CodeCast | Medical Billing and Coding Insights

This week Terry talks about 99211 compliance, and when it is appropriate to report the “nurse” code.

Also, Medicare as a Secondary Payer (MSP) can see many denials. CMS issued a new policy on the topic: we have the details.

CMS also added a new “virtual check in” G code for other ancillary staff. Find out if you can report it on this episode of the CodeCast Podcast.

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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/

It’s Top Ten Tuesday time as Terry answers questions on depression screening, alcohol misuse screening, and smoking cessation.

There are also ABN compliance questions along with coding for burning your mouth… on hot sauce!

Also, have you ever heard of DM 1.5? We have the coding details.

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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/

On this episode of the CodeCast, Terry focuses on February’s Heart Health Month, where many of us are wearing red to bring awareness to good cardiovascular habits and good heart healthy habits.

Taking that to heart, Terry takes a look at cardiology coding as a focus, since so much has been addressed with COVID during the past year.

She reminds us to not neglect your heart! (Or other possible issues that can arise!)

Continuing with the theme, Terry cites examples of Cardiology E/M 2021 records that show the contrast of using time vs using MDM. You may be surprised because so many providers are defaulting to time as their leveling agent: and it is hurting their reimbursement profile.

Also discussed is a timeline for ICD-11-CM; taking a break from it all for healthy minds as well as a healthy heart.

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

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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 COVID-19 emerged in early 2020, new ICD-10-CM codes to identify this condition were not available. Subsequently, they were added by the CDC mid-year, and the guidelines for reporting COVID-19 changed many times as the pandemic evolved throughout 2020.

Terry discusses the correct application of ICD-10-CM “Z” codes to report encounters for COVID-19 testing and to ease the confusion. She gives scenarios, that were recently published by AHIMA, to illustrate the differences between coding for COVID-19 in 2020 and 2021.

Also, follow up this podcast with our blog at www.terryfletcher.net.

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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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* 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/

Incident to rules have been a target of compliance lately with payers.

Terry revisits the rules and gives some scenarios on when services can be billed under the physician and/or the APP.

Audits have arrived: let’s make sure we are compliant in all aspects of our billing processes for our NPs and PAs.

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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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* 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/

After presenting over 30 Webinars on the 2021 E/M Guidelines, Terry continues receiving questions about clarifications on what AMA and CMS are expecting when medical providers are documenting in a patient’s chart.

This week, our Top 10 Tuesday Q&A addresses many of those questions and more!

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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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* 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/

With a new administration coming into the White House, what CMS policies will continue and which ones will be halted or rolled back?

Terry discusses what a new administration could mean for patients and hospitals, but also your bottom line if certain regulations are changed under the Biden administration. The 2021 inpatient surgery list elimination process has started, and the PHE extension comes with more temporary fixes.

Listen this week to get the scoop.

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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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* 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/

This week on the CodeCast Podcast, CMS once again threw us for a loop by not only doubling the 3.75% increase to the 2021 Fee Schedule but also the extending the PHE.

What does that mean for medical practices?

Join us this week for important updates as Terry discusses the impact of these changes as well as clarifying the EM MDM Data Point and Risk question.

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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

* 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/

Join us for this important update, as we are now into the New Year.

It’s time to make sure we understand the Myths and Realities of the MPFS and what the December 28th COVID Relief Bill signed by President Trump did to the projected Medicare reimbursement.

Terry will also discuss the PHE services that have been added, the ones still in effect, and what will end as soon as the PHE ends (which is anticipated later this month).

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

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

This week Terry has some fun with coding by giving you the Top 10 holiday related ICD-10-CM codes for your last week of the year.

These will show up as chief complaints of patients!

Is there a Code for a Christmas tree falling on you? Yes, there is a code for that.

Also, Terry updates everyone on the COVID-19 Relief Bill if it does or doesn’t pass, what to expect for the Medicare Physician Fee Schedule impact.

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

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