• My Account
    • Login
  • Contact Us

CodingIntel

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

  • Join Today
  • What is CodingIntel
    • About
    • Become a Member
    • FAQ
  • Free Resources
    • Free Resources Overview
    • Blog
    • Everyday Coding Q&A
    • Newsletter
    • Can I get paid
  • Coding Library
    • E/M Changes
    • How Physician Services Are Paid
    • In Person E/M
    • Prevention & Screening
    • Care Management & Remote Monitoring
    • Surgery, Modifiers & Global
    • Diagnosis Coding
    • New & Newsworthy
    • Speciality
    • Practice Management
  • Webinars
    • Webinars
    • Coding Guides
    • Quick Reference Sheets

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
    • Coding Principles for Practice Administrators | Webinar
    • How medical practice services are paid | Webinar
    • 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
    • 2021 Reimbursement: What Your Practice Needs to Know | Webinar
    • 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
    • Dear Resident, Do you understand relative value units?
    • How old is your oldest CPT book
    • Skin test for tuberculosis (PPD)
    • 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
  • CMS’s 2022 shared or split services policy: document and report them correctly
  • 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
  • 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 reference 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
  • Denial Management Strategies | Webinar
Medical record documentation Expand
  • CMS update on medical record documentation for E/M services
  • Medical Record Documentation | Webinar

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.

Sign Up Now

Recommended Resource

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.

Find them here!

Latest Intel

Coding Principles for Practice Administrators | Webinar

Coding Principles for Practice … Read More...

CPT Coding for Obstetrical and Gynecological Procedures | Webinar

Who Runs the World? GIRLS!!: CPT Coding for … Read More...

Payment denials for unspecified codes

From the day coders got their first glimpse at … Read More...

Behavioral health coding compliance

Compliance Lessons from the OIG In March 2022, … Read More...

Browse By Categories

Browse Content

  • Articles
  • Coding Guides
  • Everyday Coding Q&A
  • Videos
  • Can I Get Paid to
  • Blog
  • Webinars

Tags

behavioral health_cpt codes behavioral health_E/M services care management category of service CMS updates Code sets and reimbursement compliance issues CPT codes for preventive services CPT updates critical care services dermatology_E/M services dermatology_essential resource dermatology_procedures E/M frequency data E/M medical decision making E/M overview E/M reference sheets E/M rule changes FQHC general surgery_diagnosis coding general surgery_E/M services general surgery_modifiers general surgery_procedures global surgery issues HCC diagnosis coding ICD-10 coding level of service_MDM level of service_time medicare incident-to and shared services minor procedures modifiers other E/M services Preventive and problem visits preventive services for medicare primary care_diagnosis coding primary care_E/M services primary care_essential resource primary care_modifiers primary care_other E/M services primary care_preventive services primary care_procedures remote physiologic monitoring screening and counseling for behavioral conditions teaching physician rules telehealth
  • What is CodingIntel
  • FAQs
  • Terms of Use
  • Privacy Policy
  • Contact

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.

Copyright © 2022, CodingIntel
Privacy Policy