18:41

6d ago18:41

18:41

In this episode of the CodeCast Podcast, Terry addresses a common misconception among medical providers: the belief that simply listing a patient’s medications or repeatedly noting “continue meds” is enough to support a moderate-level evaluation and management visit, such as CPT codes 99214 or 99204. In reality, this documentation alone does not me…

1
Are you documenting prescription drug management risk? 18:41

7d ago18:41

18:41

In this episode of the CodeCast Podcast, Terry addresses a common misconception among medical providers: the belief that simply listing a patient’s medications or repeatedly noting “continue meds” is enough to support a moderate-level evaluation and management visit, such as CPT codes 99214 or 99204. In reality, this documentation alone does not me…

1
Split/Shared Visits Update 18:13

14d ago18:13

18:13

A split or shared visit is an evaluation and management (E/M) service performed jointly by a physician and a non-physician practitioner (NPP) from the same group in a facility setting. Under applicable laws and regulations, either the physician or the NPP may bill for the service—provided they deliver it independently. Reimbursement goes to the pra…

1
Telehealth October 2025 Preview 14:46

21d ago14:46

14:46

In this week’s episode of the CodeCast Podcast, Terry Fletcher previews potential Telehealth updates and changes set to take effect on October 1. She also discusses how major surgery can be considered a risk factor in Evaluation and Management coding, and explains the importance of properly sequencing ICD-10-CM codes to ensure reimbursement success…

1
Undercoding Is Real—And It’s Costing You 12:26

28d ago12:26

12:26

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 …

1
Bilateral Billing Under Fire: Modifier 50 13:45

1M ago13:45

13:45

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 sing…

1
G0101 and Preventative Billing 13:49

1M ago13:49

13:49

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 th…

1
CMS E/M Improper Payment Report 15:27

2M ago15:27

15:27

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 resp…

1
ICD-10-CM Official Guidelines for FY 2026 17:56

2M ago17:56

17:56

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 discharge codes …

1
A Surprising PlayStation Purchase: The Tale of Glover 5:22

2M ago5:22

5:22

This is an audio version of a blog post found over on the SuperPod Network. The SuperPod Network has a plethora of video game related podcasts, blogs, and other video game related content, so be sure to give these things a look when you're done listening to this episode! The original blog post by Jacob: Glover: Gotta Love the Glove The background m…

1
Top 10 Tuesday Q&A – Coding, Billing, and Compliance Questions 28:08

2M ago28:08

28:08

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 n…

1
Navigating Split/Shared Visit Audit Risks 13:51

2M ago13:51

13:51

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 pro…

1
Revisiting G2211 with a Change of Provider 9:33

3M ago9:33

9:33

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 …

1
HIPAA and Workers Comp Patients 13:44

3M ago13:44

13:44

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-s…

1
Kirby Super Star: A Classic SNES Adventure 9:29

3M ago9:29

9:29

This is an audio version of a blog post found over on the SuperPod Network. The SuperPod Network has a plethora of video game related podcasts, blogs, and other video game related content, so be sure to give these things a gander when you have the time. The original blog post by RetroMo: Kirby Super Star: Sakurai's Magnum Opus I did something a lit…

1
Can physicians charge whatever they want to Insurance Payers? 14:22

3M ago14:22

14:22

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 over-pricing or egregiously…

1
Watch out for “bad actors” on billing advice 14:57

3M ago14:57

14:57

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 …

1
Is the provider “prepared” to see the patient? 15:34

3M ago15:34

15:34

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 tips for …

1
No Surprises Act and OON Claims 20:56

4M ago20:56

20:56

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 p…

1
Medicare Rules For Experimental or Investigational Services 15:38

4M ago15:38

15:38

Medical necessity is defined as services that are reasonable and necessary for diagnosis or treatment of an illness or injury, or to improve the functioning of a malformed body member and are not excluded under another provision of the Medicare Program. Unfortunately, we have many practices trying to slide under the radar the experimental and/or in…

1
The Nintendo 3DS = Handheld Heaven 13:35

4M ago13:35

13:35

This is an audio version of a blog post found over on the SuperPod Network. The SuperPod Network has a plethora of video game related podcasts, blogs, and other video game related content! The original blog post by Aaron: "The 3DS is my Favorite Handheld Ever." The music background of the episode is "Swiss View" by TVARI on Pixabay (looped a bunch …

1
Behavioral Health Coding and Documentation 15:33

4M ago15:33

15:33

Terry discusses Behavioral Health services, best practices documentation and coding specifics. Also, Terry offers some bonus discussion on RAC auditors trying to bait providers into not responding to ADR requests. Check out this episode for intel on these important topics and more. Subscribe and Listen You can subscribe to our podcasts via: Apple P…

