CodeCast | Medical Billing and Coding Insights

New 2023 E/M Guidelines were recently proposed, each with its own interpretation.

Join Terry for a quick look at expectations for 2023 for Evaluation and Management Services, which will hopefully lead you to her webinar training schedule this fall. (Because nothing replaces actual education and materials!)

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The post Top 10 Tuesday Q&A – E/M 2023 Update Quick Look appeared first on Terry Fletcher Consulting, Inc..

Can you guess the main reason why medical billing claims are rejected? According to recent studies, most clinics account for 15-25% of inaccurately submitted monthly claims. Those inaccuracies must be corrected, resulting in an annual loss of revenue worth tens of thousands of dollars.

Among the most popular reasons medical claims return to a clinic are due to incorrectly entered or missing information. When a clinic is unable to bill the insurance company properly, a rejected claim or frequent denials can put you in a position to provide an unexpected bill to the patient.

Too much confusion around the billing process can discourage patients from visiting your clinic or, much worse, make them put off necessary treatments.

In this episode, Terry discusses the top ten coding and billing mistakes and how to lessen those errors for successful claim submission.

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The post Top 10 Coding and Billing Mistakes – Let’s Fix It! appeared first on Terry Fletcher Consulting, Inc..

There have been a lot of discussions lately on whether or not Coders are Billers and vice versa.

In the grand scheme of things, what do you want your employer (or potential employer) to consider your role as?

On this episode, Terry discusses the differences and also touches on the current status of the PHE.

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The post Are you a Coder or a Biller? Let’s find out! appeared first on Terry Fletcher Consulting, Inc..

This week Terry talks about 99211 compliance, and when it is appropriate to report the “nurse” code. Also, Medicare as a Secondary Payer (MSP) can see many denials. CMS issued a new policy on the topic: we have the details. CMS also added a new “virtual check in” G code for other ancillary staff. Find […]

The post When should I report the 99211 Code? appeared first on Terry Fletcher Consulting, Inc..