CodingIntel

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

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Articles

Spotlight on up-to-date coding

 

 

Office Visit Fees in 2021

CMS released the updated conversion factor for 2021, and it is $34.89. This represents about a 7.7% increase from the conversion factor released in … [Read more...]

Documenting and coding observation services in 2021

For Medicare patients in observation, the consulting physician uses new and established patient visit codes. Only the admitting physician can use … [Read more...]

Essential documentation for medication management and psychotherapy

When providing both medication management and psychotherapy, practitioners need to document the time spent in psychotherapy and describe the therapy. … [Read more...]

Prolonged services in 2021 with 99202–99215: 99417, G2212

The AMA developed CPT® code 99417 for 15 minutes of prolonged care, done on the same day as office/outpatient codes 99205 and 99215. Medicare has … [Read more...]

Medicare “Audio-Only” Telehealth Services

CMS issued multiple waivers and two interim final rules to support health care organizations and patients during the public health emergency … [Read more...]

Coding Telehealth Visits

Coding telehealth visits changes faster than the weather here in New England. We've assembled these resources to answer your questions about what … [Read more...]

Behavioral health and telemedicine

Updated May 15, 2020 Behavioral health services have long been on Medicare’s list of services that could be provided via telemedicine. However, … [Read more...]

Is it or isn’t it a telehealth service?

Many payers and practices use the broad term telehealth to describe services that are not done face-to-face with a patient CMs describes telehealth … [Read more...]

Specimen Collection For COVID-19

CMS’s 4/30/2020 rule states that practices could bill 99211 for new or established patients during the public health emergency for COVID-19 specimen … [Read more...]

Medicare changes telehealth rules, again

Medicare changes telehealth rules, again: April 30, 2020 interim final rule with comment period … [Read more...]

Telemedicine in RHCs and FQHCs

New! April 17, 2020 Finally! CMS has released guidance about paying for telehealth services in Rural Health Centers (RHCs) and Federally Qualified … [Read more...]

Modifier CS: cost sharing for COVID-19 testing and visits related to testing

Effective retroactively to 3/18/20, there is no cost sharing allowed for COVID-19 testing or for the evaluation visits related to the testing … [Read more...]

Payment for telephone calls: CMS update

CMS will pay for phone calls using codes 99441—99443.  These services previously had a status indicator of non-covered. 99441--99443 have been … [Read more...]

Telemedicine and COVID-19 FAQ

Resources to download regarding telehealth CMS Interim Rule - March 30, 2020 CMS Interim Rule - April 30, 2020 "Coding and Reimbursement … [Read more...]

CMS update on medical record documentation for E/M services

The world as we knew it Both the 1995 and 1997 evaluation and management (E/M) documentation guidelines stated that ancillary staff could record a … [Read more...]

Consent for Communication Technology-Based Services (CTBS)

Both CPT and CMS have developed codes for non-face-to-face communication-based technology services in recent years. In addition to care management … [Read more...]

Principal Care Management (PCM) Services G2064, G2065

CMS’s 2020 Physician Fee Schedule Final Rule adopted two new care management codes, Principal Care Management Services, for use by physicians who are … [Read more...]

Chronic care management, add-on code G2058

CMS developed this HCPCS code to report additional non-face-to-face staff time performing non-complex care management services Use this code only … [Read more...]

Blood pressure self-measurement: education, training and analysis | CPT codes 99473, 99474

Two new CPT® codes in 2020. The first is for patient education and calibration of a home blood pressure device The second is for reviewing data … [Read more...]

The third element of MDM: risk of complications

The third element of MDM: risk of complications and/or morbidity or mortality of patient management at the encounter E/M changes for 2021 for codes … [Read more...]

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Looking for training on the new E/M Guidelines for 2021?

"Documentation Essentials for Codes 99202-99215 in 2021" is now available!

Take the two hour course on-demand, or sign up for one of our live events with Q&A.

Learn more

Latest Intel

2021 Reimbursement: What Your Practice Needs to Know | Webinar

2021 Reimbursement: What Your Practice Needs to … Read More...

How medical practice services are paid | Webinar

How medical practice services are paid May 20, … Read More...

CMS’s 2021 Physician Fee Schedule Final Rule | Webinar

2021 Medicare Physician Fee Schedule Final … Read More...

Physician Fee Schedule Final Rule for Calendar Year 2021

If you haven't signed up already, register for the … 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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