1
Did you know AI is integrated into EMRs? 16:00

4M ago16:00

16:00

With all of the AI implementation into EHR and EMR systems, there is concern about how providers rely on these AI shortcuts more than ever. Without proper safeguards, accountability, and compliance perimeters, relying on AI could be problematic. Terry discusses the red flags to look for and how to proceed with caution in this new world of technolog…

1
Can you get credit for ordering and interpretation of a test? 13:11

5M ago13:11

13:11

The 2023 CPT® Errata and Technical Corrections added a one-liner on Independent Interpretations that responds to the question, “Can a practitioner get credit for both ordering and interpretation of a test, if documented?” In this episode of the CodeCast podcast, Terry answers this question referencing the March 2023 CPT® Errata and Technical Correc…

1
Medical Necessity Comes Before Coding 13:02

5M ago13:02

13:02

The 2021/2023 E/M guideline revisions read: “The evaluation and/or treatment should be consistent with the likely nature of the condition.” Before this, the CPT® guidelines did not discuss medical necessity. Guidance was left to the payers, particularly Medicare, via the Social Security Act. CMS’s guidance doesn’t necessarily hold regulatory author…

1
Top 10 Tuesday Q&A – Coding, Billing, and Compliance Questions 20:27

5M ago20:27

20:27

It’s time for another round of frequently asked questions as Terry’s expertise covers orthopedic surgery, imaging, data points for E/M, and administrative charges for practices. She also answers questions relating to multiple E/Ms on the same date by the same and different physicians from the same group practice. Tune in for a lot of good informati…

1
The Thrill of the Hunt: How I Started Collecting Video Games 9:09

5M ago9:09

9:09

This is an audio version of a blog post found over on the SuperPod Network. The SuperPod Network has a plethora of video game related podcasts, blogs, and other video game related content, so be sure to give these things a gander when you have the time. The original blog post by Bill: "It All Started With A Dreamcast | How My Collecting Journey Sta…

1
Giving Tests Results to Patients… Where’s the Payment? 15:02

5M ago15:02

15:02

We all know the age-old question, “Where does it say that?” In this episode, Terry brings receipts, explaining it’s been this way since 2003: “Reviewing results of laboratory tests, phoning results to patients, filing such results, etc., are Medicare-covered services. Payment is included in the physician fee schedule payment for the evaluation and …

1
ADR Workflow Tips 18:26

6M ago18:26

18:26

An ADR (Additional Documentation Request) is a request from CMS or another insurance payer for additional documentation to review a claim. Most of these requests come from payer investigative units looking for medical necessity support. Terry discusses how to handle these requests, as well as how to ensure they are addressed promptly to meet the de…

1
Who Gets the Credit for MDM Risk Element? 10:48

6M ago10:48

10:48

If the provider discusses their preferred management options with the patient, do they receive the “risk” credit even if the patient declines it? If yes, how long do they get to capture it? Terry breaks down, citing references, how to handle this MR element and ensure the providers are receiving the correct “risk” value for their encounter. Listen …

1
Game On: Why Our Favorite Games and Consoles Never Really Get Old 10:07

6M ago10:07

10:07

This is an audio version of a blog post found over on the SuperPod Network. The SuperPod Network has a plethora of video game related podcasts, blogs, and other video game related content, so be sure to give these things a gander when you have the time. The original blog post by Tony: "Your Favorite Games And Consoles Are Getting Older (And That's …

1
APCM Focus 16:22

6M ago16:22

16:22

In this episode of the CodeCast podcast, Terry discusses the differences between APCM and CCM services and what is needed to report either. Compliance issues are seen with many care management service records. Terry covers how to follow best practices to ensure you follow the published guidance. Subscribe and Listen You can subscribe to our podcast…

1
Diving Deep: Thoughts on Ecco the Dolphin 11:40

6M ago11:40

11:40

This is an audio version of a blog post found over on the SuperPod Network. The SuperPod Network has a plethora of video game related podcasts, blogs, and other video game related content, so be sure to give these things a gander when you have the time. The original blog post by Thrak: "So, I've Been Playing Ecco the Dolphin: Defender of the Future…

1
The Crucial Role of the Coder in Quality Patient Care 9:15

6M ago9:15

9:15

Medical Coding provides standardized language that ensures all healthcare providers involved in a patient’s care are on the same page. The coder’s role is to be accurate, communicative, insightful and focused on a positive patient outcome. A patient’s financial health can impact their clinical health, and medical coders need to be recognized for th…

1
ICD-10-CM April 1st Updates 14:49

7M ago14:49

14:49

This week’s CodeCast summarizes the recent ICD-10-CM documentation guidelines instructions on sepsis, obesity, and COVID-19 reporting. Terry also provides more guidance on E/M risk in prescription drug management and caution with PSAs in patient documentation. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podc…

