Podcast appearances and mentions of terry fletcher

SummaryIn this conversation, Sean Weiss and Terry Fletcher discuss the complexities of accountability in healthcare billing and coding. They explore the challenges providers face in ensuring compliance, the role of coders, and the importance of accurate documentation. The discussion highlights the need for clear communication and responsibility among all parties involved in the billing process, emphasizing that while providers have ultimate responsibility, everyone in the chain must be held accountable for their actions.TakeawaysProviders must ensure accuracy in claims submitted to insurance companies.The buck stops with the provider, regardless of third-party involvement.Coders should not make clinical decisions without proper credentials.There is a significant issue with billing compliance in healthcare.Providers need to educate their staff regularly on coding and billing guidelines.The importance of maintaining meticulous documentation cannot be overstated.Everyone involved in the billing process shares responsibility for compliance.Bad advice from consultants or attorneys can lead to serious consequences.The healthcare billing process is often a vicious cycle of blame.Providers should be proactive in understanding their billing practices.

Are Dental Billing and Medical Billing the Same Thing?Terry Fletcher discusses the similarities, differences, and where crossover between dental and medical billing.Tune in for advice that can assist clients on both sides to be accurate in their coding and billing processes.

SummaryIn this episode, Sean Weiss and Terry Fletcher discuss the complexities of healthcare compliance, emphasizing the importance of understanding various regulations, authoritative documentation, and the necessity of thorough preparation for audits and investigations. They highlight the challenges faced by medical practices in navigating compliance issues and the critical role of state regulations in healthcare. The conversation underscores the need for healthcare professionals to dig deeper than just relying on CPT codes and to be well-informed about the various guidelines and policies that govern their practices.TakeawaysHealthcare professionals often lack understanding of compliance requirements.CPT codes are just one part of a larger compliance framework.State regulations can supersede federal guidelines in healthcare.Authoritative documentation is crucial for defending practices.Audits are becoming increasingly common in healthcare.Relying solely on CPT can lead to compliance issues.Healthcare providers must be prepared for inquiries from payers.Understanding acronyms like E&M and CMS is essential for providers.Consultants play a vital role in navigating complex regulations.Continuous education and awareness are necessary for compliance.

What is the toughest race in the world?   According to The Nxorth, the Arrowhead 135 is a strong contender. With an average finish rate below 50%, Race Director Ken Krueger and his team have crafted an event that's as grueling as it is rooted in old-school camaraderie and a close-knit, family-like community. Finishers Bob Crowley and Terry Fletcher share their preparation strategies, gear tips, and experiences battling both the elements and their own limits. The discussion covers crucial topics like mental toughness, cold-weather clothing strategies, and dealing with physical challenges like blisters and trench foot. They also highlight the strong sense of community among racers and how enduring such harsh conditions fosters deep camaraderie. Listeners will gain insights into the race's selective application process, its unique draw for returning participants, and how events like these promote personal growth and self-discovery. Check out Bob's VIDEO from his experience in 2025  History Expeditions and their YouTube Channel Episode Sponsors: Janji, Use code TRAILRUNNER for 10% off Peluva, 15% off with code TRAILRUNNER Wonderful Pistachios FREE! Trail Runner Nation's Trail Triage app

In this edition of AAPC Social Hour, Terry Fletcher discusses updates to Telehealth 2025 and the final rule. We're also joined by members of AAPC's National Advisory Board to explore the Emerging Leaders program, now accepting applications through January 31, 2025. Learn more and apply here: https://www.aapc.com/training-and-events/emerging-leaders-program #telehealthcare #finalrule #aapc #aapcemergingleaders #medicalcoding #medicalcoder  

Summary In this episode, Sean and Terry Fletcher discuss the complexities of prior authorization in healthcare, emphasizing its critical role in the reimbursement process. They explore the misconceptions surrounding prior authorization, the disconnect between healthcare providers and payers, and the challenges posed by Medicare Advantage plans. The conversation highlights the importance of compliance, medical necessity, and the legal aspects of prior authorization, providing insights for healthcare professionals navigating this intricate system. Takeaways Prior authorization is essential but does not guarantee payment. There is significant misinformation about prior authorization processes. The volume of prior authorization requests has been increasing annually. Medicare Advantage plans often complicate the reimbursement process. Providers must understand their insurance coverage limitations. Patients often believe all services requested by doctors are covered. Compliance in prior authorization is crucial for healthcare organizations. Medical necessity must be documented alongside prior authorization requests. The process for obtaining prior authorization can vary significantly by payer. Healthcare providers need to be proactive in managing prior authorizations.

