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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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Everyday Coding Q&A

 
When meeting with coders and clinicians, the same issues and concerns arise year after year. We've translated those into a searchable Everyday Coding Q&A.
 
 
 

Diagnosis Coding for Antepartum Care

Question: Patient seen for antepartum care but delivered at 38 weeks at a different hospital/physician group. What diagnosis codes should we … [Read more...]

Acute, uncomplicated vs. acute with systemic symptoms

Question: When using the 2021 office visit guidelines, is the problem an  an acute, uncomplicated illness or an acute illness with systemic … [Read more...]

Does a practitioner need to document time for a telehealth visit?

Question:  Does a practitioner need to document time for a telehealth visit? What if it is audio only? Answer: First: For a telehealth visit, … [Read more...]

Coding for ultrasound guidance

Question: Can you do an article on coding ultrasound guided musculoskeletal procedures and point of care (POC) ultrasound coding and documentation … [Read more...]

Should we begin using the new CPT modifier -93

Question: Should we begin using the new CPT® modifier -93? Answer: I recommend a wait and see approach.  Here’s the definition from the AMA, … [Read more...]

Can we bill a new patient visit for preventive and E/M services on the same day?

See our on-demand webinar, Preventive medicine and Medicare wellness visits with an E/M. Question: Our physician saw a patient and did a … [Read more...]

Does HCPCS code G0444 require a full 15 minutes?

Question Does HCPCS code G0444 require a full 15 minutes, or can you use it if 8 minutes are documented? Answer The reason for this question … [Read more...]

FAQ: Scoring the elements in the new E/M guidelines for 2021

Scoring elements can be challenging with the new E/M guidelines for 2021.  This article is updated based on the 5/25/2021 AMA webinar, given by … [Read more...]

Why and when to use Modifier CS

Question: Why and when should we use modifier CS? Answer: Use modifier CS on visits related to testing for COVID-19. Modifier CS: cost … [Read more...]

APRN and PA students and medical record documentation

Question We have students from a nurse practitioner program rotate through our practice. Can we use their notes the same way as medical student … [Read more...]

Can we give a flu shot if the doctor isn’t in the office?

Question: Do we need to have a physician in the office when our clinical staff gives flu shots? Answer: No. CMS allows flu shots to be given … [Read more...]

Non-physician practitioners in nursing facilities

Find additional information about nursing facility services in Betsy's signature resource Everyday Coding. Question: Can a physician assistant … [Read more...]

Can we bill an E/M service with a scheduled endoscopy?

Question: Can we charge an E/M service when we do a scheduled endoscopy to account for the cost of nursing staff, supplies, pre- and post- care of … [Read more...]

Counting conditions in the HPI and assessment

Question: This question pertains  to the 1995/1997 Guidelines, and not to the revised office/outpatient codes 99202--99215 in 2021. When … [Read more...]

Transferring a sick baby to another hospital

Question: Our pediatric group practices in a community hospital, without an NICU. My pediatrician was called to attend a delivery of a newborn who … [Read more...]

Drug therapy requiring intensive monitoring for toxicity

Question: When auditing MDM, is there a list of drugs that are considered “drug therapy requiring intensive monitoring for … [Read more...]

What is an interval history?

Question: What does it mean when it says a code requires an “interval” history? This question related to the 1995/1997 Documentation … [Read more...]

Initial hospital service codes and established patients

Question: We are having a disagreement in our coding department. Our cardiologist sees an inpatient at the hospital, but it’s a patient she knows … [Read more...]

ROS requirements for preventive services OB/GYN

Question: What are the review of system requirements when an annual physical (99381-99387, 99391-99397) is performed/billed by an OBGYN … [Read more...]

Diagnosis coding for biopsy sent for pathology

Question: What diagnosis code should you use when sending a skin biopsy to pathology? a)  D48.5 Neoplasm of uncertain behavior of skin, or b)  … [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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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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Latest Intel

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2023 CMS Proposed Physician Rule | Webinar

CMS’s 2023 Proposed Physician Rule August 25, … Read More...

Coding for Medical Nutrition Therapy Services

Medical Nutrition Therapy Services (MNT) have been … 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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