Advertise on podcast: CCO.us Podcast | Medical Coding, Billing, Auditing & Risk Adjustment
Rating
5from
This podcast has
65 episodes
Language
EnglishPublisher
CCO.usExplicit
No
Date created
2023/09/06
Latest episode
2026/10/18
Average duration
34 min.
Release period
6 days
Description
Welcome to the CCO.us Podcast, the podcast that peels back the layers of Medical Coding, Billing, Auditing and Risk Adjustment. In this ongoing series, we'll dive into the intricacies of medical coding with the guidance of one of the industry's most esteemed experts, Alicia Scott, CPC, CPC-I, CRC. Alicia Scott is a renowned figure in the world of medical coding and billing. With an impressive background as a medical records abstractor, analyst, risk adjustment auditor, and consultant, Alicia has established herself as a subject matter expert and coach. Today, she holds the position of Director of Education at CCO.us, a leading platform offering education in the Medical Coding, Billing, Auditing and Risk Adjustment field, where aspiring professionals attain essential certifications such as the CPC®, CRC, CPB® and more. Over the past five years, Alicia has focused her expertise on provider education, bridging the gap between healthcare providers and the often complex world of medical coding, specifically navigating the challenges of the ICD-10 code set and Clinical Documentation Improvement (CDI). Her mission has been to alleviate the frustration experienced by providers and cultivate a strong, collaborative relationship between them and the coders who translate their work into accurate coding. Throughout this podcast series, Alicia will draw upon her extensive knowledge and teaching experience at CCO.us, sharing invaluable insights on analyzing medical records for accuracy and completeness, conducting precise coding activities, and addressing common errors and issues that arise in the field. Discover how CCO.us and Alicia Scott are revolutionizing the landscape of medical coding education. Subscribe now to the CCO.us Podcast and embark on a journey towards mastering medical coding with the guidance of a true industry luminary. Don't miss a single episode!
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Podcast episodes
Check latest episodes from CCO.us Podcast | Medical Coding, Billing, Auditing & Risk Adjustment podcast
Basal Ganglia and Beyond: Finding Anatomy in ICD-10-CM & CPT Manuals
2026/10/18
What happens when the physician documents a precise anatomical structure, but you can't find that term in your coding manual?
In this episode, Alicia Scott uses the basal ganglia to demonstrate how anatomy is organized differently across ICD-10-CM, CPT, and Medicare coverage policies.
You'll learn:
Why searching anatomical terms alone can lead to confusing resultsHow I61, I63, S06.3, and G23 organize diagnoses differentlyHow to distinguish subcortical and cortical hemorrhageWhen to consider I61.0, I61.1, I61.2, and I63.81Why mechanism and vessel matter in cerebral infarction codingHow to navigate the CPT Index for brain proceduresWhy coverage policies and procedure codes serve different purposesHow documentation queries can help improve specificity
Discover a practical research technique that applies well beyond neurology.
This episode is from the CCO Community #1762 webinar.
Watch the full video here: https://youtu.be/Fu6tmeQHw7I
When Does Medication Qualify as High Risk? High-Risk Drug Management
2026/10/15
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-risk drug management
✔ Intensive monitoring for toxicity
✔ The four-gate monitoring framework
✔ Monitoring for harm vs. therapeutic effect
✔ Parenteral controlled substance decisions
✔ Insulin, diuretic, and antineoplastic examples
✔ Why high risk doesn't automatically mean high MDM
This episode is from the CCO Community Q&A #1762 webinar.
Watch the full video here: https://youtu.be/yvh9ZVQsO7A
Retrospective Coding Gone Wrong Documentation, HCCs & False Claims Act
2026/10/08
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, provider involvement, add-only reviews, audit trails, HCC models, and workflow design.
You'll learn:
The Identify–Attribute–Preserve testEHR amendment and audit-trail considerationsWhy provider sign-off isn't the whole analysisRisks of add-only retrospective reviewsHCC model/date-of-service considerationsAudit extrapolation conceptsFive project-design questionsWhat to do when you identify a concern
This episode is from the CCO Podcast #1751 webinar.
Watch the full video here: https://youtu.be/OQPXZ6miyw0
Breaking Into Revenue Cycle: Essentials for Medical Coders & Billers
2026/10/05
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 cycleWhere beginners can enter the fieldCMS-1500 vs. UB-04837P vs. 837ICommon transaction numbersRejections vs. denialsRevenue cycle KPIsEntry-level job titlesRevenue cycle credentials
This episode is from the CCO Podcast #1751 webinar.
Watch the full video here: https://youtu.be/2--io3qRajw
You're Probably Missing These Z Codes
2026/10/01
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 video here: https://youtu.be/dXitt38zso0
Wound Care Billing Changed BIG in 2026
2026/09/29
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 #1740 webinar.
Watch the full video here: https://youtu.be/8_4_f7qU1GU
Same-Day Professinal Billing - Outpatient to Inpatient Transitions
2026/09/19
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
2026/09/16
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
2026/09/12
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
2026/09/09
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
2026/08/20
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
2026/08/17
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
2026/08/13
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
2026/08/12
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
2026/08/07
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
Podcast reviews
Read CCO.us Podcast | Medical Coding, Billing, Auditing & Risk Adjustment podcast reviews
Craigtnc03 2024/02/01
BEYOND Amazing!
As an individual who is relatively new to the medical coding field, I shudder to think how my journey though this field would be without CCO. ALL of t...
carrkin 2023/10/29
Engaging host and interesting topics!
I’m so happy that the CCO podcast is now on iTunes and I can access this exceptional resource anywhere I go! I have long been a fan of the fantastic ...
miami_biz 2023/10/16
Medical Coding Pros!
Love CCO and their contributions to the medical coding and risk adjustment world. They have over 1000+ videos on YouTube and now they’re syndicating t...
akris3 2023/09/07
Super relatable and easy to digest
As a fan of the CCO community and a newly certified medical coder, I thoroughly enjoy listening to this podcast when I have time to follow along with ...
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