Unraveling Medical Coding

May 07 2024 6
Unraveling Medical Coding Podcast artwork

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.unravelingmedicalcoding.com

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Lessons Learned: Impact of the new E/M Guidelines

May 07 2024 12 mins  
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 patient care. This episode discusses one major unintended consequence of these changes: the shift of the E/M CPT coding bell curves to h

Wishes for the Holidays to Improve Healthcare

Dec 26 2023 12 mins  
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: https://drive.google.com/file/d/10tPZ81QkVMskZVKnUkqyzAikYQ6t58Nh/view?usp=sharing

Shining Light on Colonoscopy Coding

Sep 05 2023 18 mins  
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. Hosts Neal Sheth and Dr. Piyush Sheth try to simplify and clarify the concepts behind coding for colonoscopies.

2023 Update

Feb 21 2023 14 mins  
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.

Bulletproof Documentation

Oct 18 2022 14 mins  
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 provide solutions that can strengthen your medical record documentation and make them stand up to scrutiny during audits. Visit our blo

Relative Value Units and RBRVS

Jun 21 2022 16 mins  
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. Visit our blog: unravelingmedicalcoding.com Don’t forget to subscribe to our podcast: Unraveling Medical Coding Coding Solutions: G

Modifiers (Part II)

Mar 15 2022 16 mins  
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 reimbursement. Hosts Neal Sheth and Dr. Piyush Sheth explore some of the most common modifiers used. Visit our blog: unravelingmedicalcoding.com

Modifiers (Part I)

Feb 15 2022 13 mins  
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 reimbursement. Hosts Neal Sheth and Dr. Piyush Sheth explore some of the most common modifiers used. Show Links: Buy the Book Full Transcript Av

CMS Update 2022

Dec 28 2021 13 mins  
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, Telehealth services, and Colorectal Screening procedure co-insurance payments among others. Hosts Neal Sheth and Dr. Piyush Sheth try to mak

Building a Better EMR (EMR Part II)

Nov 19 2021 14 mins  
Episode Summary: Our previous episode dealt with EMR issues relating to documentation quality and ease of use. In this follow-up episode, hosts Neal Sheth and Dr. Piyush Sheth explore concepts on creating a better user environment in EMRs and on a more global level, improving EMR infrastructure. Don't forget to subscribe to this podcast. Topics discussed in this episode: EMR, EHR,