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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

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 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 reporting … [Read more...]

Coding for hypertension in the HCC system | Reference Sheet

The code for hypertension was the first ICD-10-CM code I memorized, the year we all switched gears and learned the new system.  This table lists the … [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)

Diabetes is a common chronic condition, included in three distinct HCC categories Patients often have more than one chronic condition of the … [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

Introduction to Risk Coding for Medical Practices and Outpatient Services Where do we find the rules for assigning diagnosis codes in medical … [Read more...]

Coding Guide – Risk Adjusted Diagnosis Coding for Medical Practices

Payment systems and reimbursement are ever-changing in healthcare and the rules of yesterday may or may not work tomorrow. Medical practices continue … [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...]

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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