CodingIntel

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

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Code Prolonged Services with Confidence | Webinar

Recorded on September 24th, 2020 2021 brings a new CPT prolonged services codes for use only with 99205 and 99215 and changes the rules for … [Read more...]

Teaching Physician Rules – Evaluation and Management Services

CMS policy update: E/M services performed under the teaching physician rules Download this teaching physician rules quick reference sheet for a … [Read more...]

Anticoagulation Management

I continue to get questions about billing for anticoagulation management, and I’m hoping this post can put some (all?) of them to rest. First, two … [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...]

What does CMS’s modifier 25 proposal mean to you?  (I wish I knew)

Coding. Why does it keep changing? The article you are looking for was out of date, and we removed it. May we suggest... Using Modifier 25 | … [Read more...]

CPT® coding changes

2020 coding changes For a summary of this year's CPT® coding changes download the handout and watch the webinar here. We provide a review of CPT® … [Read more...]

New CPT® codes for 2018 | Anticoagulation management and education for home INR monitoring

CPT developed (and Medicare recognizes) two new codes for services related to home and outpatient international normalized ratio (INR) monitoring … [Read more...]

Modifiers in the Post-op Period | Global Surgical Package

Although there is a single payment for surgical procedures that have 0, 10 and 90 global days, there are frequent instances in which the surgeon … [Read more...]

More modifier mishaps | CPT® Modifiers

Some modifier errors are easily avoided by experienced coders or practice management software with an editing function to stop incorrect claims before … [Read more...]

Every claim line tells a story | CPT® Modifiers

Some people read mystery novels, some people can read body language but medical coders can read claims. Some claim lines are simple to read. The … [Read more...]

Using Modifiers Correctly: Every claim line tells a story

Recorded May 4, 2017 Are you missing modifiers?  Misplacing modifiers? If so, you’re losing money and wasting time working denials. Slapping a … [Read more...]

Pessary Billing and Coding

Pessary Insertion CPT® Code & Pessary Cleaning CPT® Code Overview Primary care practices, gynecology and urology practices often prescribe and … [Read more...]

Modifier 95: telemedicine

During the public health emergency (PHE), CMS and private payers relaxed the restrictions on telehealth.  These changes are intended to be temporary. … [Read more...]

Modifier 25

There are always questions about modifier 25. Show this video to your physicians, NPs and PAs, and your coding staff, at your next staff meeting. … [Read more...]

Explaining E/M Modifiers: 24, 25, 57

These evaluation and management modifiers indicate to a payer that the service provided was not part of the global surgical package. What are the … [Read more...]

End Confusion About Modifier 57 (and get paid for initial evaluations)

Use modifier -57 at the visit for the decision for surgery, when surgery is scheduled for that day or the next calendar day A surgeon should always … [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

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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