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

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

CCO.us 53 Episodes Dec 7, 2024

This podcast focuses on the intricacies of medical coding, billing, auditing, and risk adjustment. Hosted by Alicia Scott, a renowned expert in the industry, it aims to educate aspiring professionals through detailed discussions and guidance. The show is produced by CCO.us, a platform offering courses and certifications in these fields. Listeners can expect practical insights from Alicia's extensive experience as a medical records abstractor, analyst, and auditor.

Episodes

Decoding Healthcare Audits: Turning Compliance into Opportunity
Decoding Healthcare Audits: Turning Compliance into Opportunity Dec 7, 2024 00:20:30 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, incl
When Does Medication Qualify as High Risk? High-Risk Drug Management
When Does Medication Qualify as High Risk? High-Risk Drug Management Oct 15, 2026 00:27:05 Does a dangerous medication automatically make an E/M encounter high risk? In this episode, Alicia Scott explains the two independent drug-related high-risk examples in the E/M risk column, the requirements for intensive toxicity monitoring, decisions involving parenteral controlled substances, and why IV administration alone doesn't establish high risk. You'll learn: ✔ Moderate vs. high-r
Retrospective Coding Gone Wrong Documentation, HCCs & False Claims Act
Retrospective Coding Gone Wrong Documentation, HCCs & False Claims Act Oct 8, 2026 00:37:21 A diagnosis can be accurate—and still fail to support a claim if the documentation underneath it doesn't meet applicable requirements. In this episode, Alicia Scott examines retrospective HCC coding through the lens of a major settlement involving allegations about medical-record amendments and risk adjustment data. The discussion focuses on documentation provenance, amendment requirements
Breaking Into Revenue Cycle: Essentials for Medical Coders & Billers
Breaking Into Revenue Cycle: Essentials for Medical Coders & Billers Oct 5, 2026 00:31:26 Trying to break into healthcare revenue cycle but don't know where to start? In this episode, Alicia Scott explains the five stages of revenue cycle, professional vs. institutional claims, common transaction numbers, rejected vs. denied claims, important KPIs, entry-level job opportunities, and credentials that can help you build your career. You'll learn: The five stages of revenue cycle
You're Probably Missing These Z Codes
You're Probably Missing These Z Codes Oct 1, 2026 00:40:16 Z codes are everywhere—but knowing when to report them and where to sequence them can be surprisingly challenging. You'll learn: First-listed vs. secondary Z codesStatus vs. historyScreening vs. diagnosticAftercare vs. follow-upSDOH documentationCommon documentation trapsFY 2026 Z code changesFY 2027 changes to watch This episode is from the CCO Club Q&A #1740 webinar. Watch the full
Wound Care Billing Changed BIG in 2026
Wound Care Billing Changed BIG in 2026 Sep 29, 2026 00:38:48 Wound and ulcer care coding changed significantly in 2026. You'll learn: 2026 skin substitute payment changesDeleted and replacement application codesApplied vs. discarded product unitsMAC LCD considerationsWISeR prior authorizationExpanded ICD-10-CM ulcer codingDiabetic foot ulcer sequencingPodiatry CPT® updatesRoutine foot care requirements This episode is from the  CCO Community Q&A
Same-Day Professinal Billing - Outpatient to Inpatient Transitions
Same-Day Professinal Billing - Outpatient to Inpatient Transitions Sep 19, 2026 00:29:05 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 l
What's New in FQHC Billing - Your 2026 Update
What's New in FQHC Billing - Your 2026 Update Sep 16, 2026 00:26:12 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 t
Master the ICD-10-CM Alphabetic Index: Coding Conventions Made Easy
Master the ICD-10-CM Alphabetic Index: Coding Conventions Made Easy Sep 12, 2026 00:40:20 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 vi
How to Code Critical Care: 99291, 99292, FS, FT & Time Rules
How to Code Critical Care: 99291, 99292, FS, FT & Time Rules Sep 9, 2026 00:25:18 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
OB/GYN Coding 2026: Prenatal, Delivery, Postpartum & Surgery Scenarios
OB/GYN Coding 2026: Prenatal, Delivery, Postpartum & Surgery Scenarios Aug 20, 2026 00:34:03 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://yout
Fertility & Egg Preservation Coding for 2026: IVF, Z Codes, CPT & more
Fertility & Egg Preservation Coding for 2026: IVF, Z Codes, CPT & more Aug 17, 2026 00:23:20 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

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