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Living Connected

Slice of Media, Inc.

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Welcome to the Living Connected podcast, hosted by Dr. Arti Masturzo, where healthcare professionals share inspiring stories, innovative solutions, and expert insights on pressing medical topics. Join us for conversations that connect and empower the healthcare community. Listen now! Produced by Slice of Media, Inc.
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Not Elsewhere Classified

Medical Coding Geek

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Not Elsewhere Classified is a podcast where we create conversations and share stories with individuals in the medical coding, health information technology, and clinical documentation integrity community. This podcast is hosted by Brian Cui, RHIA, CDIP and presented by MedicalCodingGeek.com
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The Alpha Coding Podcast series was developed by Toni Elhoms, CCS, CPC, CPMA, CRC, AHIMA-Approved ICD-10-CM /PCS Trainer, CEO of Alpha Coding Experts, for professionals working in the medical coding, reimbursement, clinical documentation, and compliance industry. With new episodes dropping every Monday, the series provides an all-access pass to industry Pro-Tips that help you start your week off smarter! The series includes healthcare industry news, coding updates, career advice, personal de ...
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In this edition of the CodeCast podcast, Terry discusses the “subtle changes” to look for in the ICD-10-CM updates effective October 1st. Also, Terry clears up understanding the UHC Gold Card Program, and what CMS looks at when they send you a denial. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.appl…
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Join us on the latest episode of Living Connected, hosted by Arti Masturzo! Today's Guest: Dr. Angela Fitch, Chief Medical Officer at knownwell. What you’ll get out of this episode: Dr. Angela Fitch discusses the mission of knownwell and its integrated approach to primary care and obesity medicine. The role of bias and stigma in obesity treatment a…
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According to the AMA, most physicians lack training in “webside manner.” Researchers from the University of Michigan Medical School and the Veterans Affairs Ann Arbor Healthcare System surveyed 1,213 patients from their respective institutions to measure preferences regarding the visual background seen during a video visit. Today’s CodeCast podcast…
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Many practices offer cash payment options to avoid insurance billing, hoping to reduce administrative burden or boost revenue. However, this practice of charging cash for services that could be billed to and covered by a patient’s insurance plan raises serious compliance concerns. Federal law and insurance contracts generally prohibit this practice…
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Sometimes there are coding, compliance, and billing questions that we struggle to find answers to in any published guidance or specific regulatory rules. This week on the CodeCast podcast, Terry brings up three specific questions that we are always hunting for answers to and the best way to deal with them. Subscribe and Listen You can subscribe to …
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In this episode Terry discusses the importance of ICD-10-CM codes on billing claims. She also clarifies the ICD-10-CM General Guidelines on Borderline Diagnoses, Laterality, Acute versus Chronic Conditions, and when to leave the symptoms off the claim for definitive diagnoses. Listen in for this important information capture. Subscribe and Listen Y…
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Join us on the latest episode of Living Connected, hosted by Arti Masturzo! Today's Guest: Dr. Amal Agarwal, CCO at Monogram Health. What you’ll get out of this episode: Dr. Amal Agarwal discusses his transition from full-time clinical practice to a corporate role at Monogram Health. Insights into the challenges and opportunities in corporate medic…
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CMS released their FAQ sheet for the add-on code HCPCS G2211, to office visits. The sheet clarifies where denials and grey areas for reporting. Tune in as Terry goes over twelve FAQs from CMS along with her commentary to best practices for this complexity add-on. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://p…
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In this episode of the CodeCast podcast, Terry discusses ABI billing, Level 5 Drug Toxicity options, Aortic Stenosis ICD-10-CM coding, and some questions related to the 2025 CMS proposals. Listen this episode to see if any of your Coding Corner questions made the podcast cut! Subscribe and Listen You can subscribe to our podcasts via: Apple Podcast…
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CMS proposes expanding the transfer of care modifiers, -54, -55, and -56 to better “value” the global surgery CPT codes. However, this may cause more confusion for surgeons and medical providers who see patients for surgery or post-op only. Terry talks about the proposal and what to expect for 2025. Also, Terry talks about the proposals for Telehea…
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This edition of the CodeCast podcast focuses on coding heart caths. When coding for cardiac catheterizations, if you don’t have a working knowledge of this specialty it can be a bit challenging. That’s why it’s time to get back to the basics. Terry provides some tips into this coding concept, and what to look for in your report to capture the corre…
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Join us on the latest episode of Living Connected, hosted by Arti Masturzo! Today's Guest: Kathy Driscoll, SVP & CNO at Humana. What you’ll get out of this episode: The critical role of nurses in healthcare and patient care. Current challenges and the fragile state of the nursing profession. The impact of AI and technology on nursing practices. Str…
