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.

Every claim line tells a story | CPT® Modifiers

Some people read mystery novels, some people can read body language but medical coders can read claims. Some claim lines are simple to read. The … [Read more...]

Skin Test for Tuberculosis (PPD)

How do we bill for placing the skin test for tuberculosis? To bill for placing the purified protein derivative (PPD) skin test for tuberculosis, use … [Read more...]

Pessary Billing and Coding

Pessary Insertion CPT® Code & Pessary Cleaning CPT® Code Overview Primary care practices, gynecology and urology practices often prescribe and … [Read more...]

My payer doesn’t follow CPT® rules. What am I to do?

Why Are Medical Claims Denied? Most medical claim denials in practices aren’t related to coding. Medical claims are most frequently denied because … [Read more...]

Billing for Multiple Surgical Procedures

Multiple procedures on the same day. Use this step by step procedure to determine if you should bill for more than one procedure, and if so, if you … [Read more...]

Facility versus Non-Facility in the Physician Fee Schedule

CMS develops and publishes the Physician Fee Schedule in November of each year, as part of the Physician Fee Schedule Final Rule The fee schedule … [Read more...]

This practice paid Medicare $4.48 million

Do you sign up for email lists and then wonder why you did it? We all do, don’t we?  But, one email I always read is from the Department of Justice … [Read more...]

End Confusion About Modifier 57 (and get paid for initial evaluations)

Use modifier -57 at the visit for the decision for surgery, when surgery is scheduled for that day or the next calendar day A surgeon should always … [Read more...]

Not billing consult codes? You are losing $$$$

In 2010, Medicare stopped recognizing consultation codes. In their discussion, they stated that they still did pay for consultations, but they used … [Read more...]

Performing services that increase primary care revenue

CMS states it wants to increase pay to primary care physicians. And while we might quarrel with their strategies or with the speed of achieving the … [Read more...]

Overview of advance care planning

Advance Care Planning CPT® Codes Overview Primary care practices perform countless tasks every day for which there is no payment. CMS continually … [Read more...]

Pecked by a parrot. Oh no, not again!

We’ve all had a lot of fun with the ICD-10-CM external cause codes. But, do we need to use them? The answer to that is no according to the official … [Read more...]

Prescription drug management and medical decision making (MDM)

Whether using the original 1995/1997 guidelines or the 2021 new office/outpatient code guidelines for selecting the level of E/M service, the question … [Read more...]

Skype ≠ Telemedicine

I got a call from a vendor trying to develop a video conferencing product for a physician to use to talk to a patient who is at home. He said “I’m … [Read more...]

Risky business, or tempest in a teapot: Are you an audit target?

Some days, it appears we compliance and coding folks are like the boy who cried wolf.  We see shadows around every corner.  We emulate Captain Kirk, … [Read more...]

Your Patient Wants to Talk: How to Bill for Discussion Visits

The current CPT rules for office visits say time may be used to select a code for new or established patients if counseling/coordination of care … [Read more...]

Coding for Screening Colonoscopy

An Overview of Colonoscopy Coding Guidelines Screening colonoscopy is a service with first dollar coverage. A screening test with an A or B rating … [Read more...]

No Chart Left Behind: Deadline to Complete Medical Records

Years ago, I worked with a physician who was chronically behind in dictating his notes.  The charts were crammed into boxes by date, lining the walls … [Read more...]

The Physician Who Never Sleeps: Using the Correct NPI

Years ago, I worked with an Orthopedist who needed hours less sleep than I or the average person needed.  While it would be incorrect to say he never … [Read more...]

Less is More: Don’t let your EMR run away from you

“My medical assistant populates the past medical, family and social history in every note.” Reading hundreds of medical records each month, I’ve … [Read more...]

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Latest Intel

Coding for laceration repair, two visits on the same day

Question In our urgent care center, our … Read More...

HCC Coding for Medical Practices | Webinar

HCC Coding for Medical Practices April 15, 2021 @ … Read More...

Coding for Behavioral Health Services by Psychologists, Social Workers and Therapists

Looking for a coding resource for behavioral … Read More...

2021 E/M office visit scenarios

Need help using the 2021 E/M guidelines? What … 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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