Many practices hire nurse practitioners and physician assistants (known as mid-level providers) along with RNs, MAs, and other clinical staff. Still, sometimes the lines get blurred on what services they can individually provide. Terry Fletcher, with fellow healthcare consultant and industry expert, Betty Hovey, discusses these compliance issues and gives medical practices insight into the pros and cons of these hires.

Healthcare policies, Medicare cuts, and election year promises and rhetoric all affect how a patient will receive or not receive benefits. We have so many Congressional policy rules on the table that will impact not only Medicare patients, but all patients as we may get a new HHS director as well when the presidency changes. Listen to this episode of the Edge podcast to know what is real and what is noise, as Terry Fletcher and Sean Weiss discuss healthcare and politics in 2024.

In this episode, Christine Hall is joined by our esteemed guest, Terry Fletcher. Tune in as Christine and Terry explore the fascinating world of Cardiology. --- Support this podcast: https://podcasters.spotify.com/pod/show/coding-with-christine-hall/support

More than 100,000 doctors have left private practice and become employees of hospitals and other corporate entities since 2019. Today, nearly 3 in 4 physicians are employees of larger health care entities or other corporations — a record high.The cost of managing a medical practice — whether in primary care or a specialty practice — has surged. Not to mention, reimbursement rates from Medicare have not kept pace with higher operational costs. So how does a physician make sure they are collecting all that is due to them, not just from insurance payers, but where it begins: At the front desk?In today's NSCHBC Edge Podcast, Healthcare Business Consultant David Zetter and Terry Fletcher, discuss front desk collections, making sure you have the right staff at the front desk and billing office to collect those out of pockets and share of costs. How to manage workflows, and how to insure you are getting every penny you are entitled to.

There is always competition for patients and location in healthcare, but how do “non-compete” contracts affect patient care? Or a physician's ability for career advancement? How do different states handle this hot topic?Healthcare Attorney Amanda Waesch and Edge host Terry Fletcher tackle this discussion today looking at the legal and business angles and relationships that will factor into these agreements.Also, are non-compete clauses always valid and enforceable? Listen to find out.

Christine Hall and Terry Fletcher, both SMEs in the Telehealth space, discuss the new rules for 2024, what the flexibility extensions “really” mean to physicians, and what traps of FWA not to fall into.For anyone currently participating in the Telehealth delivery of medicine, this is an important podcast to listen to.

This week on the WTF podcast, Terry Fletcher looks at the growing number of backup quarterbacks taking over their team's starting duties. Several of these quarterbacks are on “redemption tours” to show they still have “it” including former Super Bowl MVP Joe Flacco (now with the Cleveland Browns) and former first round pick Drew Lock […] Weekly WTF: Redemption tour for several backup quarterbacks appeared first on Steel City Underground.

This week on the WTF podcast, Terry Fletcher takes another spin on the NFL's latest news and controversies as officiating steals headlines around the league. There were underdog performances, multiple Monday Night Football games, and the lowest-scoring game in the last ten years. Tune in to hear Terry's rants on these topics and more! Questions […] Weekly WTF: Penalty or no penalty? That is the question appeared first on Steel City Underground.

In this episode of the CodeCast Podcast, Terry Fletcher discusses the seven elements of an effective compliance program. Last month, HHS-OIG outlined and updated this guidance. With a broad spectrum of healthcare entities, staff, and providers playing a role in healthcare delivery today, this information can be generally applied across the entire healthcare industry or […] The post 7 Elements of a Successful Compliance Program via OIG appeared first on Terry Fletcher Consulting, Inc..

This week on the WTF podcast, Terry Fletcher takes you into an ongoing crisis in the National Football League as quarterback injuries continue to pile up. So far this season we've seen Aaron Rodgers, Deshaun Watson, Joe Burrow, Anthony Richardson, and Kirk Cousins, among others, be lost for the season. This week the injury bug […] Weekly WTF: Quarterbacks are dropping like flies appeared first on Steel City Underground.

