CCO.us Podcast | Medical Coding, Billing, Auditing & Risk Adjustment

Epizode

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  Decoding Healthcare Audits: Turning Compliance into Opportunity 07.12.2024 20min

  In this episode of the CCO.us Podcast, we’re diving deep into the world of healthcare audits, uncovering how you can turn compliance challenges into powerful growth opportunities for your practice. Whether you’re a seasoned auditor or just starting out, this episode has something for everyone. Here's what we cover: Understanding the Essentials: Explore the most common healthcare audits, including Surgical & Procedural Audits, HCC & Risk-Based Services, and Evaluation & Management Services.Specialized Focus Areas: Learn about audits for Federally Qualified Health Centers (FQHCs), Ambulatory Surgery Centers (ASCs), Emergency Departments, and Behavioral Health Services.Practical Insights: Discover actionable tips for optimizing your revenue cycle management, reducing claim denials, and staying ahead of industry trends.Expert Guidance: Gain insider knowledge on how to leverage audits as a tool for improving operations, educating staff, and enhancing client trust. By the end of this episode, you’ll walk away with a clear understanding of how audits can empower your practice and ensure compliance while driving success. 👉 Ready to take your audit strategy to the next level? Schedule a consultation with the experts at CCO.us today and start turning compliance into your competitive edge. Visit CCO.us for more resources and insights. https://www.cco.us/auditing-services-chart-reviews-2/ Subscribe now and don’t miss this chance to transform your auditing approach!
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  The Future of CPT Coding: CMS, AMA, HCPCS & the 2027 RFI 13.08.2026 39min

  Is CPT going away? CMS is questioning the current CPT structure—but the reality is much less dramatic than the headlines suggest. Learn what the 2027 RFI actually means, why HCPCS could become more important, and how coders can prepare for the future without panicking. This episode is from the CCO Podcast #1749 webinar. Watch the full video here: https://youtu.be/e060lJ2gSaY
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  Tough Specialties - Why Cardio, Ortho and IR Feels So Hard 12.08.2026 41min

  Why do Cardiology, Orthopedics & Interventional Radiology feel so difficult to code? We're breaking down the anatomy, modifiers, global periods, vascular families, bundling rules and 2026 coding changes that make these specialties challenging. This episode is from the CCO Podcast #1749 webinar. Watch the full video here: https://youtu.be/N40H5keImdA
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  Error-Proof Coding Guide: Modifiers, Medical Necessity & NCCI Checklists 07.08.2026 39min

  One missing modifier... One missed NCCI edit... One incorrect diagnosis... That's all it takes for a claim denial. Learn the 6-step error-proofing workflow every coder should use before submitting claims. This episode is from the CCO Club Q&A #1738 webinar. Watch the full video here:  https://youtu.be/zMM_TS6Uknk
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  CKD Coding Explained: Documentation Checklist Every Medical Coder Needs 05.08.2026 32min

  CKD coding can have a huge impact on documentation, HCC capture, and reimbursement. Learn the documentation elements, staging rules, ICD-10-CM guidelines, and coding strategies every medical coder should know. This episode is from the CCO Club Q&A #1738 webinar. Watch the full video here: https://youtu.be/d52QSvkhrXs
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  Behavioral Health Coding: Substance Use Documentation & CDI Essentials 28.07.2026 24min

  Substance Use Disorder documentation requires far more than identifying whether a patient uses alcohol or drugs. Proper coding depends on accurate provider documentation of severity, remission status, withdrawal, intoxication, substance-induced conditions, and associated comorbidities. In this episode, we discuss the CDI essentials for behavioral health documentation and how accurate coding supports patient care, compliance, reimbursement, and risk adjustment.  This episode is from the CCO Community Q&A #1754 webinar. Watch the full video here: https://youtu.be/1n2DCUBW-dI
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  What Is Forensic Medical Coding? Legal Cases, Expert Witness & Fraud Review Explained 26.07.2026 25min

  Substance Use Disorder coding depends on accurate documentation—not assumptions. In this episode, Laureen Jandroep explains ICD-10-CM coding for substance use disorders, remission status, withdrawal, intoxication, CDI best practices, and the documentation details that improve coding accuracy and patient care. This episode is from the  CCO Community Q&A #1754 webinar. Watch the full video here: https://youtu.be/V-3cv4Q_aGo
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  Fraud, Waste & Abuse Explained: What Every Medical Coder Must Know 15.07.2026 25min

  Fraud, Waste, and Abuse can affect every healthcare organization—and every medical coder. In this episode, Laureen Jandroep explains the seven federal FWA laws, common coding red flags, OIG audit targets, False Claims Act risks, and practical compliance strategies to help coders protect themselves and their organizations. This episode is from the CCO Community Q&A #1759 webinar. Watch the full video here: https://youtu.be/5SiTL65W5KE
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  Mental Health Coding Guide: Major Depression, PDD, and Adjustment Disorder 15.07.2026 27min

  Major Depressive Disorder, Dysthymia, and Adjustment Disorder are frequently confused in coding, but each diagnosis has unique documentation, coding, and risk adjustment requirements. In this episode, Laureen Jandroep explains severity levels, HCC 59 implications, documentation standards, common coding errors, and how to accurately code mood disorders. This episode is from the CCO Club Q&A #1733 webinar. Watch the full video here:  https://youtu.be/J96TCe9yejc
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  Medical Coding Audits 2026: How to Prepare, Respond & Protect Your Practice 14.07.2026 31min

  Medical coding audits can significantly impact reimbursement and compliance. In this episode, Alicia Scott explains the seven major audit programs, documentation requirements, Medicare appeals, audit triggers, and practical strategies every medical coder should use to prepare before an audit occurs. This episode is from the CCO Community Q&A #1759 webinar. Watch the full video here: https://youtu.be/ZTwtu14J5Gs
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  Mastering Medical Coding Modifiers: CPT, HCPCS & ICD-10-CM Explained 28.06.2026 56min

