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May 13, 2025

How Physician Services are Paid

PhysicianServicesPaid

Use the resources here to quickly educate new practitioners and staff about coding and reimbursement. You'll find explanations about code sets and compliance, about Medicare incident-to and shared services rules, and requirements for billing for services provided jointly between a resident and an attending.

Code sets and reimbursement Expand

How Physician Services are Paid

    • How Physician Services are Paid – Coding guide
    • How Physician Services are Paid – Overview (Brief Video)
    • How Fees are Set in the Medicare Fee Schedule
    • 2024 RVU table with national fee amounts
    • Dear Resident, Do you understand relative value units?
    • Diagnosis Coding | Not just for claims anymore (Brief Video)
    • What is a Coverage Policy?
    • As time goes by

Webinars

    • Five Novel Reimbursement Opportunities | Webinar
    • Coding Principles for Practice Administrators | Webinar
    • How Medical Practice Services are Paid | Webinar
    • Best Practices in Revenue Cycle Management | Webinar
    • Transforming Patient Collections: Expert Insights and Strategies | Webinar

Claims Processing

    • Payment denials for unspecified codes
    • Physician specialty codes and claims processing
    • Facility versus Non-Facility in the Physician Fee Schedule
    • Two visits for the price of one? | Multiple medical visits on the same day

CodingIntel member surveys

    • How old is your oldest CPT book
    • OB Coder Survey | Billing extra visits during pregnancy
Medicare incident-to and shared services Expand

Articles

  • CMS’s 2024 shared or split services policy: document and report them correctly
  • Non-physician practitioners in nursing facilities

Resources

  • Medicare Incident-to and Shared Services | Coding Guide
  • Incident To Services – Medicare

Webinar

  • Shared Services: CPT and CMS Rules | Webinar
Teaching physician rules Expand

Resources

  • Teaching Physician Rules Coding guide
  • Teaching Physician Rules Quick Reference Guide

Rules by types of service

  • Teaching Physician Rules – Evaluation and Management Services
  • Teaching Physician Rules – Surgical procedures
  • Teaching Physician – Primary Care Exception
  • Teaching physician rules – Bedside procedures
Compliance issues Expand

Guide

  • Compliance Guide

Articles

  • OIG Report on Telehealth During the PHE
  • This Practice Paid Medicare $4.48 Million
  • 7 Sure Fire Ways to Owe the Government $4 Million in Fines and Repayments | Coding Compliance
  • No Chart Left Behind: Deadline to Complete Medical Records
  • CMS Update on Medical Record Documentation for E/M Services
  • Who is Responsible for Coding Physician Services?  The Medical Provider or the Coder?

Webinars

  • Developing an Audit Work Plan to Satisfy Your Compliance Program | Webinar
  • Where Does it Say That? | Webinar
  • Fueling Compliance: Cracking the Code on DSMT & MNT | Webinar

Annual CPT® Changes Webinar

CodingIntel welcomes back Shannon McCall of HCPro for this review of changes that will go into effect January 1st, 2025. Exclusively for members.

Join now

Compliance for Medical Practices

Exclusively for members, this two module concentration includes guidance for developing an audit workplan, and how to locate source citations for common healthcare compliance scenarios.

Join today!

IRE Inpatient Determinations: Case Studiesoding for Prolonged Services | Webinar

Exclusively for members, this case-study focused webinar describes important ICD-10-CM Guidelines that establish the rules for these decisions.

Join today!

Latest Intel

Fueling Compliance: Cracking the Code on DSMT & MNT | Webinar

Overview … Read More...

Problematic Modifiers – 22, -52, -58, -78, -79 | Webinar

Overview … Read More...

Behavioral Health Screening and Testing

This article will review the codes and guidelines … Read More...

Anatomy of an Audit™: Complexity of Problem Addressed | Webinar

Overview … Read More...

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Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions.

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