CodingIntel

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

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Determining new or established patient codes| CPT® Rules

Question: A physician wrote: “We have a cosmetic treatment center that is separate from our surgical clinic. I have seen a patient in the cosmetic … [Read more...]

CPT® and CMS rules for critical care | What’s the difference?

There are some significant differences in critical care rules as described in CPT® and in the Medicare Claims Processing Manual.1  This makes it … [Read more...]

Prolonged Services

Lunch and Learn There are three sets of prolonged services codes. The first set describes add-on codes to E/M services, 99354—99357. The … [Read more...]

Quick Coding Cheat Sheet – E/M Services

E/M Quick Reference for Evaluation and Management Codes This quick reference coding guide to E/M services covers consults, initial and subsequent … [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

Pediatricians and Family Physicians who care for newborns and sick children in the hospital need to select the category of code that describes the … [Read more...]

Critical Care

Critical care has high relative value units and payments so it's important to know the coding rules. This video describes when and how to bill for … [Read more...]

Billing for New Patients, Established Patients and Consults

Select the correct category of code: should it be a new patient, an established patient or a consult? This video includes CPT® and Medicare … [Read more...]

Nursing Facility Services

This video summarizes the rules related to billing for nursing facility visits in about 5 minutes. Covers CPT® codes 99304-99310 including discussion … [Read more...]

Consultations: Why Can’t I Get Paid for This?

A surgeon is called to the emergency to see a patient with abdominal pain and bills a consult for the service. This brief video uses an example of … [Read more...]

Selecting Category of Code

Some of the most common questions we receive are in regard to selecting category of code for E/M services. This 20 minute video offers step by step … [Read more...]

Billing for Nurse Visits

99211 is the established patient E/M services code for services that do not require the presence of a physician, often referred to as nurse visits. … [Read more...]

Critical Care for General Surgery and Trauma Surgeons

Critical care provided as a stand alone service is based on the seriousness of the patient, the types of interventions, and time Critical care … [Read more...]

Can I get paid for…nurse visits

Nurse visits - when can you bill for them, and when are the services of the nurse just part of the cost of doing business? Download … [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...]

Not billing consult codes? You are losing $$$$

In 2010, Medicare stopped recognizing consultation codes. In their discussion, they stated that they still did pay for consultations, but they used … [Read more...]

Performing services that increase primary care revenue

CMS states it wants to increase pay to primary care physicians. And while we might quarrel with their strategies or with the speed of achieving the … [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

Defining problems using the new 2021 office visit guidelines

The AMA has developed specific definitions for … Read More...

Chronic Care Management

•  Medicare covers chronic care management … Read More...

Essential documentation for medication management and psychotherapy

When providing both medication management and … Read More...

Insights: Changes in level of service using 2021 office visit guidelines

The American Medical Association (AMA) changed 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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