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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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December 10, 2023

How Physician Services are Paid

PhysicianServicesPaid

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

    • How Physician Services are Paid – Coding guide
    • How Physician Services are Paid – Overview (Brief Video)
    • How Fees are Set in the Medicare Fee Schedule
    • 2023 RVU table with national fee amounts
    • Dear Resident, Do you understand relative value units?
    • Diagnosis Coding | Not just for claims anymore (Brief Video)
    • What is a Coverage Policy?
    • As time goes by

Webinars

    • Coding Principles for Practice Administrators | Webinar
    • How medical practice services are paid | Webinar
    • 2021 Reimbursement: What Your Practice Needs to Know | Webinar
    • Best Practices in Revenue Cycle Management | Webinar

Claims Processing

    • Payment denials for unspecified codes
    • Physician specialty codes and claims processing
    • Facility versus Non-Facility in the Physician Fee Schedule
    • Two visits for the price of one? | Multiple medical visits on the same day

CodingIntel member surveys

    • How old is your oldest CPT book
    • OB Coder Survey | Billing extra visits during pregnancy

 

Medicare incident-to and shared services Expand

Articles

  • CMS’s 2024 shared or split services policy: document and report them correctly
  • Non-physician practitioners in nursing facilities

Resources

  • Medicare Incident-to and Shared Services | Coding Guide
  • Incident To Services – Medicare
  • Shared Visits – Medicare

Webinar

  • Medicare Rules for Incident-to Billing and Shared Services | Webinar
Teaching physician rules Expand

Resources

  • Teaching Physician Rules Coding guide
  • Teaching Physician Rules Quick Reference Guide

Rules by types of service

  • 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

Webinar

  • CMS Teaching Physician Rules Update | Webinar
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
  • No Chart Left Behind: Deadline to Complete Medical Records
  • CMS update on medical record documentation for E/M services
  • Who is responsible for coding physician services?  The medical provider or the coder?

2023 E/M guidelines for hospital, nursing facility, home and residence services | Webinar

Effective January 1, 2023, the AMA has revised the definitions and guidelines for hospital and other E/M services, including ED visits, nursing facility services, home services, and domiciliary care codes. Also, coding for prolonged care services gets another overhaul with revised codes and guidelines. Watch this webinar about all these changes.

Watch it now

Latest Intel

How Physician Services are Paid – Overview

Have a new staff member or practitioner who needs … Read More...

Two visits for the price of one? | Multiple medical visits on the same day

Patients often schedule two medical appointments … Read More...

HCC coding: V24 versus V28

Medical practices are assessing the impact of the … Read More...

CMS’s 2024 shared or split services policy: document and report them correctly

In 2024, CPT expanded its definition of … Read More...

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Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

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.

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