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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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E/M frequency data for surgical specialties

CMS releases E/M frequency data annually.  A physician self-elects their specialty designation when enrolling with Medicare. Unfortunately, there … [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...]

Not all emergency surgery should be coded at the highest level | E/M Services and MDM

Surgeons sometimes think that the E/M service on the date of every emergency surgery is the highest level E/M.  99285 for an ED evaluation or 99223 … [Read more...]

Moderate or High MDM – General Surgery

Although we expect that the AMA will update the rules for hospital and other E/M services in 2023, currently they still use the 1995/1997 guidelines, … [Read more...]

Billing Admission and Subsequent Visits for Patient Having Surgery

What if I Admit a Patient and Don't Take the patient Immediately to Surgery? Can I bill for the admission and subsequent visits if the patient … [Read more...]

Teaching physician rules and surgical procedures

The teaching physician rules describe a payment method by which Medicare pays an attending physician or teaching physician for services performed … [Read more...]

Quick Coding Reference Sheet – General Surgery

This quick reference sheet is packed with useful information. It covers consults, initial and subsequent hospital visits, and observation.  … [Read more...]

Definitive Guide to Documenting Time

Office visits, inpatient care, prolonged services, critical care...properly documenting time can help ensure that you receive the maximum allowable … [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…evaluation prior to surgery

The surgeon evaluates a patient, and determines that surgery is needed. Can the surgeon get paid for this initial service? Watch this short video … [Read more...]

CMS split/shared services

Questions about CMS split/shared services rule changes? In this quick reference sheet you'll learn what these services are, who can bill them, and where. And, information about "substantive portion" and selecting level of service for time vs. key components..

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Latest Intel

CPT Coding for Obstetrical and Gynecological Procedures | Webinar

Who Runs the World? GIRLS!!: CPT Coding for … Read More...

Payment denials for unspecified codes

From the day coders got their first glimpse at … Read More...

Behavioral health coding compliance

Compliance Lessons from the OIG In March 2022, … Read More...

Acute, uncomplicated vs. acute with systemic symptoms

Question: What is the difference between an … 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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