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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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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.

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...]

2022 RVU table with national fee amounts

Looking for 2022 work RVUs? Wondering how much a new code pays? Look no farther. You can download the 2022 CMS national RVU table below. It does … [Read more...]

Physician Fee Schedule Final Rule for Calendar Year 2022

Conversion factor for 2022 released UPDATED CONVERSION FACTOR - $34.6062 Conversion factor decreased 3.75% from 2021 to 2022 CMS posts … [Read more...]

CMS’s 2022 shared or split services policy: document and report them correctly

Medical practices need to know CMS's 2022 split or shared services policy rules Shared or split services are Evaluation and Management (E/M) … [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, June 2022: The May 2022 CPT Assistant announced there are changes coming to E/M codes in 2023, including consultations. The … [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...]

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...]

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...]

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...]

Anticoagulation Management

Currently, there are two sets of codes, three HCPCS codes and two CPT® codes. They aren’t defined exactly the same, and so take careful reading.  The … [Read more...]

E/M frequency data for hospitalists

Hospitalists became a recognized specialty by CMS starting in 2017, and we now have frequency E/M data for the specialty. There are probably still … [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 article on coding for screening colonoscopy.  The questions I get about that article are all related to diagnosis … [Read more...]

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Wondering about the rules for HCC coding?

Wondering what the rules are for HCC coding, and where you can find them? This video answers your questions. The topic is important to medical practices because risk-adjusted diagnosis coding is part of Medicare Advantage contracts, many commercial contracts and Accountable Care Organizations (ACOs). Sign up for our monthly newsletter to download the whitepaper and watch the video.

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Recommended Resource

You’ve coded it, but you still have to fight to get paid! We’ve partnered with Elizabeth Woodcock to give you the tools and strategies you need.

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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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