CodingIntel

Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

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How Physician Services are Paid

How physician services are paid

Use the resources here to quickly educate new practitioners and staff about coding and reimbursement. You'll find explanations about code sets and compliance, about Medicare incident-to and shared services rules, and requirements for billing for services provided jointly between a resident and an attending.

Code sets and reimbursement Expand
    • How Physician Services are Paid – Coding guide
    • How Physician Services are Paid – Overview 
    • How Physician Services are Paid – Infographic
    • How Fees are Set in the Medicare Fee Schedule
    • Physician specialty codes and claims processing
    • Facility versus Non-Facility in the Physician Fee Schedule
    • Who is responsible for coding physician services?  The medical provider or the coder?
    • What is a Coverage Policy?
    • Fee-for-service medicine | The rumors of my death have been greatly exaggerated!
    • Diagnosis Coding | Not just for claims anymore
    • Medicare National Coverage Determination (NCD) for Ambulatory Blood Pressure Monitoring (ABPM): CPT® and ICD-10 Coding
    • Skin test for tuberculosis (PPD)
    • My payer doesn’t follow CPT rules. What am I to do?
    • Two visits for the price of one? | Multiple medical visits on the same day
    • NGS changing processing of same day NP/PA claims
    • OB Coder Survey | Billing extra visits during pregnancy
    • 99072 – new CPT® code for supplies, equipment and staff time during the public health emergency

 

Medicare incident-to and shared services Expand
  • Medicare Incident-to and Shared Services coding guide
  • Incident To Services – Medicare
  • Shared Visits – Medicare
  • Non-physician practitioners in nursing facilities
  • Can we give a flu shot if the doctor isn’t in the office?
  • Medicare Rules for Incident-to Billing and Shared Services | Webinar
Teaching physician rules Expand
  • Teaching Physician Rules Coding guide
  • Teaching Physician Rules Quick Reference Guide
  • CMS Teaching Physician Rules Update | Webinar
  • Teaching Physician Rules – Evaluation and Management Services
  • Teaching Physician Rules – Surgical procedures
  • Teaching Physician – Primary Care Exception
  • Teaching Physician Rules – Psychiatric Services
  • Teaching physician rules – Bedside procedures
  • Teaching Physician and Resident Specialty – Medicare Teaching Physician Rules
  • APRN and PA students and medical record documentation
Compliance issues Expand
  • This practice paid Medicare $4.48 million
  • 7 sure fire ways to owe the government $4 million in fines and repayments | Coding Compliance
  • Risky business, or tempest in a teapot: Are you an audit target?
  • 2018 CERT Analysis
  • No Chart Left Behind: Deadline to Complete Medical Records
  • Billing physician services for hospice patients
  • Billing physician services for hospice patients cheat sheet
  • Wellness visits and care management in Rural Health Centers and Federally Qualified Health Centers (RHCs and FQHCs)
  • CMS update on medical record documentation for E/M services
  • Medical Record Documentation | Webinar
  • Medicare Rules for Incident-to Billing and Shared Services | Webinar
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Medical record documentation Expand
  • CMS update on medical record documentation for E/M services
  • Medical Record Documentation | Webinar

Looking for training on the new E/M Guidelines for 2021?

"Documentation Essentials for Codes 99202-99215 in 2021" is now available!

Take the two hour course on-demand, or sign up for one of our live events with Q&A.

Learn more

Latest Intel

Insights: Changes in level of service using 2021 office visit guidelines

The American Medical Association (AMA) changed the … Read More...

Defining problems using the new 2021 office visit guidelines

The AMA has developed specific definitions for … Read More...

2021 Office Visit Coding Insights | Webinar

2021 Office Visit Coding Insights March 25, 2021 … Read More...

2021 Reimbursement: What Your Practice Needs to Know | Webinar

Recorded on February 18, 2021 @ 12:00 pm … 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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