Coders crave certainty We coders don’t just want to do it well, or fast. We want to do it right. 100% of the time. We want our practices and … [Read more...]
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.
CPT® codes – and payment for – online digital evaluation and management (E/M) services
New for 2020! CPT® developed three new CPT® codes for use by physicians, physician assistants and advanced practice nurse practitioners … [Read more...]
E/M Changes in 2021 for 99202-99215 | Overview
Medicare adopts CPT® E/M changes for 2021, rescinding the plan for bundled payment for three levels of codes Clinicians can select new and … [Read more...]
CMS 2020 Proposed Rule Updates
CMS rescinds bundled payments for 2021 and accepts CPT® revisions for new and established patients Proposes new HCPCS codes for care management … [Read more...]
Medicare National Coverage Determination (NCD) for Ambulatory Blood Pressure Monitoring (ABPM): CPT® and ICD-10 Coding
CMS released an NCD for ABPM on July 2, 2019. CMS has expanded the coverage for ABPM by allowing it for a greater range of BP measurements. Of course, … [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...]
What’s trending? Common coding questions from medical practices
CodingIntel has answers. Although CodingIntel isn’t a Q&A service, some questions come up over and over when I meet with medical practices. Here … [Read more...]
Teaching Physician Rules – Evaluation and Management Services
CMS policy update: E/M services performed under the teaching physician rules Did you see that CMS updated its teaching physician rules? In the 2019 … [Read more...]
2018 CERT Analysis
CMS has not released a full Comprehensive Error Rate Testing (CERT) report since 2016. But, the 2018 supplemental report provides ample information … [Read more...]
Anticoagulation Management
I continue to get questions about billing for anticoagulation management, and I’m hoping this blog post can put some (all?) of them to rest. First, … [Read more...]
E/M frequency data for hospitalists
Betsy Nicoletti, 1/31/19 Hospitalists became a recognized specialty by CMS starting in April of 2017, and we now have frequency E/M data for 2017. … [Read more...]
E/M in 2019: A look ahead
Now that the dust has settled from the release of the Physician Fee Schedule Final Rule, maybe it’s time for a re-cap. This article will also discuss … [Read more...]
That’s final, and I mean it! | 2019 Physician Final Rule
The 2019 Physician Final Rule was released right on time on November 1, 2018. By now, you’ve heard the news that CMS is not implementing its major … [Read more...]
Five urban legends about risk-adjusted diagnosis coding
Originally published on kevinmd.com Betsy Nicoletti, M.S., CPC When I talk to medical practices about Hierarchical Condition Category (HCCs) … [Read more...]
NGS changing processing of same day NP/PA claims
Is NGS your MAC? Did you see their announcement that for claims processed on or after Sept 15, 2018, they will no longer deny claims for a second … [Read more...]
Diagnosis coding for screening colonoscopy
Some of you have read my blog post on coding for screening colonscopy. The questions I get about that article are all related to diagnosis … [Read more...]
HCC’s in brief | The difference between CMS-HCC and HHS-HCC
Demographics and diagnoses Risk adjusted diagnosis coding is a model used to predict future health care costs based on demographics and diagnoses. It … [Read more...]
Fee-for-service medicine | The rumors of my death have been greatly exaggerated!
Let me start with apologies for stealing Mark Twain’s words! Volume to value For years, we’ve been reading about the transition from “volume to … [Read more...]
Other new proposals in the 2019 Proposed Physician Fee Schedule Rule
This is the second CodingIntel post about CMS proposed changes to the 2019 Physician Fee Schedule rule. If you missed it, be sure to read the first … [Read more...]
Changes in HCC diagnosis coding from V22 to V23: what you need to know
CMS pays Medicare Advantage plans differentially based on Hierarchical Condition Category (HCCs). This coding model uses demographics and diagnoses … [Read more...]
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