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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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February 5, 2023

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. Here you'll find an overview, MDM and rule changes, resources organized just like your CPT book, and a bonus section with E/M frequency data.

Overview Expand
  • Coding Guide | E/M Services
  • E/M office visit scenarios
  • FAQ: Scoring the elements in the E/M guidelines
  • Defining problems using the E/M office visit guidelines
  • Insights: Changes in level of service using office visit guidelines
  • 2023 E/M guidelines for hospital, nursing facility, home and residence services | Webinar
  • E/M Auditing | Webinar
  • Coding office visit codes 99202-99215 in 2021 | Webinar
Medical decision making Expand
  • Number and complexity of problems
  • Amount and/or complexity of data
  • Risk of complications
  • Acute, uncomplicated vs. acute with systemic symptoms
  • Drug therapy requiring intensive monitoring for toxicity
Rule changes Expand
  • Clinical staff time
  • E/M changes | History and Exam
  • When to use time to select an office visit code using E/M guidelines
Office and Other E/M Expand
  • Consultation Codes Update
  • New versus established patient visits
  • Category of Code
Hospital Inpatient/Observation Expand
  • Initial hospital service codes and established patients
  • Coding Hospitalist Services | Webinar
Emergency Department Expand
  • Emergency Department Visits
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
Nursing Facility Expand
  • Nursing Facility Visits
Prolonged Care Expand
  • Coding for Prolonged Services
  • Non Face-to-Face Prolonged Services | 99358
  • Code Prolonged Services with Confidence | Webinar
Newborn Care Expand
  • Coding Guide_Newborn and Peds_2023
  • Transferring a sick baby to another hospital
  • Coding inpatient pediatric services | Webinar
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

2023 E/M reference sheets

These handy quick reference sheets included at-a-glance MDM requirements for office, hospital, nursing home and home and residence services. And, a bonus sheet with typical time for those code sets. Sign up for Betsy’s monthly newsletter to download these reference sheets and share them with your practitioners.

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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

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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. For more about Betsy visit www.betsynicoletti.com.

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