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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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In person E/M services

Specialties

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 reference 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
  • Billing inpatient consultation for Medicare patients | Initial visit or subsequent
  • 2021 Consultation Codes Update
  • Emergency Department Visits
  • Nursing Facility Visits
  • 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
  • What is an interval history?

Exam

  • Exam | Documentation Guidelines for E/M Services
  • Time: Using time for E/M visits in 2021

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
  • Prescription drug management and medical decision making (MDM)
  • Let’s go to the source! Should this visit be downcoded?
  • E/M Auditing: using the updated AMA guidelines | 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
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
  • Delayed for three years: HCPCS add-on code G2211 for visit complexity
  • 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 reference sheets Expand

 

  • E/M services | General
  • E/M services | Hospitalist
  • E/M services | General Surgery
  • E/M services | Dermatology
  • E/M services | Psychiatry
  • E/M services | Home visits
  • E/M services | Home, Domiciliary, Nursing
  • Psychiatry Exam Reference Sheet

 

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.

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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.

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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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