Thank you!

Would love to hear an episode on app’s. Especially when they have multiple collaborative providers and how to then view new vs established patients as it relates to that. Cardiology sub specialties can add to that possible confusion

Oh i have this little goat that when you squeeze him he screams.....sometimes I do that when abstracting coding & documentation is messed up. But I love this career. !

What do you think of drive in healthcare? Some urgent care is doing this concept....nurse come out to car get vitals and CC , then doctor. Maybe it is due to just for giving vaccines or med refills. What modifier use or CPT code? Q3014 or 93 or 95 modifier? I am glad you stated telehealth needs to be for ESTABLISHED patients not new patients too. Plus documentation needs to be noted special way. I think government needs to keep the telehealth sessions especially for mental ill patients and therapist go to prisons or school aged teens in school or college students. Thank you for info.

Are the Z codes definitions in year 2025 ICdQ10 manual changing? It use to say be defined which Z codes are first listed vs history or encounter's. Also can you tell medical coders not use the unlisted CPT unless the doctor states it is different than regular CPT close to this one?

Thank you. Can you define the medical term "remission" vs personal history codes for dx F17, & dx F32 ?

Thank you for posting!

Ahh tried to go to clinic supported by BIG name hospital in my area. I just wanted to get visit on health my 20minutes in this clinic was over$3,000f. The visit was $500 and each lab fees were trippled.I had to pay over $700 balance cause labs not fully covered. I refuse to go back there. My neighbor had emerg surgery and her lab total was billed 3 separate times on same day. her surgery was $20,000 this was paid. Insurance paid the first lab bill, but she got lab bill for other 2 times same labs and same date. They sent her the double billed lab I told her to complain . Creative accounting

i have seen hospitals or doc office not charge patient copayment then bill insurance for full fee. Sometimes the payer pay a bit more than some payers only paid what is agreed on.I went to a urgent care had to put on my credit card $300 but my copayment was $35. I complained but needed service. Luckily my visit was paid full amount by payer and did not charge me anymore on credit card of $35. I felt i could be scammed but followed their rules

Thank you for providing your response. Definitely needed this information.

Does ultrasound 76937 included in the catheterization?

I had to double take when I was coding a clinical trial for radiation. Z51.0 Z00.6 the 3rd was the Cxx code. Looks funny with 2 z codes up front but that's how cms wants it.

Thanks a lot. I have a question Does Cardinal Care ( MCO) VA retroactively covers the three month back DOS if coverage was not active for those DOS?

Thank you for posting. I appreciate explanation!

Do you do tutoring?

99246 can be provided by clinical staff

Hello @ anyone. Need help with regulations for a physician walking in IDTF no orders wanting exams?

can you bill 9940X codes with a Phyician signing off as incident to billing with commercial plans that allow incident to billing

Thank you!

Love that you shared the squirrel fighting over an orange!! We all need to laugh at silly moments like this! 😂

Table of risk why is no one talking about rx management and the Provider documenting the risk of the medication. Low moderate high

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Insurance denials using wrong Z dx code FIRST and missing modifiers which needed

I have been a medical coder for over 15 year. I was insurance biller years ago before coding .Currently at my job I see lots mistakes others make & cannot say anything or will get dismissed.

Important information about refunds: what a joy

Great episode. As a family practice coder I see this constantly. Can you touch on AWVs with an office visit? We have a lot of providers who do office visits when everything is stable. My argument is the service has to be medically necessary to perform, so if everything is stable, it would not be medically necessary. They'll send a referral for labs or refill stable scripts and charge a level 4. What are your thoughts?

I like this hi Terry.

I am a prior authorization specialist getting doctors to comply with the documentation necessary to establish medical necessity for a service being requested is the most difficult part of my job. It seems that some doctors allow their ego as a medical provider to supersede doing what is necessary to get paid. It is excellent compliance in documentation that affords some doctors to be awarded the gold card. Oftentimes it's the lack of amendments to previous doctor's notes that describe the current changes or new occurrences that result in denials on the first submission. This can lead to peer-to-peer reviews with the Medical Director taking time away from patient care. I have the hardest time getting Nurses and Doctors to understand this.

Your videos are realy helpful in terms of healthcare product. Thank you so much. I wish you can have video in regards with incidental by nature / Incidental by total episode of care denials by the insurance. Like DME 😊

endocrinologist billed this , uses virtual care for max 15 minutes, sees them twice a year, commercial insurance doesn’t cover it. Absurd!!!

Great episode, Terry! On the parent-child scenario you mentioned, I agree on the risk-reduction rationale when the parent(s) is/are helpful, but there may be times when the presence of a parent can complicate the visit, esp during visits dealing w teen preg or gender reassignment considerations. Parents can become very emotional on these topics, which may add a layer of complexity to the visit.

Love Numbers!!!

This is great! What about idiopathic conditions?

Wow!!!I needed to hear this! Thank you for all your hard work!💕💕

So, what exactly does longitudal relationship and “managing” the patients needs means? Would calling their insurance company to make sure the lab the doctor sends a biopsy to is in-network….would that be considered management of the patients condition and paid for by this code?

This is an absurd code!!!! I pay a copay THEN pay just to have a relationship with my doctor!?!??! Ridiculous!!!!

There is a hack to do a Big Mac Casserole in the Instant Pot with tortillas. It is awesome! Just Google it!! I'm on Weight Watchers and have lost 100 pounds!

Thanks!

Thank you Terry! Good information today and Great job on losing 70lbs! I love the Big Mac hack, I'll try it!

Congrats on the weight loss, that's awesome.

This was my Troponin Levels readout approx. 8 hours after I had a STEMI, my Dr. was so amazed he asked if I minded if he showed his colleagues, I'm guessing this is high? (BECK) Troponin I, HS View trends Normal value: <21 ng/L Value 30,849 Instrumentation: Beckman Coulter

Thank you for this info 🙏🏼

*PromoSM* 😭

how do you access the cpt assistant ?

How to receive CEUs

I do not understand how come non-physician can judge what physician done right or wrong? Have you ever heard about peer review?

I do not understand how come no-physician cane judge what physician is done right or wrong? Have you ever heard about peer review? That is the mane problem with medicine in this country.

What about billing for 99358, non-face-to-face prolonged care code?

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Can you please confirm if documentation in the chart note must state if the visit was done using audio-only or audio-video? I see providers simply document "telehealth" and argue that it is not required for them to specify if it was audio-video or audio-only. If there are CMS guidelines that clearly state this requirement, please guide me to the guidelines. Thank you!