CMS released their FAQ sheet for the add-on code HCPCS G2211, to office visits. The sheet clarifies where denials and grey areas for reporting.

Tune in as Terry goes over twelve FAQs from CMS along with her commentary to best practices for this complexity add-on.

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In this episode of the CodeCast podcast, Terry discusses ABI billing, Level 5 Drug Toxicity options, Aortic Stenosis ICD-10-CM coding, and some questions related to the 2025 CMS proposals.

Listen this episode to see if any of your Coding Corner questions made the podcast cut!

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The post Top 10 Tuesday Q&A – Coding, Billing, and Compliance Questions appeared first on Terry Fletcher Consulting, Inc..

CMS proposes expanding the transfer of care modifiers, -54, -55, and -56 to better “value” the global surgery CPT codes.

However, this may cause more confusion for surgeons and medical providers who see patients for surgery or post-op only.

Terry talks about the proposal and what to expect for 2025. Also, Terry talks about the proposals for Telehealth.

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This edition of the CodeCast podcast focuses on coding heart caths. When coding for cardiac catheterizations, if you don’t have a working knowledge of this specialty it can be a bit challenging. That’s why it’s time to get back to the basics.

Terry provides some tips into this coding concept, and what to look for in your report to capture the correct CPT codes.

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Terry takes us down memory lane in an E/M refresher. She covers what changed with the CPT E/M section – that was updated in 2019, 2020, and 2021 – to get to what we have today in 2024.

Getting back to basics helps you understand why we must ensure updates in our charting workflows and EMRs continue.

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This week on the CodeCast podcast Terry returns with her Top 10 Tuesday Q&A series.

Join us as Terry covers questions covering risk support for E/M, Telehealth in the hospital setting, missed appointments, follow-up testing protocols, shared visit modifiers, and more.

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The post Top 10 Tuesday Q&A – Coding, Billing, and Compliance Questions appeared first on Terry Fletcher Consulting, Inc..

CMS published their PFS on July 10th. You have 90 days to comment and be heard on these changes including the proposed 2.93% reduction to the Physician Fee schedule.

In this edition of the CodeCast, Terry goes over the talking points and what Part B providers can expect coming into the new 2025 calendar year.

You don’t want to miss this important episode!

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The post CMS Newsroom Update: Physician Fee Schedule 2025 appeared first on Terry Fletcher Consulting, Inc..

Terry discusses when it is and isn’t appropriate to report a preventative visit with an office visit on the same date.

How did the patient present? What is the share of the cost-to-patient implications? And what will payers want to see for medical necessity?

Terry covers it all in this edition of CodeCast podcast.

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In today’s episode of the CodeCast podcast, Terry updates you on the latest CMS NCCI Edits, effective July 1st. She gives you the insight on the PTP and MUEs expected, along with some commentary and best practices on charging patients for no-show appointments.

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The post NCCI Updates 30.2 and No Show Appointments appeared first on Terry Fletcher Consulting, Inc..

Principal Care Management (PCM) services are services for a single high-risk disease, 30 minutes a month, personally provided by a physician or NPP. This is for patients with one complex chronic condition expected to last three months which places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decline, or death.

Does your patient qualify? Terry covers the details on documentation requirements (on CPT page 55) and its importance for compliance.

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