  Modifiers are only two characters long—but they can determine whether a claim gets paid or denied. In this episode, Laureen Jandroep explains CPT®, HCPCS Level II, and ICD-10-CM coding conventions, common modifier mistakes, audit risks, and practical strategies to improve coding accuracy and reimbursement. This episode is from the CCO Club Q&A #1737 webinar. Watch the full video here: https://youtu.be/gfoe0fH7iLU
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  98000–98007: The Telehealth Codes Creating Chaos 18.06.2026 34min

  The new telehealth CPT® codes 98000–98007 were designed to simplify telemedicine coding—but Medicare isn't paying them. In this episode, Alicia Scott explains the AMA vs CMS conflict, modifier 93 and 95 usage, payer-specific requirements, virtual check-in updates, and common telehealth coding mistakes every medical coder should know.  This episode is from the CCO Community Q&A #1757 webinar. Watch the full video here: https://youtu.be/dHgOgI-qhfY
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  CPC Exam Practice: Integumentary Surgery Coding Questions 14.06.2026 47min

  Struggling with integumentary surgery coding? In this episode, Laureen Jandroep reviews the most commonly tested CPC exam concepts, including biopsies, excisions, repairs, debridement, skin grafts, Mohs surgery, breast procedures, coding guidelines, and exam-day strategies to help improve coding accuracy and confidence. This episode is from the CCO Community Q&A #1757 webinar. Watch the full video here https://youtu.be/LRUv7-JF8Us
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  AI in Medical Coding: Hype vs. Reality—What You Actually Need to Know in 2026 22.05.2026 45min

  AI is reshaping medical coding workflows, but not in the way many people fear. In this episode, Laureen Jandroep explains the difference between AI hype and real-world adoption in healthcare, including coding automation, NLP tools, agentic AI, 2026 CPT changes, compliance risks, and why human coders remain essential in the AI era. Watch the full video here https://youtu.be/2VcIZrp_u8w
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  AAPC vs. AHIMA: Which Certification Is Right for You? 14.05.2026 45min

  Choosing between the CPC and CCS can shape your entire medical coding career. In this episode, Alicia Scott and Laureen Jandroep explain the differences between AAPC and AHIMA certifications, including outpatient vs inpatient coding, exam difficulty, career growth, specialization paths, remote work opportunities, and which certification may help you get hired faster. Whether you are brand new to coding or planning your next credential, this episode helps you make a smarter long-term career decision. Watch the full video here https://youtu.be/VIFKAjXWLHU
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  Denied Claim? These Billing Case Reviews Explain Why 01.05.2026 1h 22min

  Billing case reviews are one of the best ways to build real-world medical billing confidence. In this episode, Laureen Jandroep and Alicia Scott walk through practical CPB-style scenarios covering coordination of benefits, Medicare Secondary Payer rules, claim forms, denials, appeals, patient responsibility, HIPAA, and compliance. You’ll learn how to slow down, identify the real billing issue, and apply the right rule before taking action on a claim. This episode is ideal for medical billers, coders, CPB students, and revenue cycle professionals who want stronger claim analysis and reimbursement decision-making skills.
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  Anesthesia Coding Basics: Guidelines Every Coder Should Know 17.04.2026 37min

  Here’s a balanced podcast description (aligned with your preferred format—clear, engaging, not too short or too long): Podcast Description: Anesthesia coding is one of the most misunderstood areas in medical coding—and for good reason. It doesn’t follow the same rules as other CPT sections, and even small mistakes in time, modifiers, or documentation can lead to claim denials or compliance issues. In this episode, we break down the fundamentals of anesthesia coding in a way that actually makes sense. You’ll learn how the CPT anesthesia section is structured, how to differentiate anesthesia from moderate sedation, and how the payment formula works using base units, time units, and modifying units. We also walk through critical modifiers, documentation requirements, and common pitfalls that coders often overlook. Whether you’re preparing for a certification exam or working claims in real life, this episode will help you connect the pieces and build confidence in anesthesia coding.
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  Don’t Miss the Deadline: Timely Filing Tips for Medical Billers 12.04.2026 23min

  Here’s a balanced podcast description (not too short, not too long, same style as your previous ones) 👇 Timely filing might sound simple—but it’s one of the biggest reasons claims get denied in medical billing. In this episode, we break down how filing deadlines vary by payer, why missing even one day can cost you payment, and how to manage multiple timelines across claims, corrections, and appeals. You’ll also learn the difference between rejections, denials, and appeals—and practical strategies to keep your workflow on track and protect your revenue.
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  Struggling with PCI CPT Coding? (Percutaneous Coronary Intervention) 03.04.2026 29min

  In this episode, we break down the fundamentals of PCI (percutaneous coronary intervention) coding and how to accurately assign CPT codes for cardiac procedures. Learn the importance of coding hierarchy, how to distinguish between angioplasty, stent placement, and atherectomy, and why documentation and vessel identification are critical. Perfect for coders looking to simplify complex cardiology cases and improve accuracy.
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  Cardiology coding made easy: Master Cardiovascular Terminology & Coding 28.03.2026 36min

  In this episode, we break down the essentials of cardiology coding—one of the most complex yet high-impact specialties in medical coding. You’ll learn key heart anatomy, common cardiac conditions like ischemia, myocardial infarction, and arrhythmias, plus how to accurately apply CPT and ICD-10 codes for procedures such as EKGs, stress tests, cardiac catheterizations, and more. We also highlight common coding mistakes and documentation tips to help you improve accuracy, compliance, and reimbursement. Perfect for coders looking to build confidence in cardiac cases.