Elevated troponin levels: may not be what you think!
CodeCast | Medical Billing and Coding Insights
by Terry Fletcher
6d ago
Many Coders tend to read a physician’s note and make assumptions without first reading the coding guidelines. One particular entry, which is found in many admission notes is “elevated troponin”. An elevated troponin does not always mean that a heart attack has occurred, many many coders will leap to that conclusion before reviewing the documentation. In this week’s CodeCast Podcast, Terry will clarify when this clinical symptom is a potential AMI and what to look for to confirm correct ICD-10-CM coding.  Also on the podcast is the POS war between inpatient and hospital observation coding ..read more
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ICD-10-CM “Code First” Clarifications
CodeCast | Medical Billing and Coding Insights
by Terry Fletcher
1w ago
Instructional notes in ICD-10-CM are there for a reason. “Code First” denials are happening more often, when these directions are not followed. In this jam-packed episode, Terry discusses when certain conditions have instructional notes that mandate sequencing, the rules for them, and how this impacts your reimbursement. Also, Terry shares some recent changes to the NSA rules for arbitration. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – Google Podcasts – Spotify –  Stitcher –  TuneIn – YouTube –  Amazon Podcasts – iHeart Radio – If you’d l ..read more
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Addendums, corrections and late entries to the medical record
CodeCast | Medical Billing and Coding Insights
by Terry Fletcher
2w ago
In this episode, Terry discusses late entries, addendums, or corrections to a medical record that are legitimate occurrences in the documentation of clinical services. Compliance is always an issue in this act and Terry clears up the confusion. A late entry, an addendum or a correction to the medical record, must bear the current date of that entry – and is signed by the person making the addition or change. Also, some discussion of coding NSTEMI myocardial infractions. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – Google Podcasts – Spotify –  Stitcher ..read more
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Life as a Coder Equals Flexibility
CodeCast | Medical Billing and Coding Insights
by Terry Fletcher
3w ago
As 2023 arrives, many coding professionals might be thinking about their career goals, maybe a career change, or just enhancing their current position in coding. In today’s work environment, it is important to be flexible. How does that relate to the coding professional? Flexibility ultimately leads to stability, as it provides coding departments with employees who can cross aisles to help out amidst staffing shortages. It also enables them to learn new skills to grow in their position. Terry discusses how coders and healthcare professionals alike can use the concepts of flexibility plus crea ..read more
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2023 EM Data Points Reminders
CodeCast | Medical Billing and Coding Insights
by Terry Fletcher
1M ago
For the last CodeCast podcast of 2022, Terry gives quick fire details on the new 2023 EM Rules for Data Points, plus reminders on what to make sure you are documenting to support medical necessity in the history and physical as well. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – Google Podcasts – Spotify –  Stitcher –  TuneIn – YouTube –  Amazon Podcasts – iHeart Radio – If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing:  The post 2023 EM Data Points Reminders appeared first on Terry Fletc ..read more
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Time-Based EM for 2023
CodeCast | Medical Billing and Coding Insights
by Terry Fletcher
1M ago
When using time to level your E/M visit in 2023, you need to focus on the individual patient. In this week’s CodeCast, Terry talks “time” when giving auditing tips to consider when your providers use it to level their E/M encounters. This is low hanging fruit for payers to find an issue. You want to be sure you are doing things right heading into the New Year. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – Google Podcasts – Spotify –  Stitcher –  TuneIn – YouTube –  Amazon Podcasts – iHeart Radio – If you’d like to become a sponsor of the Co ..read more
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Fractures Defined
CodeCast | Medical Billing and Coding Insights
by Terry Fletcher
1M ago
On this edition of the CodeCast, Terry Fletcher defines the laymen’s terms for definitions of all fractures, She also has an update on the 2023 rules for prolonged services. And don’t miss her personal tidbit as it may help those of you having trouble with the hard-to-buy for person this holiday season! Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – Google Podcasts – Spotify –  Stitcher –  TuneIn – YouTube –  Amazon Podcasts – iHeart Radio – If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing:&nbs ..read more
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E/M: Prescription Drug Management Defined
CodeCast | Medical Billing and Coding Insights
by Terry Fletcher
1M ago
Terry tackles a challenging topic in the appropriate documentation of prescription drug management when reporting moderate level E/M codes. Doctors need to know that adding the current medication list to the progress note is not adequate to support this level of risk. Prescription drug management is based on documented evidence that the physician has evaluated medications as part of a service that is provided. In this edition of the CodeCast, Terry breaks down the definition of PDM and how to support this part of an encounter to receive credit for it. Subscribe and Listen You can subscribe to ..read more
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EVisits the Portal Connection
CodeCast | Medical Billing and Coding Insights
by Terry Fletcher
2M ago
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. Subscribe ..read more
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Are they really extending the PHE again?
CodeCast | Medical Billing and Coding Insights
by Terry Fletcher
2M ago
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! Subscr ..read more
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