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One search box across the whole catalog, titles and show notes alike. It earns its keep when you half-remember a case, a device or a name and want the conversation it came up in.
5,508 episodes · 33 shows
Surgery Coding: Dissecting an Operative Note
I get many questions about how to read and dissect an operative report. In an effort to answer some of those questions I have decided to talk about the process in this episode. Operative Report Elements Getting Organized Understanding the M…
Telehealth challenges during the PHE and Beyond 1 CEU available
During the Public Health Emergency our world in the Business of Healthcare is constantly changing. One area we see constant movement in is Telehealth Services. Today my special guest Christine Hall and I will discuss this topic and some rem…
Be successful with Evaluation and Management in 2022
I'm going to make E/M coding easy for you in 2022 and review how to use the official AMA®️ MDM Table to level your codes. Plus key areas of Strategy for your practice. There will be 1 a CEU for this bonus episode if you are an All Access or…
Risk Adjustment: Data driven Healthcare
In our first episode of Season 5 we are hitting the ground running with a popular topic. Creating a Risk Adjustment Education experience for Coders and Facilities will be so valuable for the Industry and help improve the quality of patient …
An Orthopedic Review and what's new in 2022 1 CEU
There are many new changes to Orthopedic Coding in 2022. I will discuss those changes and how to be successful in reimbursement for these services. I will talk about the challenges I faced as a new coder and how I have been successful in Or…
Stay Compliant with Copay Collections
Did you know that Copay collections are required when you enter into a contract with an Insurance payer and that Routine Waiver of copays is against many Federal laws and regulations Including the Civil Monetary Penalties Law (CMPL), Anti-K…
Radiology Reimbursement: Documentation and Modifiers
Today we will discuss the various guidelines for reporting diagnostic services, Radiology Documentation requirements and Common Modifiers Objective: Section IV of the Official ICD10-CM Guidelines CMS IOM 100 Guidelines for Documentation LCD…
Navigating the Credentialing Maze
Today we discuss the Maze of Provider Credentialing and Important reasons to Credential your Facility and Provider with an Insurance company. Objective: Using PECOS and CAQH Importance of Payer Contract Negotiations Updating Provider Enroll…
Know your EOB and Denial Codes
Do you struggle with EOB Language and Denial Codes? Do you know how to understand the NCCI Manual or how to use an Encoder? All of these things are crucial to understand as a coder or a biller. If you are a Office Manager or Physician you w…
The Anatomy of the Medical Coding Career
Today I will be talking about my career path and how to navigate your career path in a similar way. I give you my take on the main Coding Certifying Industries AAPC® and AHIMA®. I am certified in both and I love them both for what they offe…
Bonus: Maternity Global Billing and Anesthesia
Listen to our Bonus Episode of Life as a Coder featuring the one and only Kimberly Jolivette Williams CPC CPB CPMA CANPC CCC CEMC as we discuss Maternity Billing and Anesthesia. There will be 1 CEU available for All Access and VIP Patreon S…
Interview with Tech Giant Bettina Hein
Join me as I Interview Bettina Hein.Bettina Hein is a serial software entrepreneur that has built technology companies in both Europe and the United States. She is most recently the founder of digital health startup juli, her third software…
Spinal Fusion Coding CPT and PCS
Spinal Fusion coding can be complex especially if we do not understand Spinal Anatomy, Coding Guidelines and Payer Requirements. CMS and AMA can differ in their interpretation of documentation and bundling of Laminectomy and Arthrodesis. Do…
Global Billing, Modifiers and GI Examples 1 CEU
Modifiers can be confusing since we have so many of them. There are CPT® modifiers and Payer specific ones to navigate through. Today we will focus in the most commonly used ones with the Global Package and how to know when to apply them We…
Getting to Know your ICD10-CM Manual and No surprise Billing
As a Coder or Biller it is very important that we all understand the proper use of our Coding Manuals as the improper use of them can impact claims payment and increase denials of we do not follow the guidelines. The more we understand the …
Bonus: Coding with Authority and Orthopedic Reminders 1 CEU
In this episode we will talk about coding with Authority and the importance of using the right resources when we do research and when we educate physicians. We will also talk about some items to remember when coding for Orthopedic Services …
Prior Authorization Transparency and Effectiveness
Learn the importance of Prior Authorizations and how to protect your practice revenue as well as help ensure your patients are taken care of. We will discuss: Common Pitfalls Need for Communication Written policies Staff education Check out…
Keep your Eye on Ophthalmology and Optometry Reimbursement
Ophthalmology and Optometry Coding and Billing has its own little niche that has many areas to be aware of: Coding and Billing CPT/ICD10-CM Injections EM vs Ophthalmic Eye Codes Surgical Coding Complexity New Codes 2022 Prior Auth Cornea Tr…
Breaking down Evaluation and Management 2021 with Betty Hovey
We want to introduce our special Guest Betty Hovey Of Compliant Healthcare Solutions. She has over 30 years in the healthcare field, working with small and large facilities. Betty worked for Karen Zupko & Associates as a senior health c…
Bonus: Risk Adjustment Exam Tips
We will review the different areas of the Risk Adjustment Exam and how to network to get your first Risk Coding JobObjective: How to Become a Remote Risk Adjustment Coder Different Risk Models Provider Documentation ICD10 Guidelines Here ar…
ICD10-PCS Basic Structure
Let's learn the basic Structure of ICD10-PCS. It's so fun to code PCS. ● Root operations ● Approach ● Device and Qualifiers● ExamplesWant to learn more? Join myself and Betty Hovey at Virtual Healthcare Summit 2021 September 10-12 and earn …
Cardiovascular Coding: ICD’s, LCD’s and the Dialysis Circuit 1CEU
In this episode we will break down the coding guidelines and discuss examples for Pacemaker and Defibrillator coding. We will also talk about the NCD/LCD policy for AICD and of course I will give you PCS coding tips. We will review the code…
Industry Perceptions with Dr Hale Hedley
In this episode I decided to Interview a Physician. Dr Hale Hedley is a Physician and Entrepreneur. Dr. Hale E. Hedley received an undergraduate degree in business with high honors from the University of Maryland. He went into the legal fie…
BONUS: Vaccination Station and What’s New in 2022
We have our first Bonus episode talking about common coding areas that are misinterpreted for coding exams and common denials. Plus Join us as we dig into some new guidelines that are out now for 2022 and go into effect 10/1/2021.Review:● V…