Terry Fletcher is back for another episode of the WTF – or What The Football – podcast, highlighting major and unusual stories from around the NFL. Offensive Coordinators and starting quarterbacks were handed their walking papers this week as several teams attempt to tweak their offense for a postseason run. Helmet-to-helmet hits are on the […] Weekly WTF: The winds of change affect several NFL offenses appeared first on Steel City Underground.

Terry Fletcher is back for another episode of the WTF – or What The Football – podcast, highlighting major and unusual stories from around the NFL. Offensive Coordinators and starting quarterbacks were handed their walking papers this week as several teams attempt to tweak their offense for a postseason run. Helmet-to-helmet hits are on the […] Weekly WTF: The winds of change affect several NFL offenses appeared first on Steel City Underground.

Terry Fletcher is back for another episode of the WTF – or What The Football – podcast, highlighting major and unusual stories from around the NFL. Week 10 of the 2023 NFL season saw 10 missed extra point attempts missed which is a new record. Five games came down to field goals made as time […] Weekly WTF: A missed PAT can make all the difference appeared first on Steel City Underground.

Terry Fletcher is back for another episode of the WTF – or What The Football – podcast, highlighting major and unusual stories from around the NFL. Week 10 of the 2023 NFL season saw 10 missed extra point attempts missed which is a new record. Five games came down to field goals made as time […] Weekly WTF: A missed PAT can make all the difference appeared first on Steel City Underground.

Terry Fletcher is back for another episode of the WTF – or What The Football – podcast, highlighting major and unusual stories from around the NFL. Week 9 started with a big win for the Steelers on Thursday Night Football where Kenny Pickett once again showed why he's one of the highest-rated quarterbacks in the […] Weekly WTF: Sometimes it does take a rocket scientist! appeared first on Steel City Underground.

Terry Fletcher is back for another episode of the WTF – or What The Football – podcast, highlighting major and unusual stories from around the NFL. Week 9 started with a big win for the Steelers on Thursday Night Football where Kenny Pickett once again showed why he's one of the highest-rated quarterbacks in the […] Weekly WTF: Sometimes it does take a rocket scientist! appeared first on Steel City Underground.

Terry Fletcher is back for another episode of the WTF – or What The Football – podcast, highlighting major and unusual stories from around the NFL. The Denver Broncos beat the Kansas City Chiefs ending a 16-game losing streak. The New York Jets won an “overtime thriller” against their shared stadium opponent New York Giants […] Weekly WTF: Offensive offense and officiating highlight Week 8 appeared first on Steel City Underground.

Terry Fletcher is back for another episode of the WTF – or What The Football – podcast, highlighting major and unusual stories from around the NFL. The Denver Broncos beat the Kansas City Chiefs ending a 16-game losing streak. The New York Jets won an “overtime thriller” against their shared stadium opponent New York Giants […] Weekly WTF: Offensive offense and officiating highlight Week 8 appeared first on Steel City Underground.

Terry Fletcher is back for another episode of the WTF – or What The Football – podcast, highlighting major and unusual stories from around the NFL. The referees are at it again with controversial calls in the Browns-Colts and Steelers-Rams games. Those teams, along with the Denver Broncos, highlighted Week 7 fourth quarter comebacks. There […] Weekly WTF: 4th quarter comebacks are the rage this week! appeared first on Steel City Underground.

Terry Fletcher is back for another episode of the WTF – or What The Football – podcast, highlighting major and unusual stories from around the NFL. The referees are at it again with controversial calls in the Browns-Colts and Steelers-Rams games. Those teams, along with the Denver Broncos, highlighted Week 7 fourth quarter comebacks. There […] Weekly WTF: 4th quarter comebacks are the rage this week! appeared first on Steel City Underground.

Terry Fletcher is back for another episode of the WTF – or What The Football – podcast, highlighting major and unusual stories from around the NFL. Undefeated teams fell in upsets as the Philadelphia Eagles and San Francisco 49ers suffered their first losses of the season as Jalen Hurts and Brock Purdy looked like every […] Weekly WTF: No more undefeated teams appeared first on Steel City Underground.

Terry Fletcher is back for another episode of the WTF – or What The Football – podcast, highlighting major and unusual stories from around the NFL. Undefeated teams fell in upsets as the Philadelphia Eagles and San Francisco 49ers suffered their first losses of the season as Jalen Hurts and Brock Purdy looked like every […] Weekly WTF: No more undefeated teams appeared first on Steel City Underground.

