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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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Selecting Level of Service

After selecting the right category of code, performing and documenting the service, the second task is to bill the right category of code.  This … [Read more...]

Split Visits

This session will address when a practice should bill for a problem oriented visit on the day of a preventive service or wellness visit, and how … [Read more...]

99072 – CPT® code for supplies, equipment and staff time during the public health emergency

The AMA released a CPT®  code for use in non-facility settings for the expense related to supplies, equipment and staff time and activities for visits … [Read more...]

CMS Teaching Physician Rules Update | Webinar

CMS Teaching Physician Rules Update Recorded October 22nd, 2020 The teaching physician rules provide payment to an attending physician for … [Read more...]

E/M Guidelines for 2021_revised

The New E/M Guidelines are Here Are you confident that you can code, audit and teach the new CPT E/M guidelines for new and established patient … [Read more...]

Delayed for three years: HCPCS add-on code G2211 for visit complexity: new in 2021

The massive stimulus bill and continuing resolution passed by Congress mandated that CMS delay implementation of using code G2211 (or another similar … [Read more...]

Specialty resources

Coding for every specialty is different. For some specialties, you'll find the in-depth knowledge and specific coding information you need to … [Read more...]

In person E/M services

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 … [Read more...]

How Physician Services are Paid

Use the resources here to quickly educate new practitioners and staff about coding and reimbursement. You'll find explanations about code sets and … [Read more...]

Care Management and Remote Monitoring

Technology advances and policy changes mean medical practices can now get paid for certain non-face-to-face services. But, you need to know how to … [Read more...]

Table of Contents

Table of Contents E/M Changes Keep up to date with more changes coming to E/M services. History and Exam, using time, shared … [Read more...]

Coding Telehealth Visits

Coding telehealth visits changes faster than the weather here in New England. The resources on the site relate to Medicare policy and CPT codes and … [Read more...]

Care management services | Webinar

TCM, PCM, CCM: care management services Recorded June 25, 2020 Physicians are frustrated when they do work, not related to seeing a patient, and … [Read more...]

Behavioral health and telemedicine during the PHE

In this post Overview of behavioral health services via telemedicine during the PHE Overview of behavioral health services after the PHI … [Read more...]

Is it or isn’t it a telehealth service?

Many payers and practices use the broad term telehealth to describe services that are not done face-to-face with a patient CMs describes telehealth … [Read more...]

Specimen Collection For COVID-19

CMS’s 4/30/2020 rule states that practices could bill 99211 for new or established patients during the public health emergency for COVID-19 specimen … [Read more...]

Medicare changes telehealth rules, again

Medicare changes telehealth rules, again: April 30, 2020 interim final rule with comment period … [Read more...]

Modifier CS: cost sharing for COVID-19 testing and visits related to testing

Effective retroactively to 3/18/20, there is no cost sharing allowed for COVID-19 testing or for the evaluation visits related to the testing … [Read more...]

Telemedicine and COVID-19 FAQ

It is a full time job in medical practices to keep current on each payer's telehealth rules, which change frequently. CMS continues to pay for … [Read more...]

On-line digital services and remote monitoring | Webinar

Recorded February 27, 2020 The new CPT ® codes for non-face-to-face services include both on-line digital evaluations and remote physiological … [Read more...]

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CMS split/shared services

Questions about CMS split/shared services rule changes? In this quick reference sheet you'll learn what these services are, who can bill them, and where. And, information about "substantive portion" and selecting level of service for time vs. key components..

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Latest Intel

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...

Acute, uncomplicated vs. acute with systemic symptoms

Question: What is the difference between an … 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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