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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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June 8, 2023

Articles

Spotlight on up-to-date coding

 

 

Compliance issues in ICD-10 coding for risk based contracts and HCCs

Everyone loves to read the general guidelines at the front of the ICD-10 book, right? No? Well, here’s an important excerpt. “Code all documented … [Read more...]

Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse | HCPCS Code G0442

The  US Preventive Services Task Force (USPSTF) recommends screening for alcohol misuse and behavioral interventions for individuals whose screening … [Read more...]

Coding for Hernia Repair

CPT® revised the codes and concepts used for coding for hernia repair. These are significant changes for surgical procedures that are used very … [Read more...]

Principal Care Management (PCM) Services – CPT codes in 2022: 99426—99427

There are four principal care management codes 99424 and 99425 are for time spent by a physician or other qualified health care professional … [Read more...]

Chronic Care Management

•  Medicare and private payers cover chronic care management services if a patient has two or more serious conditions that are expected to last at … [Read more...]

Transitional Care Management

This article provides answers to frequently asked questions related to transitional care management services. It includes details about billing for … [Read more...]

Critical Care Services

Definition: Caring for a critically ill or injured patient Explanation: Critical care has high relative value units and payments so it's … [Read more...]

Nursing Facility Visits

Definition Nursing facility visits are Evaluation and Management services provided in a skilled nursing facility or a long term nursing … [Read more...]

Coding for prolonged services: CPT and HCPCS codes

Common rules: Prolonged services codes are add-on codes to E/M services. In order to use prolonged care, the primary code must be selected … [Read more...]

Shared Visits – Medicare

Medicare has specific rules for billing for nurse practitioners and physician assistants using shared services.  These rules are explained in this … [Read more...]

Outpatient Diabetes Self-Management Training (DSMT) Services

Diabetes self-management training (DSMT) services are a covered benefit under Medicare when all requirements are met. This article will provide an … [Read more...]

Coding for Medical Nutrition Therapy Services

Medical Nutrition Therapy Services (MNT) have been a covered benefit under Medicare since the early 2000’s. This article will describe the rules … [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...]

New vaccination codes for 2022

The 2022 CPT® book had some new vaccination codes and some vaccination codes that practices have been using in 2021. These include codes for the serum … [Read more...]

When to use time to select an E/M service

Selecting a code for an E/M service can be done based on time or MDM (except ED visits which only use MDM) Time includes all time spent by the … [Read more...]

Office visit code selection for medication management

At some visits, psychiatrists and psychiatric NPs and PAs provide only medication management, and at some visits, they manage prescriptions and … [Read more...]

HCC diagnosis coding example: diabetes, hypertension, chronic kidney disease

If a picture is worth 1000 words, what’s an example worth? An example can show in a glance what it takes paragraphs to write and explain. The one … [Read more...]

Defining problems using the E/M guidelines

The first element of MDM is the number and complexity of problems addressed CodingIntel’s members-only webinars on auditing E/M services include … [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...]

Behavioral health and telemedicine during the PHE

In this post Overview of behavioral health services via telemedicine during the PHE Overview of behavioral health services after the PHE … [Read more...]

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Audit tool for Modifier 25

Reasonable coders and practitioners can and do disagree about when a separate E/M service is warranted on the day of a minor procedure. This audit tool for modifier 25 will help determine if a separate E/M service should be reported. Using it consistently will help practices be reliable in their determinations and provide support in payer audits. Sign up for our monthly newsletter to download the reference sheet.

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2023 E/M guidelines for hospital, nursing facility, home and residence services | Webinar

Effective January 1, 2023, the AMA has revised the definitions and guidelines for hospital and other E/M services, including ED visits, nursing facility services, home services, and domiciliary care codes. Also, coding for prolonged care services gets another overhaul with revised codes and guidelines. Watch this webinar about all these changes.

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Latest Intel

HCC coding: V24 versus V28

Medical practices are assessing the impact of the … Read More...

Reporting the Global Surgical Package | Webinar

Your Guide to Accurately Reporting the Global … Read More...

Coding for telehealth

Updated (again) May 17, 2023.  Will there be more … Read More...

CPT Coding for Bronchoscopy Procedures | Webinar

"Breathe in, Breathe out": CPT Coding for … 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. For more about Betsy visit www.betsynicoletti.com.

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