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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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Chronic Care Management

•  Medicare covers chronic care management services if a patient has two or more serious conditions that are expected to last at least a year. •  … [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...]

Consent for Communication Technology-Based Services (CTBS)

Both CPT and CMS have developed codes for non-face-to-face communication-based technology services in recent years. In addition to care management … [Read more...]

Principal Care Management (PCM) Services – CPT codes in 2022: 99426–99427

In 2020, CMS developed two codes for principal care management, G2064 and G2065. These are replaced in 2022 by four CPT® codes 99424 and 99425 are … [Read more...]

Anticoagulation Management

Currently, there are two sets of codes, three HCPCS codes and two CPT® codes. They aren’t defined exactly the same, and so take careful reading.  The … [Read more...]

Transitional Care Management

This article provides answers to frequently asked questions related to transitional care management services. It includes details about billing for … [Read more...]

Advance Care Planning | CPT® 99497, 99498

Advance Care Planning (ACP) and the Use of ACP CPT® Codes 99497 (Advance care planning including the explanation and discussion of advance directives … [Read more...]

Don’t forget Care Plan Oversight

There are two sets of codes for care plan oversight, CPT (99374–99380) and HCPCS codes (G0181, G0182) The requirements for each are different, … [Read more...]

Care Plan Oversight | Coding reference sheet

This reference chart for Care plan oversight (CPO) includes CPT® and HCPCS codes, with wRVUs, time and patient status. RVUs are updated for … [Read more...]

Coding Guide – Care Management Services

What you need to know about non face-to-face services CMS has a stated goal of recognizing management services provided outside of an office visit. … [Read more...]

Psychiatric Collaborative Care Management Services

Psychiatric Collaborative Care Management Services 99492, 99493, 99494 Care Management for Behavioral Health 99484 Psychiatric Collaborative … [Read more...]

Certification for Home Health Services

There are two HCPCS codes that physician, nurse practitioners, clinical nurse specialists and physician assistants can use to report developing a plan … [Read more...]

Can I get paid for…signing the home health certification form

An Overview of Home Health Certification CPT® CMS pays a small fee for the planning, certification, supervision and re-certification of home health … [Read more...]

Overview of advance care planning

Advance Care Planning CPT® Codes Overview Primary care practices perform countless tasks every day for which there is no payment. CMS continually … [Read more...]

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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Latest Intel

Coding Principles for Practice Administrators | Webinar

Coding Principles for Practice … Read More...

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...

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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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