Terry A Fletcher (CodeCast #podcast 🎙)

New episode alert! 🎙️ Terry dives into one of the biggest pitfalls in coding and CDI, skipping straight to the Assessment & Plan to pick a level. Are you missing critical details that support MDM, risk, or time? She also highlights a common habit among surgery coders: coding…

Terry explores the critical role coders and auditors play in holding providers accountable. From reviewing clinical documentation and medical record notes to verifying patient eligibility, addressing cases where minors receive treatment without a parent present, and identifying…

In this episode, Terry breaks down the upcoming Prior Authorization pilot programs launching for Medicare Part B Professional Services on January 1, 2026, and for Ambulatory Surgical Centers starting December 15, 2025. She also shares the latest Telehealth updates and how to…

New CodeCast Episode! Terry clears up a big E/M coding myth: simply writing “continue meds” or listing prescriptions isn’t enough for 99214/99204. Payers want to see clinical reasoning, risk assessment, and patient counseling tied to medication management. (Fixed Audio) Tune in…

Split/Shared vs. “Incident To”,  are you mixing them up? A split/shared visit happens when a physician and an NPP from the same group both contribute to an E/M service in a facility setting. The bill goes to whoever delivers the substantive portion of the visit. But it’s not the…

Today, on Patriot Day, we remember the lives lost, the heroes who sacrificed everything, and the families who continue to live with the weight of that day. We will always honor their memory and carry forward the resilience, unity, and strength that define our nation.…

Join me and Stephanie Allard for what’s next in Telehealth come 10/1 and 2026.

In this week’s episode of the CodeCast Podcast, Terry Fletcher previews potential Telehealth updates and changes set to take effect on October 1. She also discusses how major surgery can be considered a risk factor in Evaluation and Management coding, and explains the importance…

The most important video on social media today! RFK Jr. just exposed how the CDC ordered scientists to destroy vaccine-related autism data. “The CDC did an internal study… and looked at children who got the MMR vaccine on time and compared those to kids who got them later.”…

🚨 RFK JR just UNLOADED on bureaucrats at the CDC: "We are the SICKEST country in the world. That's why we have to FIRE people at CDC. They did not do their job! This was THEIR job to keep us healthy!" "This morning I got a the latest numbers from CDC that 76.4% of Americans…

In this week’s episode, Terry takes a deep dive into the hidden risks of undercoding. From assigning lower-level codes to documenting inaccurately, this practice may seem “safe,” but it can lead to reduced reimbursement, skewed provider data, and compliance headaches. 🎙️ Tune in…

Finally.

Happy Labor Day from Terry Fletcher Consulting  Today, we proudly recognize the healthcare professionals who care, lead, consult, and support often without pause. From clinicians to coders, administrators to auditors, your work keeps the system strong. And to the millions of…

Bilateral billing under fire! In this episode of CodeCast, Terry unpacks the clash between Medicare and commercial payers over Modifier 50. While Medicare may reimburse at 150% depending on the bilateral indicator, many payers are rejecting bilateral claims, leaving providers…

New on CodeCast Podcast — Episode 409: G0101 & Preventive Billing! Medicare covers two key HCPCS codes every 2 years, G0101 (pelvic & clinical breast exam) and Q0091 (Pap smear collection), but they’re not considered comprehensive preventive services. In this episode, Terry…

For the 2023 reporting period, CMS E/M CERT Data shows, insufficient documentation accounted for 34% of improper payments for overall E/M codes, while no documentation (7.5%), incorrect coding (52.4%), and “other” errors (6.1%) caused other improper payments. In today’s CodeCast…

The FY 2026 ICD-10-CM Official Guidelines are out, and in this episode, Terry Fletcher breaks down the key updates and what they mean for your coding workflow. She dives into new considerations for diagnosis coding in heart disease, HIV, and diabetes, along with how to apply the…

CMS and NCHS have released the FY 2026 ICD-10-CM guidelines, effective Oct 1, 2025, introducing key changes to condition-specific codes and broader coding conventions to improve clinical accuracy and healthcare reporting. Learn more: hubs.la/Q03zhNY30

One month ago, insurance executives came to our offices and agreed, voluntarily, to remove the burdensome preauthorization process for 80% of treatments. Thank you, @DrOzCMS, for your leadership on this issue.

Join Terry on the latest CodeCast podcast as she tackles your most pressing medical coding and compliance questions in our "Top Ten Tuesday" segment! Terry clears up common misunderstandings and provides clarity on complex ICD-10-CM coding scenarios. Get expert tips to improve…