Best Ccs Medical Podcasts (2025)

1
2026 CPT Code Changes Are Coming Fast 19:04

Play Pause

2d ago19:04

19:04

2026 is coming in fast, and with it comes a fresh wave of CPT code changes that every healthcare professional needs to be ready for. On today’s episode of the CodeCast podcast, we break down the newest updates impacting Cardiology, Peripheral Vascular services, and several other key specialties. From what’s changing to why it matters, we’ll walk th…

1
Apple, Chair, Ocean, Book, Clock 29:45

9d ago29:45

29:45

Are you wondering what connects the nouns in the headline together? It’s a Medicare cognitive screening devise. Look at these words and commit them to memory. Try to repeat back this list of words twice a day, from memory: Apple, Chair, Ocean, Book, and Clock. During the next live edition of the popular Talk Ten Tuesday live Internet broadcast, Glo…

1
Audit Tips For Split/Shared Visits 17:46

9d ago17:46

17:46

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…

1
CMS Conditions of Coverage: A Deep Dive 28:10

16d ago28:10

28:10

Anyone who has been working within the scope of hospital case/utilization management for any period of time has heard of the Centers for Medicare and Medicaid Services (CMS) Conditions of Participation. But are you familiar with the CMS Conditions for Coverage? Sometimes referred to as “conditions of payment,” these requirements must be met in orde…

1
“Risk” E/M Element OTC Medications 18:01

16d ago18:01

18:01

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 …

1
Welcome to the Coding and CDI Congress 30:51

23d ago30:51

30:51

They were once called “clinical documentation improvement” specialists, charged with correcting the medical record to identify an overlooked diagnosis that carried the potential to increase revenue. Later, the description was changed to clinical documentation “integrity” (CDI) specialists. But that was then. This is now. Today, the job description …

1
MR Signature Compliance 17:29

23d ago17:29

17:29

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 recor…

1
Improving Patient Care for Non-Medical Needs 32:06

30d ago32:06

32:06

Since 80 percent of a person’s health is influenced by factors outside of medical care, it is critical that a healthcare system has an understanding and appreciation for the circumstances of patients’ daily lives that impact their health outcomes, referred to as the social determinants of health (SDoH). During the next live edition of Talk Ten Tues…

1
Watch for Payer Automatic Down-Coding Without Notice 12:23

1M ago12:23

12:23

Across the country, commercial payers are quietly down-coding E/M services without issuing ADRs and without providing notice. Office visit reimbursements are being arbitrarily reduced based on payer algorithms rather than a proper review of documentation for compliance. In today’s CodeCast episode, Terry sheds light on this growing problem and expl…

1
Words Matter Most: Patient Status 31:40

1M ago31:40

31:40

It’s often said that “words matter.” And hospital patient status assignment is no exception. What do your teams say when a patient is in inpatient status which isn’t supported? How about the reverse: when a patient is in outpatient status with observation services. Can your team change to inpatient? Words matter, and Dr. Juliet Ugarte Hopkins, chie…

1
Auditing a record isn’t the same as coding it 19:26

1M ago19:26

19:26

When auditing a medical record, a common mistake is viewing it solely from a coding perspective rather than an auditing perspective. True auditing requires examining not just the encounter itself, but also what occurred before, after, and around it. Focusing only on coding can result in missed compliance elements and insufficient support for what w…

1
IMPORTANT: New Version of Sepsis Released 26:34

1M ago26:34

26:34

A new version of the Sequential Organ Failure Assessment (SOFA) score, has been introduced. The new revision aligns the organ dysfunction measurement in critically ill adults with current clinical practices, especially those diagnosed with sepsis. Published Oct. 29 in Journal of the American Medical Association (JAMA) and is available here https://…

1
Leveling a Visit for an Acute Uncomplicated Illness 16:16

2M ago16:16

16:16

The September 2025 issue of CPT® Assistant raised important questions about how to appropriately level an evaluation and management (E/M) encounter when the presenting problem is an acute, uncomplicated illness or injury. A growing number of providers have been assigning Level 4 codes simply because an antibiotic was prescribed. However, this appro…

1
Your Doctor Is Not an AI Babysitter 30:53

2M ago30:53

30:53

Welcome to “Is Ambient Listening Right for You?” Or, in the alternative, “Free AI Tools and Other Expensive Mistakes.” Nick van Terheyden, MD, the special guest during the next live edition of Talk Ten Tuesdays, says he has seen enough of artificial intelligence (AI) “helpers” turn doctors into unpaid editors and part-time exorcists for hallucinati…

