Auditing split/shared encounters can become confusing when providers, auditors, and coders are not aligned. CPT and CMS have both issued guidance to help clarify how these services should be billed.

In this episode of the CodeCast podcast, Terry breaks down where to begin when auditing and educating on Split/Shared visits, what payers are currently saying, and how to maintain compliance for physicians and NPPs to prevent payer audits or confidently address them when they occur.

She also gives a shout out to Sonda Kunzi, CPC, for her NAMAS article referenced during the discussion.

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The post Audit Tips For Split/Shared Visits appeared first on Terry Fletcher Consulting, Inc..

When auditing risk of management in an E/M note, how are over-the-counter (OTC) medications scored? Under the 1995/1997 guidelines, they were categorized in the “low” risk row. However, the 2021 guidelines provide no examples under minimal or low risk, relying instead on AMA and Medicare guidance. Terry explains this distinction and highlights the difference between an acute uncomplicated illness and an acute illness with systemic symptoms. Take a listen.

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You can subscribe to our podcasts via:

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• Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX
• TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/
• YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg
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• iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/

The post “Risk” E/M Element OTC Medications appeared first on Terry Fletcher Consulting, Inc..

Medical record signatures are more than the macro “electronically signed by Dr. Jack Jones.” A provider’s signature is a legal attestation that the physician or provider performed, reviewed, and/or agreed with the documentation. Is this actually true, or are your EMR auto-signatures taking over?

Terry discusses this critical aspect of medical record documentation compliance, with a shout-out to NAMAS for an article that also addresses the topic. Plus, a bonus update on the G0136 add-on code for 2026.

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You can subscribe to our podcasts via:

• Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627
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• TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/
• YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg
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• Pandora – https://www.pandora.com/podcast/codecast-medical-billing-and-coding-insights/PC:1000156874
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• iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/

The post MR Signature Compliance appeared first on Terry Fletcher Consulting, Inc..