CodeCast | Medical Billing and Coding Insights

There has been a lot of confusion, on when it is appropriate to bill for e-Visits, using CPT codes 99421-99423 and HCPCS codes G2061-G2063, as applicable. The patient must verbally consent to receive these services, and the patient must be informed that Medicare coinsurance and deductible would apply to these services.

Terry discusses the rules surrounding when they can be reported, and the patient’s responsibility for the initial contact. There are also global days around the services, as well. Tune in to get the 411 on rules and what providers can bill for these digital services.

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If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

The U.S. will extend the COVID-19 public health emergency through at least April 11, 2023, Biden administration officials confirmed to CNBC on November 11th.

But why? Does this make sense with the COVID pandemic virtually over?

HHS last renewed the PHE on October 13th for an additional 90 days to January 11th, 2023 — it also told states it would provide notice 60 days before if it did decide to end it, or November 11th, that didn’t happen.

Terry discusses the impact of this probable extension. just when you thought you heard everything she answers some interesting coding questions too!

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If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

The Medicare 2023 PFS and the CMS Final Rule were published on November 1st.

In this episode of the CodeCast podcast, Terry does a deep dive into the specifics so that you have an idea of what your reimbursement cuts will be, where Telehealth stands in 2023, and any new regulatory guidance for procedures that have been added.

Also, a snapshot into the 2023 E/M as Medicare sees it.

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You can subscribe to our podcasts via:

* Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627

* Google Podcasts – https://play.google.com/music/listen#/ps/Ia47t6quqphhsanlzpajk37yiga

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If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

This episode of the CodeCast Podcast discusses Preventative Medicine confusion and how to explain to your patients the difference between IPPE, AWV, and Routine Annual PEs.

Terry Fletcher will explain what is and isn’t covered.

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If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

HHS recently published a data brief on Telehealth Compliance Risks during the first year of the pandemic. It outlines what they are investigating, what you should be aware of, and how to take proactive steps to correct any errors.

In this week’s CodeCast Podcast, Terry discusses this brief along with her own commentary on corrective action plans when errors are identified.

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You can subscribe to our podcasts via:

* Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627

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* TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/

* YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg

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* iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

In this episode of the CodeCast podcast, Terry Fletcher discusses the front desk staff and how they are key to a practice’s success.

Tune in to find out how you can capture success with your front office team as Terry shares insights on how to make that position your own: and how the front desk is really the beginning for the RCM and the “information gathering” department of the office.

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You can subscribe to our podcasts via:

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If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

Making the Decision to use -25 can be a tough one because first, you need to know if the “significant separately identifiable” CPT definition was met.

Second, the coding provider must be able to defend the history, examination, medical knowledge, professional skill, and work time that was above and beyond what is usually required solely for the procedure.

Tune in to this edition of the CodeCast Podcast to help you make the determination, and answer the 25 modifier question, as Terry Fletcher will help you answer those questions, stay compliant, and provide confidence in your coding.

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If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

When a provider uses time as the factor to determine the level of care, how do they document what elements were done regarding that time?

A statement that says “greater than 30 minutes was spent…” is not acceptable.

Terry gives her insights into “time-based” coding for E/M services in 2022 and into 2023. Listen to this episode to find out what will keep you compliant and audit-proof.

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You can subscribe to our podcasts via:

* Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627

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* TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/

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* Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights

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If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

The No Surprises Act took effect on January 1, 2022, and has had dramatic effects on how U.S. healthcare providers are required to conduct their business operations.

The NSA seeks to protect patients from surprise medical bills and prohibits balance billing of patients for certain out-of-network care. However, there is still confusion in medical practices where patients do not understand the rules.

In this edition of the CodeCast Podcast, Terry has an NSA Top Ten Tuesday of the most FAQs for the No Surprises Act to clarify this confusion.

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You can subscribe to our podcasts via:

* Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627

* Google Podcasts – https://play.google.com/music/listen#/ps/Ia47t6quqphhsanlzpajk37yiga

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* Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights

* iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

October 1st is the effective date for the biggest change in diagnosis coding in a few years. There will be almost five times as many new codes in 2023 than there were in 2022.

On this edition of the CodeCast podcast, Terry breaks down the most impactful changes.

With 1,179 new codes (153 in 2022), 288 deleted codes (30 in), and 28 revised codes (22 in 2022) there is a lot to talk about!

The hypertensive crisis is discussed. Join us for these important updates.

Subscribe and Listen

You can subscribe to our podcasts via:

* Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627

* Google Podcasts – https://play.google.com/music/listen#/ps/Ia47t6quqphhsanlzpajk37yiga

* Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX

* Stitcher – http://www.stitcher.com/s?fid=156874

* TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/

* YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg

* Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights

* iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/