CodeCast | Medical Billing and Coding Insights

(CMS) announced amended terms for payments issued under the Accelerated and Advance Payment (AAP) program as required by recent action by President Trump and Congress. Providers were required to make payments starting in August of this year, but repayment will be delayed until one year after payment was issued.

There are automatic payment recoupment plans that will be discussed here this week, along with some coding and compliance questions that keep popping up on incident to, and staff workflow.

Terry covers all of the breaking news in this episode.

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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 week Terry continues her specialty spotlight coding with debridement coding and understanding how to choose those codes based on specific documentation language.

Terry also covers a “hot off the presses” announcement from HHS on the status of the PHE that is set to end 10/26.

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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/

Terry’s latest Top Ten Tuesday continues her focus on specialty coding. This time the spotlight is on getting you started with cardiology procedures and services with CPT and ICD-10 coding: which can be challenging to code.

Also, the new 2021 prolonged service code is out and Terry discusses the CPT versus Medicare definition.

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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 week Terry Fletcher focuses on the Gastroenterology specialty and more importantly: how to code and report a “screening colonoscopy” to Medicare or a commercial plan.

Terry also brings you a new CPT code for PPE, Code 99072, and how to document for payment.

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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/

Medical coders will get a bit of a reprieve next year when it comes to learning new procedure codes. The CPT® Editorial Panel approved fewer new codes for 2021 than usual. This is a relief considering all the coding and guideline changes being implemented Jan. 1 for evaluation and management (E/M) services. CPT focused on new Technology Codes in 2021 and Terry gives you the rundown to include:

* 329 editorial changes

* 206 new codes

* 69 revised code descriptors

* 54 deleted codes

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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/

CMS considers returning to previous rules and polices for Telehealth before the PHE. .

Many services will be expiring once the PHE ends, and there is a surprised in the proposed rule 2021 for the originating site that no one saw coming. It could change your decision to keep Telehealth in your practice or not post PHE.

Terry discusses these topics with some advice for those practices trying to decide what to do.

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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/

CMS has issued new mandates for the additional 20% payment for COVID-19 related services. APP payments are now due and robotic surgery has its challenges.

Terry covers all of those topics on this edition, the 150th episode of the CodeCast podcast!

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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

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

Terry’s Top Ten Tuesday focus this month includes a mixed bag of topics.

Terry has some new ground to cover including shoulder surgery coding, non-binary patient services, and COVID-19 ICD-10 coding, as well as answering more of your most frequently asked Coding, Billing and Reimbursement questions for the month of August.

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You can subscribe to our podcasts via:

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* 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/

CMS will allow the reporting of existing evaluation and management payment codes to reimburse eligible providers to bill Medicare for counseling services, at the time of testing.

By making reimbursement available to providers for counseling, CMS and CDC hope to stop the spread of COVID-19. However, there are rules to follow with eligible providers, and a checklist involved.

In this episode, Terry brings you all of the information you need to be compliant.

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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

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

In the last week, CMS proposed Medicare payment rules for outpatient services and physicians for 2021, including finalized payment rules for inpatient rehabilitation hospitals and psychiatric facilities.

Looking specifically at the 2021 Physician Fee Schedule proposed rule, scheduled to be published on August 17th in the IFR, it had some surprises. The Budget Neutrality Act was ignored during the PHE, so we will see cuts in some areas, increases in others, and expanded Telehealth in others.

Terry gives you the rundown in this week’s CodeCast.

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

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* 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/