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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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HCC diagnosis coding example: diabetes, hypertension, chronic kidney disease

If a picture is worth 1000 words, what’s an example worth? An example can show in a glance what it takes paragraphs to write and explain. The one … [Read more...]

HCC Coding for Medical Practices | Webinar

HCC Coding for Medical Practices Recorded April 15, 2021  The rules related to HCC coding in physician practices are found in the ICD-10 book … [Read more...]

Coding for depression in the HCC system | Reference Sheet

Do you have questions about coding for depression in the HCC system? HCC diagnosis coding for depression can be confusing. This quick reference … [Read more...]

Coding for diabetes in the HCC system | Reference Sheet

For medical practices who are part of an ACO, MSSP, or other Alternative Payment Model, understanding how to code accurately is critical to making the … [Read more...]

Coding for hypertension in the HCC system | Reference Sheet

Coding for hypertension in the HCC system often requires additional codes to specify type of hypertension, and other complications or factors. This … [Read more...]

Five urban legends about risk-adjusted diagnosis coding

Originally published on kevinmd.com When I talk to medical practices about Hierarchical Condition Category (HCCs) and risk-adjusted diagnosis … [Read more...]

HCC’s in brief | The difference between CMS-HCC and HHS-HCC

Demographics and diagnoses Risk adjusted diagnosis coding is a model used to predict future health care costs based on demographics and diagnoses. It … [Read more...]

Diabetes coding in Hierarchical Condition Coding (HCC)

CodingIntel members can download our guide to Risk adjusted diagnosis coding for medical practices for more explanation and examples.  This article is … [Read more...]

Depression coding and Hierarchical Condition Coding (HCC)

Introduction | Depression coding in HCC In fee-for-service medicine: Diagnosis coding establishes the medical necessity for a service. At times, … [Read more...]

HCC coding: round up of chronic conditions

I saw on twitter recently that COPD was the third leading cause of death in the U.S. If it was on twitter, it must be true, right? This article … [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 important excerpt. “Code all documented … [Read more...]

Risk Coding for Medical Practices and Outpatient Services

This article discusses the dos and don’ts of assigning diagnosis codes in medical practices for risk adjustment, using the HCC … [Read more...]

Coding Guide – Risk Adjusted Diagnosis Coding for Medical Practices

Risk Adjusted Diagnosis Coding Payment systems and reimbursements are ever-changing in healthcare and the rules of yesterday may or may not work … [Read more...]

HCC diagnosis coding: Can you add a code from the past medical history?

This post describes rules for office/outpatient coding, not facility/DRG rules. Recently a fellow coder wrote to me about risk adjusted diagnosis … [Read more...]

What’s the difference between B20 and Z21? Which is right for positive HIV status?

In this post ICD-10-CM diagnosis coding for positive HIV status Update to HIV coding in 2022 Medical practice reimbursement for individual … [Read more...]

Wondering about the rules for HCC coding?

Wondering what the rules are for HCC coding, and where you can find them? This video answers your questions. The topic is important to medical practices because risk-adjusted diagnosis coding is part of Medicare Advantage contracts, many commercial contracts and Accountable Care Organizations (ACOs). Sign up for our monthly newsletter to download the whitepaper and watch the video.

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Latest Intel

Coding Principles for Practice Administrators | Webinar

Coding Principles for Practice … Read More...

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...

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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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