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

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March 25, 2023

Nicoletti Notes

This way for news!

Written for coders and medical professionals, Nicoletti Notes is a coding blog designed to keep you up-to-date with coding news and refreshers. Written by CodingIntel founder and coding expert Betsy Nicoletti.

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...]

Payment denials for unspecified codes

From the day coders got their first glimpse at ICD-10 codes, the question went out in the land: “Will payers deny unspecified codes?” Recently, a … [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...]

How old is your oldest CPT book

My, how CPT® has grown Thank you to everyone who completed our mission critical survey: how old is your oldest CPT® book and how many pages is it?  … [Read more...]

2023 RVU table with national fee amounts

Looking for 2023 work RVUs? Wondering how much a new code pays? Look no farther. You can download the 2023 CMS national RVU table below. It does … [Read more...]

Physician Fee Schedule Final Rule for Calendar Year 2023

2023 conversion factor $33.8872 (updated 1/5/2023) CMS continues to state it doesn't have the authority to extend telehealth in all geographic … [Read more...]

CMS’s 2023 shared or split services policy: document and report them correctly

What about 2023? CMS is extending the 2022 rules through 2023. When you watch this video, the rules for 2023 are the same as described for 2022. … [Read more...]

Why not bill all 99213 visits in an FQHC?

Why not bill all 99213 visits in an FQHC? (Hint: it's a good way of telling everyone that they were pretty easy visits.) Practitioners who work in … [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...]

Consultation Codes Update

Consultation Codes Update, October 2022: The CPT books have arrived! Finally. And, with it, there is a consultation codes update for 2023. First, … [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 in spring … [Read more...]

Coding Telehealth Visits

Coding telehealth visits changes faster than the weather here in New England. The resources on the site relate to Medicare policy and CPT codes and … [Read more...]

Telecoding for telemedicine

Some coders were already working from home either full time or a few days a week. Many practices and health care facilities implemented remote coding … [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 during the PHE: CMS rules for phone calls

CMS rules for phone calls has changed during the course of the pandemic.  Prior to the public health emergency these had a status indicator of … [Read more...]

Coding for telehealth

Coding for telehealth is everchanging. This article describes what will happen after the PHE ends 5/11/2023 CMS continues to pay for office visits … [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...]

CPT® codes (99421-99423) – and payment for – online digital evaluation and management (E/M) services

Be sure to read the telemedicine COVID-19 article for the latest information. There are CPT codes for online digital E/M services. CPT® … [Read more...]

New versus established patient visits

There are other articles on CodingIntel about the difference between new and established patients, and the rules haven’t changed, but that doesn’t … [Read more...]

Teaching Physician Rules – Evaluation and Management Services

CMS policy update: E/M services performed under the teaching physician rules Download this teaching physician rules quick reference sheet for a … [Read more...]

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2023 E/M reference sheets

These handy quick reference sheets included at-a-glance MDM requirements for office, hospital, nursing home and home and residence services. And, a bonus sheet with typical time for those code sets. Sign up for Betsy’s monthly newsletter to download these reference sheets and share them with your practitioners.

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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

Coding for hospital services | Webinar

Coding for hospital services April 20, 2023 … Read More...

CMS Split/Shared Services Rules | Reference Sheet

Download Reference Sheet Split/shared services … Read More...

Chronic Care Management | Reference Sheet

This quick reference sheet includes clinical staff … Read More...

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

The  US Preventive Services Task Force (USPSTF) … 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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