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

Епизоде

• 
  Decoding Healthcare Audits: Turning Compliance into Opportunity 07.12.2024 20мин

  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!
• 
  Same-Day Professinal Billing - Outpatient to Inpatient Transitions 19.09.2026 29мин

  A patient is seen in the clinic in the morning and admitted to the hospital that afternoon. Same physician, same date, two encounters. Do you bill both? In this episode, learn how same-day outpatient-to-inpatient E/M billing works, including 99221–99223, bundling, cumulative time, modifier AI, concurrent care, payer differences, and documentation that supports a defensible claim. You'll learn: When outpatient E/M is bundled into the admissionHow to level 99221–99223MDM vs. cumulative timeHow modifier AI is usedWhen another provider may billMedicare vs. commercial differencesCommon same-day E/M audit risks This episode is from the CCO Community Q&A #1761 webinar. Watch the full video here: https://youtu.be/uImj-UGAFGs
• 
  What's New in FQHC Billing - Your 2026 Update 16.09.2026 26мин

  FQHC billing changed significantly in 2026. In this episode, learn about the updated PPS base rate, retired G-codes, new APCM framework, behavioral health add-ons, RPM opportunities, and important telehealth billing changes affecting Federally Qualified Health Centers. You'll learn: 2026 FQHC payment updatesRetired G0511, G0512 & G0071Replacement care management codesAPCM complexity tiersBehavioral health add-onsAPCM + RPM opportunitiesFQHC telehealth changesA 30-60-90 day action plan This episode is from the CCO Community Q&A #1761 webinar. Watch the full video here: https://youtu.be/ulKsv-YOpkA
• 
  Master the ICD-10-CM Alphabetic Index: Coding Conventions Made Easy 12.09.2026 40мин

  Finding a diagnosis in ICD-10-CM is only the beginning. In this episode, learn how to navigate the ICD-10-CM Alphabetic Index correctly, understand key conventions like “With,” “See,” “See Also,” brackets, dashes, and non-essential modifiers, and use the Neoplasm and Drugs & Chemicals tables with confidence. This episode is from the CCO Club Q&A #1739 webinar. Watch the full video here: https://youtu.be/dI98ZQ5lOVo
• 
  How to Code Critical Care: 99291, 99292, FS, FT & Time Rules 09.09.2026 25мин

  Critical care coding isn't about where the patient is—it's about condition, provider work, and time. In this episode, learn how to apply 99291 and +99292, meet the 30-minute requirement, count critical care time correctly, distinguish bundled from separately reportable services, handle split/shared care, and strengthen documentation for audit protection. This episode is from the CCO Club Q&A #1739 webinar. Watch the full video here: https://youtu.be/1oL5gwUl2bk
• 
  OB/GYN Coding 2026: Prenatal, Delivery, Postpartum & Surgery Scenarios 20.08.2026 34мин

  OB/GYN coding can get complicated fast. 🤰 Prenatal care 👶 Vaginal vs. C-section delivery 🔄 VBAC scenarios 👶👶 Twins 📋 Postpartum care 🏥 Hysterectomy coding In our latest episode, we're breaking down the coding logic behind the pregnancy continuum and common GYN surgical scenarios. This episode is from the CCO Community Q&A #1760 webinar. Watch the full video here: https://youtu.be/sNnZagBuS4o
• 
  Fertility & Egg Preservation Coding for 2026: IVF, Z Codes, CPT & more 17.08.2026 23мин

  Fertility and egg preservation coding changed in 2026. Learn the new Z31 codes, IVF and ART billing rules, cryopreservation, storage, modifier FP, and the documentation details that can prevent costly denials. This episode is from the CCO Community Q&A #1760 webinar. Watch the full video here: https://youtu.be/C-jMXYpy6Ig
• 
  The Future of CPT Coding: CMS, AMA, HCPCS & the 2027 RFI 13.08.2026 39мин

  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
• 
  Tough Specialties - Why Cardio, Ortho and IR Feels So Hard 12.08.2026 41мин

  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
• 
  Error-Proof Coding Guide: Modifiers, Medical Necessity & NCCI Checklists 07.08.2026 39мин

  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
• 
  CKD Coding Explained: Documentation Checklist Every Medical Coder Needs 05.08.2026 32мин

  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
• 
  Behavioral Health Coding: Substance Use Documentation & CDI Essentials 28.07.2026 24мин

  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
• 
  What Is Forensic Medical Coding? Legal Cases, Expert Witness & Fraud Review Explained 26.07.2026 25мин

  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
• 
  Fraud, Waste & Abuse Explained: What Every Medical Coder Must Know 15.07.2026 25мин

  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
• 
  Mental Health Coding Guide: Major Depression, PDD, and Adjustment Disorder 15.07.2026 27мин

  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
• 
  Medical Coding Audits 2026: How to Prepare, Respond & Protect Your Practice 14.07.2026 31мин

  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
• 
  Mastering Medical Coding Modifiers: CPT, HCPCS & ICD-10-CM Explained 28.06.2026 56мин

  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
• 
  98000–98007: The Telehealth Codes Creating Chaos 18.06.2026 34мин

  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
• 
  CPC Exam Practice: Integumentary Surgery Coding Questions 14.06.2026 47мин

  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
• 
  AI in Medical Coding: Hype vs. Reality—What You Actually Need to Know in 2026 22.05.2026 45мин

  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