Terry Fletcher


Join cardiology coding expert Terry Fletcher for a comprehensive educational program, covering the latest ICD-10-CM update for cardiology, specialty-specific advice on collections and appeals, and CPT® and Medicare cardiology updates. You'll get proven tips for coding electrophysiology (EP) services, cath lab, modifier usage in cardiology, and so much more!


2019 CPT®, ICD-10-CM & Medicare Updates

Duration: 90 minutes | CEU: 1.5 AAPC CEUs

You will face a whole slew of cardiology coding and reimbursement changes in 2019 – and if the preview of the ICD-10-CM updates have given you any clue as to the other pending changes, you should know that there are a lot of new, deleted, and revised codes in store. Effective Oct. 1, 2018, there are approximately 473 code changes for ICD-10 – 279 new codes, 143 revised codes, and 51 deleted codes. Which ones will directly impact your cardiology specialty-specific coding?

Cardiology coding guru Terry Fletcher has the answers in this Virtual Boot Camp session! Expect more than 150 new, revised, and deleted CPT® codes for 2019, as well as the final Medicare Physician Fee Schedule that’s sure to include significant changes. Learn how the congestive heart failure (CHF), hypertension (HTN), and diabetes mellitus (DM) ICD-10 codes have become more specific for 2019, as well as how to code the new acute myocardial infarction (AMI) Type 1 through Type 4 codes. Find out how a patient’s refusal to take medication as prescribed will impact your ICD-10 coding in 2019 as well.

This specialty-specific Virtual Boot Camp session will cover all the coding updates for CPT® and ICD-10-CM for 2019, as well as all the Medicare updates that will impact the cardiology specialty, such as for MIPS, MACRA, HIPAA, and more. Discover all the 2019 new, deleted, and revised codes for cardiology and how you can master these changes. Get clinical examples and guidance on code linking to help correctly code and update your physicians. CMS is proposing huge changes for E&M codes that impact your reimbursement and documentation – get the tools to be well-informed for the new year!

Non-Invasive Cardiology and E&M Auditing for Cardiology

Duration: 90 minutes | CEU: 1.5 AAPC CEUs

Just when you thought you understood “new” versus “established” patient, the CPT® definition is changing again. Plus, CMS is cracking down on supporting Level 4 and 5 Evaluation and Management (E&M) codes, with capturing a 99211 visit under audit scrutiny. You’ll face all this and more in 2019!

In this session with cardiology coding expert Terry Fletcher, you’ll learn the new CPT® definitions and what’s in store for E&M auditing in the coming year. Find out what “same specialty or subspecialty” means and how to pass an audit when reporting E&M and a diagnostic on the same date. Explore the potential disconnect between Medicare and CPT® in the auditing process, and dive into the medical decision-making (MDM) to make sure you’re capturing the correct code for maximum reimbursement.

After attending this Virtual Boot Camp session, you’ll walk away with the tools and knowledge you need to master your cardiology CPT® and E&M coding in 2019. Get audit tools, cardiology specialty-specific E&M examples, and concrete guidance on using modifiers with E&M codes and diagnostics. Gain confidence in your E&M coding for cardiology, so you can train your physicians, avoid denials, and maximize payments.

Cardiac Cath and PCI Coding for Cardiology with PV Bonus Coding

Duration: 90 minutes | CEU: 1.5 AAPC CEUs

Coding for heart catheterization is anything but simple or straightforward – and the coding will only get more complicated in 2019. You have to understand not only the different access points (femoral, brachial, radial), but also the different cardiac cath methods.

In this session, cardiology coding guru Terry Fletcher will reveal the expert techniques for making your cardiac cath and Percutaneous Coronary Intervention (PCI) coding more accurate and less frustrating. Learn proper coding for right and left (R&L) heart caths versus Swan Ganz Catheter, left heart catheterization (LHC) versus coronary angiography (Cors) only, and cardiac caths and graft injections. Discover the correct ways to append modifiers in the cath lab to ensure rightful payment, too.

After attending this Virtual Boot Camp specialty-specific session, you’ll know who is (and isn’t) reimbursing for PCI and fractional flow reserve (FFR) versus instantaneous wave-free ratio (IFR). Gain a better understanding of the coronary anatomy for PCI, and learn about CPT® versus Medicare rules for benzathine penicillin G (BPG) injections and PCIs. You’ll learn the rules for the highly-weighted code for acute myocardial infarction (AMI), as well as the moderate conscious sedation coding for 2018 and 2019.

Endovascular Repairs for AAA and Pseudoaneurysms

Duration: 90 minutes | CEU: 1.5 AAPC CEUs

In 2018, you’ve had to deal with major changes for coding endovascular repair procedures. CMS deleted multiple surgical codes (34800-34806, 34825-34826, 34900) and radiological supervision and interpretation (S&I) codes (75952-75954) and replaced them with new codes describing endovascular repair of the abdominal aorta and/or iliac arteries. While you’re still likely mastering these huge coding revisions, you also need to gear up for the coming CPT updates for 2019.

Join cardiology coding expert Terry Fletcher to get a handle on the 2018 changes and learn the latest tweaks to these codes for the coming year. The new codes are assigned not only for abdominal aortic aneurysm (AAA) repair, but also for treatment of pseudoaneurysm, dissection, penetrating ulcer, or traumatic disruption of the aorta or iliac arteries. Learn the two main keys to selecting the correct endovascular repair codes: 1) the clinical indication; and 2) the type of device that is placed.

This Virtual Boot Camp session will teach you how to correctly code for endovascular repair, and understand the current definition of “rupture.” Learn the clinical indication for AAA repairs, which plays a crucial role in reimbursement. Reduce your denials and maximize your reimbursement with step-by-step coding instructions, real case studies, guidance on modifiers, and a clear and concise definition of what the AAA repair is. Plus, understand when to code extension codes for endoprosthesis and when you can code bilateral versus unilateral access separately.