CodingIntel

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

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In person E/M services

In person E/M

For many practices, E/M services are what you do the most. Knowing what type of service to bill, what level of service and the rules related to the visit will decrease denials and payment delays. You’ll find frequency data and E/M cheat sheets. And, the resources here will help you prepare for E/M changes coming in 2021

Category of service Expand
  • Category of Code
  • New versus established patient visits
  • Determining new patient vs. established patient | CPT Rules
  • Billing inpatient consultation for Medicare patients | Initial visit or subsequent
  • Not billing consult codes? You are losing $$$$
  • Emergency Department Visits
  • Nursing Facility Visits
  • Re-admission to nursing facility
  • Newborn and Pediatrics Coding Guide
  • Transferring a sick baby to another hospital
  • Are subsequent hospital or office visits prior to surgery billable?
  • Coding Hospitalist Services | Webinar
  • Coding for Hospitalists | Video series
  • Coding inpatient pediatric services | Webinar
Level of service Expand

History

  • History | Documentation Guidelines for E/M Services
  • Counting conditions in the HPI and assessment

Exam

  • Exam | Documentation Guidelines for E/M Services
  • Exam and time in a visit

Medical Decision Making

  • Medical Decision Making | Documentation Guidelines for E/M Services
  • Not all emergency surgery should be coded at the highest level | E/M Services and MDM
  • Moderate or High MDM - General Surgery
  • Scoring MDM in an E/M Note
  • Meatloaf says, “2 out of 3 ain’t bad” | E/M Documentation Guidelines
  • Prescription drug management and medical decision making (MDM)
  • Let’s go to the source! Should this visit be downcoded?
  • Medical necessity isn’t medical decision making
  • Monthly Auditing Webinar

Time based E/M codes

    • Using Time to Select a Code
    • Definitive Guide to Documenting Time
    • Non Face-to-Face Prolonged Service | 99358
    • Are start and stop times required for non face-to-face services?
    • Code Prolonged Services with Confidence | Webinar
    • Time based rules | Behavioral health services
    • Your Patient Wants to Talk: How to Bill for Discussion Visits
    • Can I code at a higher level if everyone in the exam room is crying?
Critical care services Expand
  • Coding Guide | Critical Care Services
  • Critical Care Services
  • CPT and CMS rules for critical care | What’s the difference?
  • Critical Care for General Surgery and Trauma Surgeons
  • Coding Critical Care Services | Webinar
Other E/M services Expand
  • HCPCS add-on code G2211 for visit complexity: new in 2021
  • Overview of advance care planning
  • Advance Care Planning | 99497, 99498
  • CPT code 99483: Cognitive assessment and care plan services
  • Checklist for 99483 | cognitive assessment code for dementia
  • Can I get paid to discuss end of life planning with a patient's child?
Frequency data for E/M services Expand
  • E/M frequency data for family medicine and internal medicine
  • E/M frequency data for hospitalists
  • E/M frequency data for psychiatrists
  • E/M frequency data for infectious disease, pulmonary medicine and cardiology
  • E/M frequency data for surgical specialties
  • E/M frequency data for dermatology
E/M cheat sheets Expand

 

  • E/M services | General
  • E/M services | Hospitalist
  • E/M services | General Surgery
  • E/M services | Dermatology
  • E/M services | Psychiatry - Office
  • E/M services | Psychiatry - Inpatient
  • E/M services | Home visits
  • E/M services | Home, Domiciliary, Nursing

 

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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