1
Claim Denials: Coding Mistake or Billing Oversight? 11:07

2M ago11:07

11:07

Medical billing and coding encompasses a wide range of responsibilities—from patient registration and claim reimbursement to final payment delivery to the provider. Navigating this process requires close collaboration among billers, coders, insurance companies, patients, and various healthcare professionals. Although often grouped together as a sin…

1
CDI On Strike: When Fiscal Strain Meets Human Capacity 31:38

2M ago31:38

31:38

H.R. 1, known as the One Big Beautiful Bill Act (OBBBA), is set to reshape hospital finances by cutting an estimated $840 billion from Medicaid and Patient Protection and Affordable Care Act (PPACA) funding. As hospitals absorb these losses, many are tightening budgets, reducing staff, and facing renewed labor tensions. For the first time, clinical…

1
Understanding Who Can Bill Preventive G Codes 18:01

2M ago18:01

18:01

As more practices begin offering screening services, questions around billing for Medicare-specific G codes are becoming more common. In this episode, Terry breaks down when it’s appropriate to bill for preventive services, which providers are eligible, and what requirements must be met. To bill G codes, providers must be enrolled as Medicare suppl…

1
Misinformation and Misdirection are Lurking 28:19

2M ago28:19

28:19

Have you been told that Medicare and Medicare Advantage (MA) patients who have difficulties with activities of daily living (ADLs) are appropriate for inpatient status if their hospital stay crosses a second midnight? What direction have you received about “discharge effectuation?” Are your physicians keen on placing the majority of their patients …

1
What the Shutdown Means for Medicare and Telehealth 19:33

2M ago19:33

19:33

CMS has updated its stance on Medicare payments during the federal shutdown, confirming that only certain claims will be held—reversing earlier guidance that hinted at a wider pause. But what does this mean for Telehealth and other temporary policies that expired on October 1? Terry breaks down the latest developments, what’s at risk, and what step…

1
LIVE FROM AHIMA: 2025 AHIMA Conference 28:02

2M ago28:02

28:02

Join us this coming Tuesday, Oct. 14, when Talk Ten Tuesday will bring you an exclusive interview with two nationally recognized healthcare leaders: Thea Campbell and Mackenzie Higgins. Thea Campbell is the 2026 AHIMA President-Elect and Mackenzie Higgins is the 2025 AHIMA Emerging Star award recipient. The popular broadcast will also feature these…

1
Tips on Reviewing MRs for Coding Accuracy 11:31

2M ago11:31

11:31

In this episode, Terry tackles a common pitfall in coding and CDI workflows: skipping straight to the Assessment and Plan (A/P) section of an E/M note to determine service level. Are you overlooking key documentation that could support medical decision-making, risk, or time? She also calls out a frequent habit among surgery coders—coding from the r…

1
Revenue Cycle Roundup: Exclusive News Broadcast 28:02

3M ago28:02

28:02

1
Coders and Auditors Hold Providers Accountable 11:36

3M ago11:36

11:36

Terry explores the critical role coders and auditors play in holding providers accountable. From reviewing clinical documentation and medical record notes to verifying patient eligibility, addressing cases where minors receive treatment without a parent present, and identifying excessive repeat visits lacking medical necessity, this episode highlig…

1
Deep Dive: 2026 IPPS: Beware of Key Changes 32:18

3M ago32:18

32:18

When the final rule take effect Oct. 1, 2025, coders, providers, and administration leaders will need to adjust to several key changes, including the new MS-DRGs and broad policy changes. And that is why the producers of Talk Ten Tuesday have invited Leigh Poland, vice president of the AGS Health coding service product line to return to the popular…

1
Medicare’s Prior Auth Pilot: What It Means for You 11:20

3M ago11:20

11:20

In this episode, Terry breaks down the upcoming Prior Authorization pilot programs launching for Medicare Part B Professional Services on January 1, 2026, and for Ambulatory Surgical Centers starting December 15, 2025. She outlines which medical services will be impacted and what providers need to know as these changes roll out. Terry also shares t…

1
Too Much of a Good Thing: Prolonged Hospitalization 29:00

3M ago29:00

29:00

Prolonged hospitalizations can result from many different barriers and delays within the hospital setting. However, a new challenge is emerging. And this new hurdle appears to be identified more and more commonly. So, what’s happening? During the next live edition of Talk Ten Tuesdays, Dr. Juliet B. Ugarte Hopkins, Chief Medical Officer at Phoenix …