Terry Fletcher is back for another episode of the WTF – or What The Football – podcast, highlighting major and unusual stories from around the NFL. The Buffalo Bills experienced jet lag traveling to play the Jacksonville Jaguars in London while their division counterpart, the New England Patriots, suffered their worst home loss in the […] Weekly WTF: London jet lag and just take the knee! appeared first on Steel City Underground.

Terry Fletcher is back for another episode of the WTF – or What The Football – podcast, highlighting major and unusual stories from around the NFL. The Buffalo Bills experienced jet lag traveling to play the Jacksonville Jaguars in London while their division counterpart, the New England Patriots, suffered their worst home loss in the […] Weekly WTF: London jet lag and just take the knee! appeared first on Steel City Underground.

Cyber Security in Healthcare, focuses on preventing attacks by defending systems from unauthorized access, use, and disclosure of patient data. The primary aim is to ensure the availability, confidentiality, and integrity of critical patient data. If compromised, this could put patient lives at risk.The more we add digital access the more interconnectedness between different healthcare systems comes with increasing healthcare cybersecurity threats.Edge podcast host Terry Fletcher discusses this threat to physician and dental practices with Debi Carr of DK Carr and Associates. Debi brings light to the importance of risk analysis, security compliance plans, and knowing the limitations of your IT department when it comes to this risk.You don't want to miss out on this important podcast discussion.

Terry Fletcher is back for another episode of the WTF – or What The Football – podcast, highlighting major and unusual stories from around the NFL. Coaching played a major factor in this week's games, as rookie quarterbacks were setup to succeed – or fail. Referees influenced games once again too. The Steelers were far […] Weekly WTF: Suspect coaching around the league appeared first on Steel City Underground.

Terry Fletcher is back for another episode of the WTF – or What The Football – podcast, highlighting major and unusual stories from around the NFL. Coaching played a major factor in this week's games, as rookie quarterbacks were setup to succeed – or fail. Referees influenced games once again too. The Steelers were far […] Weekly WTF: Suspect coaching around the league appeared first on Steel City Underground.

Terry Fletcher is back for another episode of the WTF – or What The Football – podcast, highlighting major and unusual stories from around the NFL. The third week of the season has suddenly turned into one of the wildest weeks in NFL history. The Miami Dolphins scored 70 points against the Denver Broncos, while […] Weekly WTF: A 70 burger and Taylor Swift all on the same day appeared first on Steel City Underground.

Terry Fletcher is back for another episode of the WTF – or What The Football – podcast, highlighting major and unusual stories from around the NFL. The third week of the season has suddenly turned into one of the wildest weeks in NFL history. The Miami Dolphins scored 70 points against the Denver Broncos, while […] Weekly WTF: A 70 burger and Taylor Swift all on the same day appeared first on Steel City Underground.

Terry Fletcher is back for another episode of the WTF – or What The Football – podcast, highlighting major and unusual stories from around the NFL. Monday night's Steelers vs. Browns games had plenty of WTF moments, including Pittsburgh's offense being outscored by their defense. (Not to mention how T.J. Watt and Alex Highsmith terrorized […] Weekly WTF: Watt is money in the bank on defense! appeared first on Steel City Underground.

Terry Fletcher returns for another season of the WTF – or What The Football – episodes, highlighting major and unusual stories from around the NFL. This week Terry takes you on a ride through the Steelers disappointing home opener loss to the 49ers, Aaron Rodgers' injury and its impact on the New York Jets, plus […] Weekly WTF: Week 1 injuries dominate headlines appeared first on Steel City Underground.

In Healthcare, is credentialing the same thing as contracting?No, credentialing is the process of reviewing the doctor's qualifications while contracting. Payer enrollment is the process of applying for and obtaining participation contracts with insurance plans for your provider or entity.Award-winning podcast host Terry Fletcher and Healthcare Consultant Scott Graham navigate through these differences while giving tips on how to be successful in payer contract negotiations and provider credentialing.Join us for these important business of medicine tips.

Terry is back in the hot seat to discuss facility vs pro-fee coding... lots to unpack in the episode!

