In this episode of the CodeCast Podcast, Terry Fletcher answers key medical coding and billing questions in a detailed Q&A session designed for coders, billers, auditors, and healthcare providers.

This episode covers E/M coding with minor procedures and when services can be billed separately, RTM (Remote Therapeutic Monitoring) for CPAP patients, CO-96 Medicare denials including what they mean and how to properly appeal, along with real-world coding scenarios and expert guidance to help improve reimbursement and reduce claim denials.

If you’re looking to stay compliant, optimize your coding practices, and better understand payer requirements, this episode delivers practical, actionable insights you can use immediately.

Be sure to subscribe to the CodeCast Podcast for weekly updates on medical coding, billing, and compliance.

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Find all of Terry’s official links in one place: https://www.terryfletcher.net/links

The post Top 10 Tuesday Medical Coding Q and A appeared first on Terry Fletcher Consulting, Inc..

You receive a payer inquiry questioning level 4 services… so you open the note and see:

“Patient here for follow-up. Doing well.”

That’s it.

Now you’re stuck defending a level of service that the documentation doesn’t support.

In this episode of the CodeCast podcast, Terry breaks down a common challenge in healthcare organizations—how to educate providers on documentation without defaulting to scolding or generic feedback that doesn’t stick.

Using real-world examples, Terry explains how to shift the conversation from criticism to clarity—helping providers understand how to document the patient story, support medical necessity, and protect reimbursement.

If your current education approach isn’t changing behavior—or your providers keep defaulting to template-style notes—this episode will give you practical, effective talking points that actually make a difference.

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Find all of Terry’s official links in one place: https://www.terryfletcher.net/links

The post Educating Physicians Without Scolding appeared first on Terry Fletcher Consulting, Inc..

If you spend your days auditing charts, you’ve seen it: diagnoses are listed, medications are “continued as prescribed,” and a plan is documented — yet something important is missing.

In this episode of CodeCast, Terry explains how small documentation improvements can make medical decision making (MDM) clearer and more defensible. Learn how generic or repetitive macro phrases can unintentionally invite payer scrutiny, and what clinicians can do to better reflect the true complexity of the encounter.

With payers increasingly using AI tools to review and downcode E/M services, clear documentation is more critical than ever. Every note should answer the essential question: Why is the patient here today?

Tune in for practical tips to strengthen your documentation and reduce audit risk.

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Find all of Terry’s official links in one place: https://www.terryfletcher.net/links

The post Moderate MDM — Is It Clear in the Medical Record? appeared first on Terry Fletcher Consulting, Inc..