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...]
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.
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...]
2021 Consultation Codes Update
CMS stopped recognizing consult codes in 2010. Outpatient consultations (99241—99245) and inpatient consultations (99251—99255) are still active CPT® … [Read more...]
Physician Fee Schedule Final Rule for Calendar Year 2021
If you haven't watched already, check out the 2021 Final Rule Webinar on-demand here. Conversion factor for 2021 released–updated January 6, … [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...]
Are you sure?
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...]
CPT® codes (99421-99423) – and payment for – online digital evaluation and management (E/M) services
New for 2020! Be sure to read the telemedicine COVID-19 article for the latest information. CPT® developed three new CPT® codes for use by … [Read more...]
E/M Changes in 2021 for 99202-99215 | Overview
It's here! New definitions for codes 99202--99215 Clinicians can select new and established patient visit based on time or medical decision making … [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 Download this teaching physician rules quick reference sheet for a … [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 post can put some (all?) of them to rest. First, two … [Read more...]
E/M frequency data for hospitalists
Hospitalists became a recognized specialty by CMS starting in April of 2017, and we now have frequency E/M data for the specialty. There are probably … [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...]
Five urban legends about risk-adjusted diagnosis coding
Originally published on kevinmd.com When I talk to medical practices about Hierarchical Condition Category (HCCs) and risk-adjusted diagnosis … [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...]