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Terry takes us down memory lane in an E/M refresher. She covers what changed with the CPT E/M section – that was updated in 2019, 2020, and 2021 – to get to what we have today in 2024. Getting back to basics helps you understand why we must ensure updates in our charting workflows and EMRs continue. Subscribe and Listen You can subscribe to our pod…
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This week on the CodeCast podcast Terry returns with her Top 10 Tuesday Q&A series. Join us as Terry covers questions covering risk support for E/M, Telehealth in the hospital setting, missed appointments, follow-up testing protocols, shared visit modifiers, and more. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – http…
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CMS published their PFS on July 10th. You have 90 days to comment and be heard on these changes including the proposed 2.93% reduction to the Physician Fee schedule. In this edition of the CodeCast, Terry goes over the talking points and what Part B providers can expect coming into the new 2025 calendar year. You don’t want to miss this important e…
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Terry discusses when it is and isn’t appropriate to report a preventative visit with an office visit on the same date. How did the patient present? What is the share of the cost-to-patient implications? And what will payers want to see for medical necessity? Terry covers it all in this edition of CodeCast podcast. Subscribe and Listen You can subsc…
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In today’s episode of the CodeCast podcast, Terry updates you on the latest CMS NCCI Edits, effective July 1st. She gives you the insight on the PTP and MUEs expected, along with some commentary and best practices on charging patients for no-show appointments. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podc…
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Join us on the latest episode of Living Connected, hosted by Arti Masturzo! Today's Guest: Vasanta Pundarika, Co-Founder & Managing Director of Healthcare Group at Matrix Capital Markets Group Inc. What you’ll get out of this episode: Vasanta Pundarika's journey from healthcare investment banking to women's health advocacy. Challenges female founde…
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Principal Care Management (PCM) services are services for a single high-risk disease, 30 minutes a month, personally provided by a physician or NPP. This is for patients with one complex chronic condition expected to last three months which places the patient at significant risk of hospitalization, acute exacerbation/decompensation, functional decl…
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Can you guess the main reason why medical billing claims are rejected? According to recent studies, most clinics account for 15-25% of inaccurately submitted monthly claims. Those inaccuracies must be corrected, resulting in an annual loss of revenue worth tens of thousands of dollars. Among the most popular reasons medical claims return to a clini…
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You must make sure your providers and coders understand the overarching LCD criteria for reporting TPIs (Trigger Point Injections). As of April 1st, five MACs have tightened their rules for TPI coding and reporting. There are new frequencies, ICD-10-CM, anatomical territories, and MUE rules for these services. Terry outlines the rules and reminds p…
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Join us on the latest episode of Living Connected, hosted by Arti Masturzo! Today's Guest: Dr. Samuel Hammerman, Executive VP & CMO at Select Medical. What you’ll get out of this episode: Meet Dr. Samuel "Buddy" Hammerman: Dr. Buddy Hammerman, Chief Medical Officer at Select Medical, discusses his career and passion for healthcare. Addressing Physi…
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How do you know if your role is classified as a Coder or a Biller? Coders typically work in the back end of the facility, focused on interpreting medical records and assigning appropriate codes. Billers interact directly with patients, collecting payments and entering patient information into the appropriate systems. However, there is also a crosso…
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All CPT codes have an expected range of complexity and uses, but when a particular procedure or surgery performed has exceeded the normal range of complexity, modifier -22 can come into play. Modifier -22 is defined as increased procedural services and demonstrates when a physician has gone above and beyond the typical framework of a particular pro…
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Join us on the very first episode of our new show Living Connected, hosted by Arti Masturzo! Today's Guest: Dr. Robert Lash, CMO at Endocrine Society. What you’ll get out of this episode: The Origins of Living Connected: Arti Masturzo shares how her journey through the healthcare industry inspired the podcast. Meeting by Chance: Arti and Dr. Robert…
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This week on the CodeCast podcast Terry returns with her Top 10 Tuesday Q&A series. Join us as Terry covers questions from Urgent Care to the ER, infusion charges, behavioral health, billing for unlisted codes, preventative med group codes, and more. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.apple…
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Are you a “Subject Matter Expert?” Are you taking on clients, presenting to physicians, or looking for a coding job: with no expertise? Do not “wing it” in the healthcare field. You will hurt yourself or your credibility unless you disclose your limitations to the person you are doing business with. (Not to mention potentially hurting the physician…
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Many of the records Terry audits include a disclaimer to protect a physician from liability. However, does this disclaimer shield a physician who has signed a note or authenticated an electronic encounter? (Under the assumption the physician reviewed it?) In this episode of the CodeCast podcast, Terry discusses the protections of a disclaimer and w…
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