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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 29, 2023

As time goes by

One of the complexities for medical practices is using time in CPT® coding. CPT® has long had a unit of time rule that a unit of time is met when the … [Read more...]

Coding Principles for Practice Administrators | Webinar

Coding Principles for Practice Administrators Recorded July 21, 2022 Administrators managing both fee-for-service and value based payment … [Read more...]

Payment denials for unspecified codes

From the day coders got their first glimpse at ICD-10 codes, the question went out in the land: “Will payers deny unspecified codes?” Recently, a … [Read more...]

How old is your oldest CPT book

My, how CPT® has grown Thank you to everyone who completed our mission critical survey: how old is your oldest CPT® book and how many pages is it?  … [Read more...]

2023 RVU table with national fee amounts

Looking for 2023 work RVUs? Wondering how much a new code pays? Look no farther. You can download the 2023 CMS national RVU table below. It does … [Read more...]

Best Practices in Revenue Cycle Management | Webinar

Best Practices in RCM: Strategies for a New Era in Healthcare Recorded October 21, 2021  Medical practices face new risks and opportunities as … [Read more...]

How medical practice services are paid | Webinar

How medical practice services are paid Recorded May 20, 2021 “Who makes up these rules, anyway?” If you’ve ever asked that question, or been asked … [Read more...]

2021 Reimbursement: What Your Practice Needs to Know | Webinar

Recorded February 18, 2021 This webinar was presented by special guest Elizabeth Woodcock. Learn more about Elizabeth here. 2020 was clearly one … [Read more...]

99072 – CPT® code for supplies, equipment and staff time during the public health emergency

The AMA released a CPT®  code for use in non-facility settings for the expense related to supplies, equipment and staff time and activities for visits … [Read more...]

Delayed for three years: HCPCS add-on code G2211 for visit complexity: new in 2021

The massive stimulus bill and continuing resolution passed by Congress mandated that CMS delay implementation of using code G2211 (or another similar … [Read more...]

Coding Guide – How Physician Services are Paid

Have a new staff member or practitioner? Looking for a resource that provides an overview of how physician. services are paid? Download our guide. … [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...]

Two visits for the price of one? | Multiple medical visits on the same day

Patients often schedule two medical appointments on the same day with physicians of different specialties.  It’s convenient for them. It saves travel … [Read more...]

Diagnosis Coding | Not just for claims anymore

Physician claims are paid based on the fee schedule associated with the CPT® or HCPCS code that is submitted. Diagnosis coding can be a reason for a … [Read more...]

Who is responsible for coding physician services?  The medical provider or the coder?

Legally, when a physician, physician assistant (PA) or nurse practitioner (NP) enroll in a Medicare, Medicaid or commercial insurance, the … [Read more...]

OB Coder Survey | Billing extra visits during pregnancy

Thank you to the 63 generous coders and billers who answered my questions about billing extra OB visits during the maternity period. If we and our … [Read more...]

Dear Resident, Do you Understand Relative Value Units (RVUs)?

Measuring physician productivity with work RVUs: News flash! Physicians are more interested in medicine than coding. No doctor undertook the … [Read more...]

Skin Test for Tuberculosis (PPD)

How do we bill for placing the skin test for tuberculosis? To bill for placing the purified protein derivative (PPD) skin test for tuberculosis, use … [Read more...]

Facility versus Non-Facility in the Physician Fee Schedule

Understanding facility versus non-facility in the physician fee schedule explains the RVU and payment differences that practices receive when … [Read more...]

What is a Coverage Policy?

National Coverage Determinations (NCD) and Local Coverage Determinations (LCD) are Medicare’s coverage policies that describe medical necessity for … [Read more...]

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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...

Chronic Care Management | Reference Sheet

This quick reference sheet includes clinical staff … 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...

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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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