1
Avoiding Insurance Denials 12:07

7M ago12:07

12:07

More medical claims denials could be avoided if coders took the extra minute to make sure that the diagnoses that need to be linked to a specific line item were pre-billed. Also, when billing for diagnostic procedures on a complaint that moves to a minor, therapeutic, or surgical procedure, denials will happen when the diagnosis for the latter proc…

1
Gaming Surprises and Disappointments 2024 56:10

7M ago56:10

56:10

Just when we thought we were out, they pull us back in! Andy and Matt make a dramatic return to discuss their surprises and disappointments from the gaming world in 2024. They might also explain exactly what the hell they are doing back!?بقلم Codec Moments

1
Acute Uncomplicated vs. Acute Complicated E/M Auditing 15:57

7M ago15:57

15:57

Terry takes some inspiration from Stephanie Allard’s February 27th for this edition of the CodeCast podcast. Terry discusses the differences and subjective issues between Acute Uncomplicated Illness (or Injury) versus Acute Complicated Illness in the E/M elements of coding and auditing. Subscribe and Listen You can subscribe to our podcasts via: Ap…

1
Top 10 Tuesday Q&A – Coding, Billing, and Compliance Questions 23:09

7M ago23:09

23:09

Terry’s answering your coding questions in this week’s “Top 10” Q&A. In this episode Terry’s covering APCM, E/M, skin procedures, lab billing, and even a Telehealth bonus. Tune in for insights you won’t want to miss! Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-b…

1
Independent Interpretations of E/M Data Points 7:25

7M ago7:25

7:25

Terry is under the weather this week, so she gives us a quick segment on the E/M Data point, “independent interpretation”. See page 12 of CPT® under independent interpretation, the last sentence. “A test that is ordered and independently interpreted may count as both a test ordered and interpreted.” Suppose you bill for the professional and technic…

1
How do MUEs Work in Coding? 15:41

8M ago15:41

15:41

Some coders remain confused about Medically Unlikely Edits (MUEs) — but that’s about to change. In this episode, Terry discusses denials from Part B MACs for what you may think is an undetermined reason. However, a possibility is running up against MUEs. The edits, which are designed to prevent over-payments caused by serious billing errors, often …

1
E/M MDM Third Element Complications 14:54

8M ago14:54

14:54

The third element of MDM for E/M Services is “Risk of Complications and/or Morbidity or Mortality of Patient Management”. Many believe that only the risk in this element is how you level your E/M, but that is false. There are three elements to a E/M service when using MDM. There are several risks including the problems addressed and for the managem…

1
Professional Courtesy 11:08

8M ago11:08

11:08

Everyone knows that you cannot routinely waive or fail to collect the obligation of patient cost-sharing. However, we know that there are instances where (1) the patient has a bad experience, (2) the patient will not pay or is not collectible, and (3) the patient has a hardship. Here are several policies your practices can implement to ensure compl…

1
EMR Clinical Documentation Integrity 15:34

8M ago15:34

15:34

The Electronic Medical Record (EMR) has many benefits over handwritten entries in a paper chart. EMR entries are always legible, dated, and timed. Patient information can be available at the point of care and remotely. Some EMR systems include computerized physician order entry and decision-support tools to improve patient care and safety. However,…

1
Audio-Only Telehealth in 2025 12:42

9M ago12:42

12:42

There’s a lot of confusion – and conjecture – on what to do about audio-only Telehealth while the new CMS and HHS administrations settle in under a new President in 2025. The final rule, the federal register, and the last CR made things more vague for this transition. In this episode Terry attempts to clear up these issues, giving you her best prac…

1
AWV and Medical Necessity Extras 14:33

9M ago14:33

14:33

When auditing Annual Wellness Visits (AWV), is the concept still the same as preventive exams concerning modifier 25? The AWV does not include managing medications or managing conditions. However, the rules need to see medical necessity for the E/M on the same date with a -25 modifier. Remember, patients do not have a share of cost of AWV’s so if y…

1
Top 10 Tuesday Q&A – Happy New Year Edition 21:43

9M ago21:43

21:43

This New Year’s Eve episode of the Top 10 Tuesday Q&A includes E/M Data questions, assistants at surgery, colon screenings, Telehealth extensions, and prescription drug management questions. It’s an episode you don’t want to miss. Happy New Year Everyone! Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.…

1
Did We Get a Congressional Telehealth Gift for Christmas? 6:18

9M ago6:18

6:18

In the final hour, Congress passed the American Relief Act. Telehealth was addressed and the geographical location was extended through March 2025. Terry give us the details from this HR bill in this short but sweet episode so you can enjoy your Christmas holiday. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://…

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