CodingIntel

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

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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...]

Intensive behavioral counseling for cardiovascular disease, HCPCS code G0446

Medicare pays a primary care physician or other primary care practitioner in a primary care setting to annually provide one face-to-face behavioral … [Read more...]

Coding Guide – Preventive Medicine Services

This is the resource guide from CodingIntel's one hour course on preventive medicine. Coding for preventive medicine services should be easy, but … [Read more...]

Screening for depression | HCPCS code G0444

Annual depression screening code G0444 Medicare pays primary care practices to screen all Medicare patients annually for depression. The service … [Read more...]

Behavioral counseling for obesity, HCPCS code G0447

Medicare pays for ongoing face-to-face behavioral counseling for patients with a BMI  of ≥ 30, who are alert and able to participate in … [Read more...]

Are you missing the initial annual wellness visit? | G0438

After I gave a presentation at a family medicine conference a physician said to me, “What you just told me will pay for the entire cost of my coming … [Read more...]

Teaching physician rules | Bedside procedures

Question: Can an attending bill for a bedside procedure that a resident did without the attending being present? If so, is this billed at 85% like … [Read more...]

Billing medical practice services for patients on hospice

Overview of hospice care Medicare beneficiaries who have a terminal illness with a life expectancy of six months or less can elect to have their … [Read more...]

Wellness visits and prolonged care | How to use G0513 & G0514

Medicare stunned us by creating two prolonged services HCPCS codes for use with Medicare covered preventive medicine services in 2018. They may be … [Read more...]

Medical necessity isn’t medical decision making

Have you heard of Talk Ten Tuesdays? It’s an internet radio program hosted by Chuck Buck and Dr. Erica Remer, and every week they discuss current … [Read more...]

Let’s go to the source! Should this visit be downcoded?

This article describes the use of time using the 1995/1997 guidelines. Be sure to read about the 2021 guidelines for codes 99202--99215. A … [Read more...]

Screening pelvic/breast exam and pap smear denials | G0101 and Q0091

Updated for 2020 We received this question from one of our members: "We have a medicare patient for whom we provided a pelvic and a breast exam … [Read more...]

Medicare Rules for Incident-to Billing and Shared Services | Webinar

Incident-to services appear on the OIG Work Plan frequently. The stakes are high for the practice in terms of revenue and compliance. Ask around the … [Read more...]

G0101 Pelvic and Breast Exam

Medicare developed two HCPCS codes for screening services for women, without certain frequency time limits G0101(screening breast and pelvic exam) … [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...]

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

Coding for laceration repair, two visits on the same day

Question In our urgent care center, our … Read More...

HCC Coding for Medical Practices | Webinar

HCC Coding for Medical Practices April 15, 2021 @ … Read More...

Coding for Behavioral Health Services by Psychologists, Social Workers and Therapists

Looking for a coding resource for behavioral … Read More...

2021 E/M office visit scenarios

Need help using the 2021 E/M guidelines? What … 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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