Unraveling Medical Coding
Piyush ShethJoin Neal Sheth and Dr. Piyush Sheth, a general surgeon with 28 years' experience, as they discuss the nuances of medical coding. This father-son duo talk about the complexities of medical coding and how to streamline the process and reduce the time and effort required to submit clean claims and get paid faster. They also talk about medical record documentation best practices. www.unravelingmedica... more
| Publishes | Monthly | Episodes | 15 | Founded | 3 years ago |
|---|---|---|---|---|---|
| Categories | MedicineHealth & Fitness | ||||
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Latest Episodes
These are our 4 wishes to improve documentation, coding, and healthcare from our hosts Neal Sheth and Dr. Piyush Sheth. There is also a free gift for our listeners. more
This episode discusses the clinical issues, proper coding (using CPT and modifiers), and current payment policies regarding colonoscopies. Unfortunately, because these three aspects are intimately entwined, colonoscopy coding can get quite complex. H... more
2023 brings a host of changes to medical coding and billing. Dr. Piyush Sheth talks about ICD, CPT, and reimbursement changes including changes to RVU values.
Episode Summary: Medical Documentation has suffered a decline in integrity due to adoption of Electronic Medical Records and an incomplete understanding of Documentation Guidelines. Hosts Neal Sheth and Dr. Piyush Sheth explore this topic and provid... more
Episode Summary: RVU’s (Relative Value Units) are the currency of healthcare. Hosts and General Surgery Certified Coders Neal Sheth and Dr. Piyush Sheth explore the concept of RVU’s and Geographic Practice Cost Indices and how CMS makes payments. more
Episode Summary: Modifiers are two-digit codes that can be appended to a CPT code in special situations to justify payment for the service when payment otherwise would be denied. Understanding the proper use of modifiers can lead to better reimbursem... more
Episode Summary: Modifiers are two-digit codes that can be appended to a CPT code in special situations to justify payment for the service when payment otherwise would be denied. Understanding the proper use of modifiers can lead to better reimbursem... more
Episode Summary: CMS released their Calendar Year 2022 Medicare Physician Fee Schedule Final Rule on November 2nd. There are significant changes to the PFS conversion factor, billing for Shared/Split inpatient services, Critical Care services, Telehe... more
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