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CodingIntel

Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

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Search Results for: face to face

Brief_Non face to face prolonged_99358_rev 2021

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Are start and stop times required for non face-to-face prolonged care services?

Question: Regarding non face-to-face prolonged care, does Medicare require start and stop times, they way they do for prolonged face-to-face care? … [Read more...]

Non Face-to-Face Prolonged Service – 99358

This post includes: Brief video CPT® rules for prolonged care non face-to-face Using-99358-for-phone-calls Codes 99358 and 99359 are … [Read more...]

Anticoagulation Management

Currently, there are two sets of codes, three HCPCS codes and two CPT® codes. They aren’t defined exactly the same, and so take careful reading.  The … [Read more...]

Anticoagulation management | Can we bill for RN services?

Question: My question is regarding Anticoagulation Management Code 93793. Guidelines state that this code can be performed by a physician, NP, or … [Read more...]

Getting Paid for Advance Care Planning

This 5 minute video covers the criteria for billing Advance Care Planning services, CPT® codes 99497 and 99498. For additional information on … [Read more...]

Can I Get Paid To…?

How many times have you or your physician asked, "Can I get paid to...." At CodingIntel, we've collected some of the most frequently asked questions, … [Read more...]

2023 CPT E/M Changes

Ready to learn about the 2023 CPT® E/M changes? There is a significant update to the Evaluation and Management (E/M) section of the CPT® book. There … [Read more...]

Member Home

Welcome Whether you're here for the first time or the 50th, we're glad to see you. Current membership: My Account Quick … [Read more...]

Become a Member

A Library of Coding Resources at Your Fingertips Get up-to-date information and citation-based answers with a CodingIntel … [Read more...]

Behavioral health coding compliance

Compliance Lessons from the OIG In March 2022, the Office of Inspector General (OIG) released a report outlining errors one psychiatrist made in … [Read more...]

Should we begin using the new CPT modifier -93

Question: Should we begin using the new CPT® modifier -93? Answer: I recommend a wait and see approach.  Here’s the definition from the AMA, … [Read more...]

Coding and reimbursement for lactation services

Questions about coverage and payment for breastfeeding and lactation counseling services come up regularly. Is lactation counseling separately … [Read more...]

Physician Fee Schedule Final Rule for Calendar Year 2022

Conversion factor for 2022 released UPDATED CONVERSION FACTOR - $34.6062 Conversion factor decreased 3.75% from 2021 to 2022 CMS posts … [Read more...]

CMS’s 2022 shared or split services policy: document and report them correctly

Medical practices need to know CMS's 2022 split or shared services policy rules Shared or split services are Evaluation and Management (E/M) … [Read more...]

Best Practices in Revenue Cycle Management | Webinar

Best Practices in RCM: Strategies for a New Era in Healthcare Recorded October 21, 2021  Medical practices face new risks and opportunities as … [Read more...]

When to use time to select an office visit code using the 2021 E/M guidelines

Select the level of service for codes 99202—99215 based on time or medical decision making (MDM) Time includes all time spent by the billing … [Read more...]

What’s New in the Proposed Physician Fee Schedule Rule

Highlights of the 2022 Proposed Physician Fee Schedule rule Conversion factor decreases, sequester and PAYGO decreases still in place … [Read more...]

Elizabeth Woodcock Resources

  Elizabeth Woodcock is a speaker, author and consultant who specializes in helping physician practices achieve and sustain patient satisfaction, … [Read more...]

Prolonged services for 99202–99215: 99417, G2212

Coding for prolonged services is complicated by the fact CPT and CMS use different codes and different time thresholds. The AMA developed CPT® … [Read more...]

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Wondering about the rules for HCC coding?

Wondering what the rules are for HCC coding, and where you can find them? This video answers your questions. The topic is important to medical practices because risk-adjusted diagnosis coding is part of Medicare Advantage contracts, many commercial contracts and Accountable Care Organizations (ACOs). Sign up for our monthly newsletter to download the whitepaper and watch the video.

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Recommended Resource

You’ve coded it, but you still have to fight to get paid! We’ve partnered with Elizabeth Woodcock to give you the tools and strategies you need.

Find them here!

Latest Intel

Diagnosis Coding for Antepartum Care

Question: Patient seen for antepartum care but … Read More...

Outpatient Diabetes Self-Management Training (DSMT) Services

Diabetes self-management training (DSMT) services … Read More...

2023 CMS Proposed Physician Rule | Webinar

CMS’s 2023 Proposed Physician Rule August 25, … Read More...

Coding for Medical Nutrition Therapy Services

Medical Nutrition Therapy Services (MNT) have been … Read More...

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Our mission is to provide accurate, comprehensive, up-to-date coding information, allowing medical practices to increase revenue, decrease coding denials and reduce compliance risk. That's what coding knowledge can do.

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. For more about Betsy visit www.betsynicoletti.com.

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