CodingIntel

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

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When a payer comes calling | Responding to payer audit

Medical practices receive many communications from payers that aren’t indicative of a problem. A payer needs more information to process a claim. Or, … [Read more...]

2018 CERT Analysis

CMS has not released a full Comprehensive Error Rate Testing (CERT) report since 2016. But, the 2018 supplemental report provides ample information … [Read more...]

Incident to and change to medications

Question: A CodingIntel member writes: "I am getting mixed information about incident-to and I was wondering if you could weigh in? If a NPP … [Read more...]

Compliance issues in ICD-10 coding for risk based contracts and HCCs

Everyone loves to read the general guidelines at the front of the ICD-10 book, right? No? Well, here’s an excerpt. “Code all documented conditions, … [Read more...]

A Rose by Any Other Name | EMR and Compliance

The blog post below, written in 2017, discusses the issue of copying and pasting in electronic health records. Since then, CMS has changed its stance … [Read more...]

7 sure fire ways to owe the government $4 million in fines and repayments | Coding Compliance

Most practices aren’t looking to pay the government any money in fines and repayment because of coding errors. Two recent OIG settlements described … [Read more...]

This practice paid Medicare $4.48 million

Do you sign up for email lists and then wonder why you did it? We all do, don’t we?  But, one email I always read is from the Department of Justice … [Read more...]

So Your Payer Has Requested Records: Billing high level services

Documentation is key when billing high level services. What do clinicians need to know? What role do education and internal audits play? This short … [Read more...]

Medicare Rules for Incident To and Shared Services

Whose provider number is being used to bill services to the insurer, or to Medicare? This is a compliance risk area often overlooked. This 10 minute … [Read more...]

Medical Billing: Avoiding the Three Deadly Sins of Compliance

What is the real risk of compliance audit from commercial payers or from Medicare? This short video addresses three specific areas of risk and offers … [Read more...]

Skype ≠ Telemedicine

I got a call from a vendor trying to develop a video conferencing product for a physician to use to talk to a patient who is at home. He said “I’m … [Read more...]

Risky business, or tempest in a teapot: Are you an audit target?

Some days, it appears we compliance and coding folks are like the boy who cried wolf.  We see shadows around every corner.  We emulate Captain Kirk, … [Read more...]

No Chart Left Behind: Deadline to Complete Medical Records

Years ago, I worked with a physician who was chronically behind in dictating his notes.  The charts were crammed into boxes by date, lining the walls … [Read more...]

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.

Learn more

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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