With the current climate of audits, medical practices must have knowledgeable healthcare professionals who are up-to-date with regulatory guidance, CPT rules, ICD-10-CM rules, and all things related to pre-PHE and post-PHE regulations. On this episode of the CodeCast Podcast, Terry Fletcher addresses concerns over what practices can and cannot bill for. “Can I code for […] The post Can I Really Bill For That? appeared first on Terry Fletcher Consulting, Inc..

With the current climate of audits, medical practices must have knowledgeable healthcare professionals who are up-to-date with regulatory guidance, CPT rules, ICD-10-CM rules, and all things related to pre-PHE and post-PHE regulations. On this episode of the CodeCast Podcast, Terry Fletcher addresses concerns over what practices can and cannot bill for. “Can I code for […] The post Can I Really Bill For That? appeared first on Terry Fletcher Consulting, Inc..

One man's journey to the woods for healing. Drew talks with Terry Fletcher who created a personal challenge to not only visit every single state park in Indiana but to hike every single trail in the system. He breaks down how many miles and hours of his life were given to the feat (and feet) as well as the layers of physical, mental and emotional takeaways in the process.Terry documented his journey at www.allthingstrail.com and on Instagram @allthingstrailtourSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The all star panel of Terry Fletcher, Stephanie Allard, Scott Kraft and Paul Spencer are back to take on Auditor vs. Coder! Sounds contentious but the fact is, this was a dynamic discussion with a ton of thoughtful dialogue!

It's time for another Top 10 Tuesday Q&A podcast, featuring our coding questions of the month. Terry Fletcher will discuss a variety of topics including timely documentation rules for screening tests, what codes can be used for shared or split visits, and different rules for similar services. Don't miss this episode packed full of information […] The post Top 10 Tuesday Q&A – Coding Questions of the Month appeared first on Terry Fletcher Consulting, Inc..

It's time for another Top 10 Tuesday Q&A podcast, featuring our coding questions of the month. Terry Fletcher will discuss a variety of topics including timely documentation rules for screening tests, what codes can be used for shared or split visits, and different rules for similar services. Don't miss this episode packed full of information […] The post Top 10 Tuesday Q&A – Coding Questions of the Month appeared first on Terry Fletcher Consulting, Inc..

This edition of the CodeCast Podcast dives into denial management and appeals assistance for EKGs, and how to handle medical necessity denials. Your host, Terry Fletcher, will also discuss some other topics, such as being accurate on UTIs (Urinary Tract Infections) ICD-10-CM codes. The split/shared visits continue to confuse coders and providers on how to […] The post Claims Appeals Advice and More (Fixed Audio) appeared first on Terry Fletcher Consulting, Inc..

On this edition of the CodeCast Podcast, Terry Fletcher shares insights into the new SDoH ICD-10-CM coding when reporting a level 4 or moderate E/M service. Terry also talks about finding joy in your job. What makes you happy when you are doing certain tasks in your healthcare career? Let's focus on finding that happiness […] The post SDoH for Moderate Risk EM (Fixed Audio) appeared first on Terry Fletcher Consulting, Inc..

In this episode Sean is joined by the full All Star Panel (Christine Hall, Paul Spencer, Scott Kraft, Stephanie Allard, and Terry Fletcher)! Topics include: 1. Changes to the United Health Care Appeal Process 2. Rendering Telehealth Service over state lines 3. Behavioral Health and the increased interest in auditing these services and why 4. The Reasonable, Necessary Standard established by CMS Such a dynamic discussion!

This was one of the best episodes of our Monday Roundtable! Sean was joined by Stephanie Allard, Terry Fletcher, Scott Kraft, and Paul Spencer. Topics included: 1. Dealing with Commercial Payor Demand for Refund of Overpayments, when they say they did a statistically valid random sampling that led to an extrapolated overpayment. 2. The No Surprises Act and the change to how the process works based on CMS sneaking in a change prior to Christmas after making promises they would not change. 3. How to deal with "clinical plagiarism" in 2023 with the changes to EM Guidelines. 4. The impact of terms like Fraud, Waste, Abuse when speaking to providers. You Do Not Want To Miss This One!

Terry Fletcher joins Sean for the very first #TerryTuesday episode of 2023 to discuss the Medicare Fee Schedule Change and What it Really Means! As they say... watch out for the ole bait and switch! While Congress indicates a slight bump was given to the conversion factor the reality is, it was still an overall decrease. Terry and Sean explain it all in this episode.