CodingIntel

Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

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Coding Guide – Critical Care Services

Critical care is a complex service provided to a patient who has vital organ failure or to prevent further life threatening deterioration of the … [Read more...]

CPT® codes (99421-99423) – and payment for – online digital evaluation and management (E/M) services

New for 2020! Be sure to read the telemedicine COVID-19 article for the latest information. CPT® developed three new CPT® codes for use by … [Read more...]

New E/M rules effective date and payer policies

Question: When can we start using the new E/M rules for new and established patient visits? And, are all payers going to follow … [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...]

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...]

Physician specialty codes and claims processing

When physicians enroll in Medicare, they self-elect their specialty designation. In the enrollment process, there are fields to indicate primary and … [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...]

Anticoagulation management | Can we bill for RN services?

Question: My question is regarding Anticoagulation Management Code 93793. Guidelines state that this code can be performed by a physician, NP, or … [Read more...]

Coding Critical Care Services

Recorded January 17, 2019 In the 2018 Comprehensive Error Rate Testing report, critical care services had a 19.7% error rate, and within those … [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? If so, use this checklist to make sure you … [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...]

Billing inpatient consultation for Medicare patients | Initial visit or subsequent

Question: What should a consulting physician bill when seeing a hospitalized Medicare patient? An initial hospital service or a subsequent hospital … [Read more...]

Critical Care Services Rule | Two physicians billing for same time period

Question: Where does it say in CPT® that two physicians can’t bill for the same period of time when performing critical care? Answer: It … [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...]

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...]

Emergency Department Visits

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

Critical Care Services

Critical care has high relative value units and payments so it's important to know the coding rules. This article describes what can be included in … [Read more...]

Time based rules | Behavioral health services

Psychiatrists, psychiatric NPs and psychiatric PAs provide medication management using E/M codes and psychotherapy services. There are specific rules … [Read more...]

Prolonged services and nursing home visits

Question: Prolonged Services and nursing home visits. I'm getting a "Code 99358 is a column 2 code for 99309, these codes cannot be billed … [Read more...]

CPT® code 99483: Cognitive assessment and care plan services

Definition of CPT® code 99483 99483: Assessment of and care planning for a patient with cognitive impairment, requiring an independent historian, in … [Read more...]

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Looking for training on the new E/M Guidelines for 2021?

"Documentation Essentials for Codes 99202-99215 in 2021" is now available!

Take the two hour course on-demand, or sign up for one of our live events with Q&A.

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Latest Intel

How medical practice services are paid | Webinar

How medical practice services are paid May 20, … Read More...

Office Visit Fees in 2021

CMS released the updated conversion factor for … Read More...

CMS’s 2021 Physician Fee Schedule Final Rule | Webinar

2021 Medicare Physician Fee Schedule Final … Read More...

Physician Fee Schedule Final Rule for Calendar Year 2021

If you haven't signed up already, register for the … 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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