Episodes
49
Latest episode
Aug 2026
Language
EN-US
Taking the Business of Medicine to the next level
What are we anticipating for 2027 in the MPFS? This week Terry gives us a rundown on what to expect, how to respond before the comment period ends, and what needs to happen to strengthen our private practice providers. Listen in… Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post CMS Fee Schedule Proposals appeared first on Terry Fletcher Consulting, Inc..
Incident-to Billing Update: More Blue Cross Blue Shield plans, along with the three largest commercial insurance carriers, are tightening their policies on the reporting and reimbursement of services billed under Medicare’s “incident-to” guidelines. In today’s episode of the CodeCast Podcast, Terry reviews these recent policy changes, highlights key effective dates, and explains what physicians, coders, billers, and practice managers need to know before submitting claims. Tune in to learn how these evolving payer requirements could impact your reimbursement and the compliance steps you should be taking now. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post Incident to Update: Commercial Plans appeared first on Terry Fletcher Consulting, Inc..
With more patients turning to large-language models such as ChatGPT, Gemini, Claude and others to answer their questions about symptoms, medical conditions and more, the American Medical Association (AMA) is offering some go-to advice that will help patients get more out of their experience with AI chatbots while staying safe. The key to effectively using AI chatbots, is to understand they are not a replacement for a physician. Terry discusses the AMA 5 steps to AI ChatBot safety and what physician practices need to do to protect patients in this uncertain and sometimes, unchecked reality. AI chatbots are not as a substitute for the evidence-based, personalized guidance of an actual doctor. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post AI ChatBots Are Not Physicians appeared first on Terry Fletcher Consulting, Inc..
In today’s episode of the CodeCast podcast, we’re breaking down why E/M time belongs to the physician or qualified healthcare professional performing the service, why time from other team members cannot be combined to support the E/M level (in the office setting), and an important Medicare reminder: shared visits do not apply in the office or other outpatient setting. Let’s dive into the rules so you can code with confidence and avoid a common compliance pitfall. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post Can ancillary staff be part of shared services under E/M? appeared first on Terry Fletcher Consulting, Inc..
Terry tackles a growing compliance issue in telehealth: where the patient is located at the time of the visit. While physicians generally must be licensed or otherwise authorized to practice in the state where the patient is physically located, evolving payer policies and Medicare rules have added new layers of complexity. From commercial insurance requirements to CMS guidance on services provided outside the United States, Terry explains what providers need to know to remain compliant and avoid costly reimbursement pitfalls. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post Telehealth: Where the Patient is or Where the Provider is? appeared first on Terry Fletcher Consulting, Inc..
Artificial intelligence is advancing faster than the laws designed to regulate it. While individual states continue to enact legislation governing the development and use of AI, the federal government is simultaneously working toward a nationwide regulatory framework that could preempt many state laws. In this episode of the CodeCast Podcast, Terry examines the evolving legal landscape surrounding AI, the current lack of mandated safeguards, and the ongoing tension between state and federal oversight. She also discusses the compliance and operational risks healthcare organizations should be considering now, along with practical best practices to help mitigate those risks as AI becomes increasingly integrated into healthcare. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post How Safe Is AI in Healthcare? appeared first on Terry Fletcher Consulting, Inc..
Every CMS-1500 claim includes a set of certifications, attestations, and legal statements printed on the reverse side of the form. While these statements may seem like standard administrative language that has been around for decades, they carry significant legal and compliance implications. In this episode, Terry breaks down what these certifications actually mean and why every claim submitted is a legal representation that the services billed were properly documented, medically necessary, accurately coded, and provided in compliance with applicable regulations. She also explains why understanding these attestations is essential to maintaining a strong revenue cycle management (RCM) workflow, reducing compliance risk, and helping organizations avoid costly payer audits. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post CMS-1500 Form Compliance appeared first on Terry Fletcher Consulting, Inc..
Released on June 5, 2026, the ICD-10-CM update includes 190 new codes, 30 deleted codes, and four revised codes. While these changes take effect on October 1, 2026, they are considered part of the FY 2027 ICD-10-CM update because the code set follows the federal fiscal year publication cycle. In today’s episode, Terry breaks down some of the most notable additions and revisions, explains what healthcare professionals need to know before implementation, and shares practical insights on how these updates may impact coding and documentation. As a bonus, Terry also addresses a telehealth question that continues to generate confusion and discussion across the industry. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post Preparing for the 2027 ICD-10-CM Updates appeared first on Terry Fletcher Consulting, Inc..
A growing concern among auditors, coders, and compliance professionals is the increasing reliance on template driven documentation. While electronic health records have improved efficiency, copied, carried-forward, and pre-populated information can create significant compliance risks when it does not accurately reflect the patient’s current encounter. Auditors frequently identify contradictory statements, outdated histories, normal findings that conflict with the assessment and plan, and documentation that appears disconnected from the services actually provided. Simply completing documentation fields does not create credible documentation. On this episode of the CodeCast Podcast, Terry discusses why E/M documentation is not a checklist, the compliance risks associated with template generated notes, and practical strategies to ensure your documentation accurately tells the patient’s story and supports the care delivered. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post E/M Documentation Is Not a Checklist: Tell the Patient’s Story appeared first on Terry Fletcher Consulting, Inc..
At some point, we have to stop and ask ourselves: What are we truly building for our future? Where is our career in healthcare going? I have all of these credentials in coding, billing, compliance, practice management, and prior authorization, but what does that really say about me? I want to be clear that I believe credentials matter. I know the work, time, money, and dedication it takes to earn them. However, we also need to be honest with ourselves about something that is becoming increasingly obvious in healthcare: collecting credentials alone is not a career plan. AI is changing healthcare, and we need to start looking at the bigger picture. Terry discusses what that means in today’s episode of the CodeCast podcast and asks the questions that may be uncomfortable to consider. Subscribe and Listen Find all of Terry’s official links in one place: https://www.terryfletcher.net/links The post Credentials Alone Are Not a Career Path in Healthcare appeared first on Terry Fletcher Consulting, Inc..
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