Looking for a coding resource for behavioral health therapists? It’s here. Therapists use CPT codes to describe what services they perform and ICD-10 codes to establish the medical necessity for the service. This 30 minute overview describes the coding rules for the psychiatric diagnostic evaluation, psychotherapy, psychotherapy for patients in crisis and interactive complexity.
Advance Care Planning | CPT® 99497, 99498 Video
Advance Care Planning (ACP) 99497 Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health professional; first 30 minutes, face- to-face with the patient, family member(s) and/or surrogate); +99498Â Â Â Â Â Â Â each […]
Diagnosis Coding | Not Just for Claims Anymore
Physician claims are paid based on the fee schedule associated with the CPT® or HCPCS code that is submitted. Diagnosis coding can be a reason for a denial. Physicians use CPT® or HCPCS codes to tell the payer what was done (colonoscopy, office visit) and modifiers to describe special circumstances (assistant at surgery, bilateral procedure.) […]
Risk Coding for Medical Practices and Outpatient Services
Introduction to Risk Coding for Medical Practices and Outpatient Services Recorded May, 2022 You can find CodingIntel’s 2023 webinar at this link: https://codingintel.com/hcc-coding-changes-webinar/ Where do we find the rules for assigning diagnosis codes in medical practices? The diagnosis codes don’t just get the claim paid, they also determine the patient’s risk score and the risk […]
Coding Guide – Risk Adjusted Diagnosis Coding for Medical Practices
Payment systems and reimbursements are ever-changing in healthcare and the rules of yesterday may or may not work tomorrow. This 24 page guide from CodingIntel is an introduction to risk adjustment coding and the risk adjustment factor (RAF).
How to Get Paid for Services in Medical Practices: Three Quick Videos for New Clinicians and Staff
An Overview of CPT® Codes, HCPCS, Diagnosis Codes & ICD-10-CM This three-part series from CodingIntel is a must see for new staff and physicians, and is a helpful review for everyone. Includes modules on How Physician Services are Paid, and the basics of CPT® codes, HCPCS, diagnosis codes and ICD-10-CM. Part 1 – How Physician […]
Can I Get Paid for…an Office Visit the Same Day as a Minor Procedure
Can you bill an E/M service on the same day as a minor procedure? Sometimes yes, sometimes no. The decision to perform a minor procedure is included in the payment for the procedure, unless a significant and separate E/M is needed, performed and documented. Watch this short video to learn more.
Can I Get Paid for…My Nurse Doing Ear Lavage
The nurse flushed the patient’s ear so I could examine the TM. Free or Fee? Find out more about billing for ear lavage done by nursing staff in this brief video. Back to list Relevant Search Terms: 69209, 69210, cerumen, removal, irrigation, ​
Can I Get Paid for…Emergency Services in the Office
The patient called for an urgent visit that disrupted your regularly scheduled office hours. Can you get paid at a higher level for providing emergency services in the office? Back to list Relevant Search Terms: 99050, 99058, 99059, add on, codes
Can I Get Paid for…Signing the Home Health Certification Form
An Overview of Home Health Certification CPT® CMS pays a small fee for the planning, certification, supervision and re-certification of home health services. Don’t do the work and forget to get paid. Find out more about getting paid to sign the home health certification form in this brief video from CodingIntel dedicated to home health […]
Can I Get Paid for…Nurse Visits
Nurse visits – when can you bill for them, and when are the services of the nurse just part of the cost of doing business? Back to list Relevant Search Terms: 99211, incident to, nurse visits
Can I Get Paid for…Travel Counseling
So your patient is going to the Galapagos, and wants your advice. Can you get paid for travel counseling? This short video has the answer. Back to list Relevant Search Terms: 99401,99404, immunizations, preventive medicine
Can I Get Paid for…a Problem Oriented Visit and Wellness Visit on the Same Day
Patients who come into the office for a physical or wellness visit often have a problem they want to discuss, or chronic conditions that need to be assessed and managed. When do these problem oriented discussions rise to the level of an additional problem oriented office visit? This brief video will guide you about when […]
Can I Get Paid for…Evaluation Prior to Surgery
The surgeon evaluates a patient, and determines that surgery is needed. Can the surgeon get paid for this initial service? Watch this short video about billing for evaluation prior to surgery. See also modifier 57. Back to list Relevant Search Terms: modifier 57, global surgical package, global surgery
Can I Get Paid to…Discuss End of Life Planning with a Patient’s Child
In 2016, CMS began paying for physicians, NPs and PAs to have a discussion about end of life planning with patients. Find out more in this short video. Relevant Search Terms: 99497, 99498, advance care planning, advance directive, end of life planning
Coding for Screening Colonoscopy
An Overview of Colonoscopy Coding Guidelines The ACA, which was passed in 2010, did a great many things, but this is what is relevant for colonoscopies: insurers must cover preventive services, like screenings and vaccines, without charging co-pays, deductibles, or coinsurance to encourage early detection and preventive care. A screening colonoscopy should have no patient […]