1
Are you documenting prescription drug management risk? (Fixed Audio) 18:41

3M ago18:41

18:41

In this episode of the CodeCast Podcast, Terry addresses a common misconception among medical providers: the belief that simply listing a patient’s medications or repeatedly noting “continue meds” is enough to support a moderate-level evaluation and management visit, such as CPT codes 99214 or 99204. In reality, this documentation alone does not me…

1
Are you documenting prescription drug management risk? 18:41

3M ago18:41

18:41

In this episode of the CodeCast Podcast, Terry addresses a common misconception among medical providers: the belief that simply listing a patient’s medications or repeatedly noting “continue meds” is enough to support a moderate-level evaluation and management visit, such as CPT codes 99214 or 99204. In reality, this documentation alone does not me…

1
Sepsis: The New Frontier 31:48

3M ago31:48

31:48

Could sepsis be healthcare’s new frontier? During the next live edition of the popular Internet broadcast, Talk Ten Tuesday, James S. Kennedy, MD, will report on his recent attendance at The Unite for Sepsis symposium, sponsored by the San Diego-based Sepsis Alliance (https://www.sepsis.org). The event was held in Chicago and attracted clinicians, …

1
Split/Shared Visits Update 18:13

3M ago18:13

18:13

A split or shared visit is an evaluation and management (E/M) service performed jointly by a physician and a non-physician practitioner (NPP) from the same group in a facility setting. Under applicable laws and regulations, either the physician or the NPP may bill for the service—provided they deliver it independently. Reimbursement goes to the pra…

1
The Eyes Have It” – Lens Implants for Cataracts 32:33

4M ago32:33

32:33

You waited and waited. Finally, the big day came, and just as quickly, day turned into evening – and there you were with cloudy vision, halos, and difficulty reading. Not to mention the occasional glare. You and about 25 percent of patients experience a common complication following cataract surgery (or, more precisely, “posterior capsule opacity,”…

1
Telehealth October 2025 Preview 14:46

4M ago14:46

14:46

In this week’s episode of the CodeCast Podcast, Terry Fletcher previews potential Telehealth updates and changes set to take effect on October 1. She also discusses how major surgery can be considered a risk factor in Evaluation and Management coding, and explains the importance of properly sequencing ICD-10-CM codes to ensure reimbursement success…

1
Undercoding Is Real—And It’s Costing You 12:26

4M ago12:26

12:26

In this episode of CodeCast, Terry takes a closer look at the growing issue of undercoding in healthcare. Often misunderstood or overlooked, undercoding involves reporting fewer services than were actually provided, assigning a lower-level code than warranted, or inaccurately documenting patient encounters. While some may view it as a conservative …

1
Artificial Intelligence and Coding: The Series Continues 34:48

4M ago34:48

34:48

Artificial intelligence (AI) has quickly transitioned from something to expect in the future to the here and now today. The potential for AI in health information is both exciting and daunting. Reporting the lead story during the next live edition of Talk Ten Tuesday will be longtime RACmonitor and ICD10monitor contributing author Sharon Easterling…

1
Bilateral Billing Under Fire: Modifier 50 13:45

4M ago13:45

13:45

In this episode of CodeCast, Terry dives into the complexities of billing bilateral procedures and the growing tension between Medicare guidelines and commercial payer policies. Modifier 50 is used to report procedures performed on both sides of the body during the same operative session. When billed correctly, the procedure should appear on a sing…

1
Introducing the Chief Physician Advisor 28:27

4M ago28:27

28:27

At one time, a physician advisor in a hospital was a rarity. That was then, but this is now, with many healthcare systems having not just one physician advisor, but often many on staff. Does this emerging need signal the deployment of a new position within the physician advisory service team? To learn more, ICD10monitor producers have invited Dr. J…

1
G0101 and Preventative Billing 13:49

4M ago13:49

13:49

Medicare has designated two HCPCS codes for women’s screening services: G0101 – Screening pelvic and clinical breast exam Q0091 – Collection of a screening Pap smear These codes are reimbursable every two years, but they’re not considered comprehensive preventive medicine services. In this episode, Terry breaks down how these screenings fit into th…

1
2026 Inpatient Prospective Payment System: The Complexity Simplified 28:58

5M ago28:58

28:58

Although the proposed rule for the 2026 Inpatient Prospective Payment System (IPPS) has been released by the Centers for Medicare & Medicaid Services (CMS), mastering the complexities will continue to challenge most coders and coding team members. That is why ICD10monitor producers have asked Dr. James S. Kennedy to join the upcoming edition of Tal…

