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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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Articles

Spotlight on up-to-date coding

 

 

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...]

Modifier 24 and 25

This summary of the rules regarding modifier 24 and 25 is a must read; it includes specific examples of when to report both an E/M and a procedure and … [Read more...]

Incident To Services – Medicare

Medicare has specific rules for billing for nurse practitioners and physician assistants and other office staff incident to a physician services in an … [Read more...]

Moderate or High MDM – General Surgery

Although we expect that the AMA will update the rules for hospital and other E/M services in 2023, currently they still use the 1995/1997 guidelines, … [Read more...]

Billing Admission and Subsequent Visits for Patient Having Surgery

What if I Admit a Patient and Don't Take the patient Immediately to Surgery? Can I bill for the admission and subsequent visits if the patient … [Read more...]

Teaching physician rules and surgical procedures

The teaching physician rules describe a payment method by which Medicare pays an attending physician or teaching physician for services performed … [Read more...]

Teaching Physician – Primary Care Exception

CMS updated the teaching physician rules in 2019, and this article reflects the change. On April 26, 2019 CMS released Transmittal 4283. The … [Read more...]

How Fees are Set in the Medicare Fee Schedule

How does Medicare set its fees? This is important, as well, because commercial payers often use the values set by Medicare to calculate their fees. … [Read more...]

Certification for Home Health Services

There are two HCPCS codes that physician, nurse practitioners, clinical nurse specialists and physician assistants can use to report developing a plan … [Read more...]

Coding for Excision of Benign or Malignant Lesions

This article reviews codes and guidelines for excision of skin lesions. For additional information about minor procedures, see the additional … [Read more...]

Surgical Modifiers

This article includes: Surgical modifiers with definitions Guidelines for billing multiple surgical procedures Modifiers in the post-op … [Read more...]

Aftercare and Follow-up: ICD-10 Coding

Aftercare visit codes are assigned in situations in which the initial treatment of a disease has been performed but the patient requires continued … [Read more...]

Critical Care for General Surgery and Trauma Surgeons

Critical care provided as a stand alone service is based on the seriousness of the patient, the types of interventions, and time Critical care … [Read more...]

Screening for Other Sexually Transmitted Illnesses (STI)

This article covers CPT® and diagnosis codes used for screening for other sexually transmitted illnesses. It includes descriptions and screening … [Read more...]

High Intensity Behavioral Counseling to Prevent Sexually Transmitted Illnesses (STI)

CMS covers counseling to prevent STI in certain circumstances. The code is G0445. G0445 – Semiannual high intensity behavioral counseling to … [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...]

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CMS split/shared services

Questions about CMS split/shared services rule changes? In this quick reference sheet you'll learn what these services are, who can bill them, and where. And, information about "substantive portion" and selecting level of service for time vs. key components..

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Latest Intel

CPT Coding for Obstetrical and Gynecological Procedures | Webinar

Who Runs the World? GIRLS!!: CPT Coding for … Read More...

Payment denials for unspecified codes

From the day coders got their first glimpse at … Read More...

Behavioral health coding compliance

Compliance Lessons from the OIG In March 2022, … Read More...

Acute, uncomplicated vs. acute with systemic symptoms

Question: What is the difference between an … 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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