Codecast | Medical Billing And Coding Insights

In 2024, there will be a new add-on code for Medicare. This is a complexity code for specific long-term patients, where the provider is taking the treatment journey with the patient, in a longitudinal way. Terry goes over what the Federal Register proposal is, and who cannot consider this code in 2024. There is a […] The post What is the G2211 complexity add-on for 2024? appeared first on Terry Fletcher Consulting, Inc..

In this week’s CodeCast podcast, Terry discusses the top ten coding, billing, and compliance questions from the last month. In this information-filled episode, she covers coding for staff prolonged services codes, how a physician order must be documented, what constitutes critical care coding, and more. Subscribe and Listen You can subscribe to our podcasts via: […] The post Top 10 Tuesday Q&A – Coding, Billing and Compliance Questions appeared first on Terry Fletcher Consulting, Inc..

Providers sometimes waive patients’ cost‐sharing amounts (e.g., copays or deductibles) as an accommodation to the patient. However, doing so may violate fraud and abuse laws and/or payor contracts. From a payor’s perspective, waiving cost‐sharing amounts creates two problems. First, payors often contract with providers to pay based in part on the provider’s usual charges. The […] The post Waiving Co-Pays and Deductibles appeared first on Terry Fletcher Consulting, Inc..

Medicare has been making some under-the-radar updates that provider practices need to know. You could be seeing ineligible patients, with no current ID card, coming in for services. You could also see denials if you’re not careful. Terry updates some of the latest postings by CMS so that we are all on top of the […] The post What’s The Latest Medicare Update? appeared first on Terry Fletcher Consulting, Inc..

A question that Terry often fields is one regarding billing for pre-op visits. Should these visits be billing? There is conflicting published guidance on this question from different sources. Terry discusses the difference between pre-op visits and pre-op clearances. Is it a visit performed by the surgeon or the surgeon’s QHP? Or a provider not […] The post Can Pre-Op Visits Be Billed? appeared first on Terry Fletcher Consulting, Inc..

When a dietician or nutritionist sees a patient, their services may not covered for bariatric patients aka obesity. It is a nice option to have, but patients, would most likely, have to pay for it themselves. Medicare is clear that they will pay for an obesity screening, and two behavioral health visits, if qualified, but […] The post Registered Dietitians and Nutritionist Coding and Billing appeared first on Terry Fletcher Consulting, Inc..

Social Determinates of Health are important secondary diagnoses to help explain a patient’s circumstances when it comes to access to medical care, adherence to medical advice, and environmental factors that could hinder care. However, many practices are reporting these codes without a direct relationship to the problems addressed in the encounter. This week Terry discusses […] The post Using SDoH (Social Determinates of Health) Correctly appeared first on Terry Fletcher Consulting, Inc..

CMS has not addressed a template for audio-only Telehealth visits. Therefore, Terry offers some best practices for audio-only documentation in order to stand up to and be compliant with payer audits. Terry will also talks about when E/M services are partially complete: is there anything to bill? Subscribe and Listen You can subscribe to our […] The post Documentation Requirements for Audio-Only Visits appeared first on Terry Fletcher Consulting, Inc..

Terry revisits the rule on reporting specificity in the laterality of a diagnosis, when the physician or QHP only gives us unspecified. What can we do as coders? As a bonus, Terry also updates us on the latest “No Surprises Act” protections. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – […] The post ICD10CM Revisited on Laterality appeared first on Terry Fletcher Consulting, Inc..