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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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March 25, 2023

Chronic Care Management | Reference Sheet

This quick reference sheet includes clinical staff time, care planning and billing practitioner work criteria for chronic care management services. … [Read more...]

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

There are four principal care management codes 99424 and 99425 are for time spent by a physician or other qualified health care professional … [Read more...]

Chronic Care Management

•  Medicare and private payers cover chronic care management services if a patient has two or more serious conditions that are expected to last at … [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...]

Outpatient Diabetes Self-Management Training (DSMT) Services

Diabetes self-management training (DSMT) services are a covered benefit under Medicare when all requirements are met. This article will provide an … [Read more...]

Coding for Medical Nutrition Therapy Services

Medical Nutrition Therapy Services (MNT) have been a covered benefit under Medicare since the early 2000’s. This article will describe the rules … [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...]

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...]

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...]

Advance Care Planning | CPT® 99497, 99498

Advance Care Planning (ACP) 99497 (Advance care planning including the explanation and discussion of advance directives such as standard forms (with … [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

CMS has a stated goal of recognizing management services provided outside of an office visit. In particular, valuing and paying for care management … [Read more...]

CPT® code 99483: Cognitive assessment and care plan services

CPT® definition of 99483 Billing guidelines for 99483 Cognitive assessment checklist Definition of CPT® code 99483 99483: Assessment of and … [Read more...]

Psychiatric Collaborative Care Management Services

Psychiatric Collaborative Care Management Services 99492, 99493, 99494 Care Management for Behavioral Health 99484 PCCM quick reference … [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...]

Can I get paid to…discuss end of life planning with a patient’s child

In 2016, CMS began paying for physicians, NPs and PAs to have a discussion about end of life planning with patients. Find out more in this short … [Read more...]

Overview of advance care planning

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

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.

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Latest Intel

Coding for hospital services | Webinar

Coding for hospital services April 20, 2023 … Read More...

CMS Split/Shared Services Rules | Reference Sheet

Download Reference Sheet Split/shared services … Read More...

Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse | HCPCS Code G0442

The  US Preventive Services Task Force (USPSTF) … Read More...

Code Prolonged Services with Confidence | Webinar

Coding for Prolonged Services: 2023 … Read More...

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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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