Terry A Fletcher (CodeCast #podcast 🎙)

Medical record signatures are so much more than a macro that says “electronically signed by Dr. Jack Jones.” A real provider signature is a legal attestation, confirming they actually performed, reviewed, or agreed with what’s documented. But… is that what’s truly happening in…

Happy Thanksgiving from Terry Fletcher Consulting! Today, we’re taking a moment to reflect on how grateful we are for the incredible professionals who keep healthcare moving, coders, billers, auditors, consultants, and everyone behind the scenes, making a real impact. We hope…

Across the country, payers are quietly down-coding E/M visits,  no ADRs, no notices, just reduced reimbursements based on algorithms instead of your documentation. 😒 In today’s CodeCast episode, Terry breaks down what’s really happening, why it matters, and what you can do…

Finally a voice of reason and common sense

Many mistakes happen in audits because the chart is viewed like a coder, not an auditor. But auditing requires a wider lens. It’s not just “What was coded?” It’s what happened before, during, and after the encounter, and does the documentation truly support it? When we miss that…

Today, we pause to honor all who have served. Veterans Day is a time to reflect on the courage, sacrifice, and dedication of the men and women who have worn our nation’s uniform. Their commitment to protecting our freedoms reminds us that liberty is never taken for granted. We…

The September 2025 CPT® Assistant raised key questions about how to correctly level an E/M visit for an acute, uncomplicated illness or injury. Many providers are coding Level 4 just because an antibiotic was prescribed, but that might not tell the full story. Terry Fletcher…

Medical billing and coding might sound like one job, but they’re actually two distinct professions that work hand in hand to keep the healthcare revenue cycle flowing. From patient registration to insurance reimbursement, billers and coders collaborate with providers, payers,…

🚨 Democrats shut down the government fighting for FREE healthcare for illegal aliens. Meanwhile, @POTUS is DELIVERING real results to LOWER costs for Americans. 📰 @DrMakaryFDA, @DrOzCMS: 'People talk about lowering healthcare costs, but the Trump administration is doing it'

Happy Halloween! Grab your broomsticks and candy buckets because it’s time for some spooky fun ! Whether you’re out haunting the neighborhood or staying in for a scary movie marathon, may your night be filled with chills, thrills, and plenty of treats. #HappyHalloween…

As more practices start offering preventive and screening services, questions about billing Medicare G codes are on the rise. In this week’s episode, Terry Fletcher explains when it’s appropriate to bill for preventive services, which providers qualify, and what requirements…

CMS has clarified its position on Medicare payments, stating that only select claims will be held, a sharp turn from earlier reports suggesting a broader halt. But what about Telehealth and other temporary policies that expired October 1? 🤔 In this week’s 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…