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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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Consultation Codes Update

Consultation Codes Update, June 2022: The May 2022 CPT Assistant announced there are changes coming to E/M codes in 2023, including consultations. The … [Read more...]

New versus established patient visits

There are other articles on CodingIntel about the difference between new and established patients, and the rules haven’t changed, but that doesn’t … [Read more...]

Transferring a sick baby to another hospital

Question: Our pediatric group practices in a community hospital, without an NICU. My pediatrician was called to attend a delivery of a newborn who … [Read more...]

Coding inpatient pediatric services | Webinar

Recorded May 23, 2019 Pediatricians and family physicians who care for newborn and older children in an inpatient setting need to select the … [Read more...]

Coding Hospitalist Services | Webinar

Recorded March 21, 2019 CMS recognized hospitalists as their specialty in 2017, long after they were a mainstay of providing care to hospitalized … [Read more...]

Coding for Hospitalists

Coding for services done by hospitalists and other specialty physicians in the hospital can be confusing.  After watching these videos and downloading … [Read more...]

Are subsequent hospital or office visits prior to surgery billable?

Question:  Are the surgeon’s subsequent hospital visits or office visits between their original consult and the final visit prior to surgery … [Read more...]

Emergency Department Visits

Definition Emergency department (ED) services are E/M services provided to patients in the Emergency Department. Explanation These services … [Read more...]

Nursing Facility Visits

Definition Nursing facility visits are Evaluation and Management services provided in a skilled nursing facility or a long term nursing … [Read more...]

Coding Guide – Newborn and Pediatrics

Neonatologists, pediatricians and family physicians who care for newborns and sick children in the hospital need to select the category of code that … [Read more...]

Category of Code

This article is from the Category of Code section in our Everyday  Coding book. It provides definitions and tips for determining whether an office … [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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Recommended Resource

You’ve coded it, but you still have to fight to get paid! We’ve partnered with Elizabeth Woodcock to give you the tools and strategies you need.

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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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