Did you know this is a HIPAA violation?
CodeCast | Medical Billing and Coding Insights
by Terry Fletcher
4d ago
In this week’s episode of the CodeCast podcast Terry discusses collecting information on medical practice websites. How you collect data on a website is equally as important as the data itself. If a patient doesn’t mention a medical condition, their information may still be considered as PHI. Terry covers requirements, such as PHE and ePHI access, securing data in an encrypted manner or HIPAA-compliant location, and having a system in place to destroy sensitive data that is no longer needed. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.apple.co ..read more
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E/M Services: Stable or Unstable Chronic Conditions?
CodeCast | Medical Billing and Coding Insights
by Terry Fletcher
5d ago
Terry discusses how to be accurate in your documentation when picking the low, moderate or high element(s) of MDM. When listing “problems addressed” in your E/M record, and considering chronic conditions, the definition of a stable, chronic illness, per AMA/CPT states, “stable” to categorize MDM as defined by the specific treatment goals for an individual patient. A patient who is not at his or her treatment goal is not stable, even if the condition has not changed and there is no short-term threat to life or function. By this definition, a patient might be living with a chronic condition that ..read more
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Coding and Billing The “Unlisted Code”
CodeCast | Medical Billing and Coding Insights
by Terry Fletcher
5d ago
CPT says: “If no specific CPT or HCPCS code exists, then the procedure must be reported using an appropriate unlisted CPT code.” Unlisted CPT codes, when reported with appropriate documentation, should be reimbursed. It is the responsibility of the surgeon, and the coding or billing staff, to report unlisted CPT codes and follow up with payors if a claim is denied. On this episode of the CodeCast Podcast, Terry Fletcher will dive into this topic to help you with successful unlisted procedure claims. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts ..read more
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Top 10 Tuesday Q&A – Coding, Billing and Compliance Questions
CodeCast | Medical Billing and Coding Insights
by Terry Fletcher
5d ago
Join Terry Fletcher on this week’s CodeCast as her Top 10 Tuesday returns. Terry has a packed podcast as she answers questions about G2211, 99459, and new versus established patients. This is one episode you don’t want to miss for insights and resources to your most important coding, billing, and compliance questions. 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 – htt ..read more
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Reporting eVisits 99421-99423
CodeCast | Medical Billing and Coding Insights
by Terry Fletcher
5d ago
Did you know there are CPT codes for online digital E/M services? CPT codes 99421-99423 are for use by physicians, physician assistants, and advanced practice nurse practitioners performing brief online E/M services via a secure platform. (Like a patient portal.) What is required to bill for these services? Consent? Interactive Conversation? Modifiers? POS? And what is CBTS? Tune in as Terry discusses this topic, and more, to find out if this revenue opportunity and patient value-added service is something you should report. Subscribe and Listen You can subscribe to our podcasts via: App ..read more
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2024 Telehealth Checklist
CodeCast | Medical Billing and Coding Insights
by Terry Fletcher
5d ago
This episode of the CodeCast is sponsored by DecisionHealth LLC, Part B News. The PHE, public health emergency, ended on May 11th, 2023. However, the confusion on reporting Telehealth services continues. It is imperative to be up-to-date on all of the current published guidance. In this episode, Terry shares her Telehealth services tips and checklist that will help you stay compliant (primarily for Medicare) in 2024. Terry discusses changes that will impact all medical practices engaged in using Telehealth for many of their office visit and hospital visit encounters. Subscribe and Listen ..read more
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Concerns About AI in Healthcare for 2024
CodeCast | Medical Billing and Coding Insights
by Terry Fletcher
5d ago
*** CORRECTED AUDIO *** The generative artificial intelligence (also known as “AI”) boom is in full swing now. Terry has been researching AI in healthcare: some people are thrilled with it, while others are not. Is scraping the web for training data ethical? Who decides whether AI documentation and “expertise” is any good? How should copyright law apply to AI-generated work? Where is the oversight to deter biases and hallucinations? In this episode, Terry illustrates the resistance to using AI and asks tough questions to advocate for safeguards to make sure technological progress doesn’t ..read more
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2024 Pelvic Exam Add-On Code
CodeCast | Medical Billing and Coding Insights
by Terry Fletcher
5d ago
This week on the CodeCast Podcast, Terry explains the new 2024 CPT add-on code +99459 for pelvic exams when assistant clinical staff is needed to help the physician. Check out today’s episode to make sure you know what the documentation and coding rules are before diving into this situation. 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/1lA69 ..read more
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When to use the new SDoH add-on code
CodeCast | Medical Billing and Coding Insights
by Terry Fletcher
5d ago
A physician, non-physician practitioner (NPP), or clinical psychologist can assess a patient who they suspect may have unmet needs (defined as Social Determinants of Health or SDoH. In 2024 CMS is adding another G-code for SDoH assessment during an E/M encounter. This is for an assessment: not a screening. This service is not intended to be a screening done on every patient and cannot be performed via a portal exchange. Tune in this week to learn more about this code, the reimbursement process, and any frequency rules. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts ..read more
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7 Elements of a Successful Compliance Program via OIG
CodeCast | Medical Billing and Coding Insights
by Terry Fletcher
5d ago
In this episode of the CodeCast Podcast, Terry Fletcher discusses the seven elements of an effective compliance program. Last month, HHS-OIG outlined and updated this guidance. With a broad spectrum of healthcare entities, staff, and providers playing a role in healthcare delivery today, this information can be generally applied across the entire healthcare industry or with small and large medical practices alike. 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 Podca ..read more
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