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Artwork for Unraveling Medical Coding

Unraveling Medical Coding

Piyush Sheth
Evaluation and Management Coding
Relative Value Units
Medicare
Healthcare Documentation
Audit Risk Management
Coding Solutions, Evaluation and Management Services
Colorectal Cancer
Cologuard Test
Colonoscopy
CMS
Healthcare Providers

Join 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

PublishesMonthlyEpisodes17Founded4 years ago
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MedicineHealth & Fitness

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Artwork for Unraveling Medical Coding

Latest Episodes

Coding rules for Colonoscopies are complex, especially those relating to Screening Colonoscopies. The Cologuard test is becoming more popular as a non-invasive colorectal cancer screening test. On January 1, 2023, CMS changed its payment policy regar... more

The coding changes to Office / Outpatient Services implemented on January 1, 2021 and the complimentary changes to Hospital Services implemented on January 1, 2023 were designed to minimize documentation burden and allow providers to focus more on pa... more

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.

Click the free link below to get your free gift:

drive.google.com/file/... 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.

V... 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

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1. CodeCast | Medical Billing and Coding Insights
2. The Mel Robbins Podcast

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Unraveling Medical Coding launched 4 years ago and published 17 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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