1
CMS E/M Improper Payment Report 15:27

5M ago15:27

15:27

In this episode, Terry dives into the latest findings from the Centers for Medicare & Medicaid Services (CMS) regarding Evaluation and Management (E/M) services. According to the 2023 CERT (Comprehensive Error Rate Testing) data: Insufficient documentation led to 34% of improper payments No documentation accounted for 7.5% Incorrect coding was resp…

1
AI and Coding: Working Smarter, Not Harder 28:42

5M ago28:42

28:42

During the next live edition of the popular Talk Ten Tuesday Internet broadcast, you’ll learn how artificial intelligence (AI) and autonomous coding are quickly reshaping the day-to-day work of coders. From inpatient DRG suggestions to outpatient evaluation and management (E&M) automation, these tools speed up workflows, reduce errors, and help pre…

1
ICD-10-CM Official Guidelines for FY 2026 17:56

5M ago17:56

17:56

The FY 2026 ICD-10-CM Official Guidelines are out. In this episode, Terry breaks down the key updates and what they mean for your coding workflow. Tune in as she covers: New considerations for diagnosis coding in heart disease, HIV, and diabetes How to apply the latest guidance across multiple specialties A closer look at inpatient discharge codes …

1
Fragility Fractures: An Underdiagnosed Epidemic 32:26

5M ago32:26

32:26

According to the Centers for Disease Control and Prevention (CDC), accidental falls are the leading cause of injury for adults 65 and older, with more than 1 in 4 older adults reporting falls every year. During the next live edition of Talk Ten Tuesday, Dr. James S. Kennedy will discuss the clinical concept of the “fragility fracture,” and how the …

1
Top 10 Tuesday Q&A – Coding, Billing, and Compliance Questions 28:08

5M ago28:08

28:08

Join Terry on the latest CodeCast podcast as she tackles your most pressing medical coding and compliance questions in our “Top Ten Tuesday” segment! Terry clears up common misunderstandings and provides clarity on complex ICD-10-CM coding scenarios. Get expert tips to improve your diagnostic coding accuracy. She also discusses how navigating the n…

1
Addiction: The Troubling Issue with Huge Impacts 34:51

5M ago34:51

34:51

Substance abuse is a pervasive issue with profound implications for hospitals. It has been estimated that up to 25 percent of hospitalized patients have a substance abuse disorder. And up to 44 percent of these patients abuse some substance during hospitalization. The annual estimated hospital cost for treating substance abuse disorders is as high …

1
Navigating Split/Shared Visit Audit Risks 13:51

5M ago13:51

13:51

In this essential episode, we dive deep into the heightened scrutiny surrounding split/shared visits, particularly high-level 99223 initial hospital visits. Join Terry as she breaks down the latest payer audits impacting these services. We’ll explore critical compliance issues and offer actionable strategies to help your providers and practices pro…

1
Calling Condition Code W2… 29:45

5M ago29:45

29:45

Attention, calling all coders! Is your hospital compliantly following all the the steps in the Condition Code W2 process? It’s imperative to understand all the details that must be followed, no matter how complex and daunting. Implementation is mandated by the Centers for Medicare & Medicaid Services (CMS). Participation is not optional. So take a …

1
Revisiting G2211 with a Change of Provider 9:33

6M ago9:33

9:33

Determining whether HCPCS code G2211 can be billed when a patient sees a different physician or practitioner within the same group practice, even colleagues in the same specialty, presents an interesting coding challenge. The key consideration revolves around whether the new provider serves as the “continuing focal point for all needed services or …

1
Artificial Intelligence and Medical Record Coding 32:31

6M ago32:31

32:31

Artificial intelligence (AI) has quickly transitioned from something to expect in the future to the here and now today. The potential for AI in health information is both exciting and daunting. Reporting the lead story during the next live edition of Talk Ten Tuesday will be longtime RACmonitor and ICD10monitor contributing author Sharon Easterling…

1
HIPAA and Workers Comp Patients 13:44

6M ago13:44

13:44

In today’s episode of the CodeCast podcast, Terry untangles the complexities of Protected Health Information (PHI) and HIPAA as they relate to workers’ compensation cases. She’ll clarify the rights of both patients and employers when requests for PHI reach a healthcare provider’s office. This can be a tricky area, especially given potential state-s…

1
New Coding Challenges for Reporting Gender-Affirming Care 30:19

6M ago30:19

30:19

As state laws, federal regulations, and insurance policies continue to evolve, healthcare organizations face growing demands to ensure that gender-affirming care is appropriately documented and reported. Reporting on these serious coding challenges and the dire consequences of failing to achieve compliance during the next edition of Talk Ten Tuesda…