Accurately documenting and coding E/M services is critical to reducing compliance risk and maximizing revenue for the evaluation and management … [Read more...]
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Quick Coding Reference Sheet – Hospitalists
This is the reference sheet for hospital services using the 1995/1997 guidelines. As of Jan 1, 2023 it will no longer be in use. Why have we kept it … [Read more...]
Modifier 25 for Dermatology
Modifier 25 Significant, separately identifiable E /M service by the same physician on the same day of the procedure or other service Use to … [Read more...]
Incident to and Change to Medications
Question: A CodingIntel member writes: "I am getting mixed information about incident-to and I was wondering if you could weigh in? If a NPP … [Read more...]
Checklist for CPT® code 99483 | cognitive assessment code for dementia
Is your practice performing cognitive assessments for patients with dementia, using CPT® code 99483? Primary care and neurology practices are likely … [Read more...]
Skin Biopsies
Correctly selecting and reporting skin biopsies requires an understanding of CPT codes for skin biopsies There are codes for excision of benign and … [Read more...]
The CodingIntel Guide to HCC Coding
Hierarchical Condition Categories (HCC) is a coding system developed by Medicare to pay Medicare Advantage insurance companies, based on demographics … [Read more...]
Diagnosis Coding for Screening Colonoscopy
Some of you have read my article on coding for screening colonoscopy. The questions I get about that article are all related to diagnosis coding. The … [Read more...]
CMS Physician Fee Final Rule for 2019 | Webinar
Recorded November 20, 2018 The wait is over! Hear what coding and payment policies CMS is implementing for January 1, 2019 and how they will affect … [Read more...]
Care Management in Primary Care Practices | Webinar
Recorded September 20, 2018 @ 12:00 pm (EST) Primary care practices can be reimbursed for the non-face-to-face work of caring for chronically ill … [Read more...]
HCC’s in Brief | The Difference Between CMS-HCC and HHS-HCC
Demographics and diagnoses Risk adjusted diagnosis coding is a model used to predict future health care costs based on demographics and diagnoses. It … [Read more...]
Intensive Behavioral Counseling for Cardiovascular Disease, HCPCS Code G0446
Medicare pays a primary care physician or other primary care practitioner in a primary care setting to annually provide one face-to-face behavioral … [Read more...]
Are Start and Stop Times Required for Non Face-to-Face Prolonged Care Services?
Question: Regarding non face-to-face prolonged care, does Medicare require start and stop times, they way they do for prolonged face-to-face care? … [Read more...]
Coding Guide – Behavioral Health Services
This guide will discuss CPT® coding for behavioral health services. It includes services performed by therapists, psychiatrists and psychiatric nurse … [Read more...]
Coding Guide – Medicare Incident-to and Shared Services
Medicare has specific rules related to billing for non-physician practitioners (NPPs). This guide will discuss billing for nurse practitioners, … [Read more...]
CMS Proposed Changes in the 2019 Physician Fee Schedule Rule | Webinar
Recorded August 16, 2018 Some Fee Schedule rules are almost boring, but not this year! CMS is proposing significant changes to the payment … [Read more...]
CMS Proposes Significant Changes to E/M Requirements
Coding. Why does is keep changing? This post was out of date and has been removed. For information about E/M requirements, see these … [Read more...]
Screening for Depression | HCPCS Code G0444
G0444 Annual depression screening , 5—15 minutes Medicare pays primary care practices to screen all Medicare patients annually for depression. The … [Read more...]
Smoking Cessation Coding, 99406 and 99407
Medicare and most private insurers pay for physicians, NPs and PAs to counsel patients regarding smoking cessation. Medicare waives the … [Read more...]
Behavioral Counseling for Obesity, HCPCS Code G0447
G0447 face-to-face behavioral counseling for obesity, 15 minutes G0473 Face-to-face hehavioral counseling for obesity, group (2-10) 30 … [Read more...]
Coding Guide – Minor Surgical Procedures
This guide is taken from our webinar “Coding for Minor Surgical Procedures”. Medical practitioners often find it easier to do a minor procedure than … [Read more...]
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