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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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December 11, 2023

Age and Wellness Visits | Eligibility for Welcome to Medicare

Who can perform the AWV Knowing which Medicare wellness visit to bill Eligibility requirements for the Welcome to Medicare visit After I gave … [Read more...]

Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse | HCPCS Code G0442

The  US Preventive Services Task Force (USPSTF) recommends screening for alcohol misuse and behavioral interventions for individuals whose screening … [Read more...]

Billing Preventive Medicine Services and Problem Visit | Quick Reference Sheet

This quick reference sheet provides guidance for billing preventive medicine services and split visits. When can you bill for both an office visit AND … [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...]

Behavioral counseling for obesity, HCPCS code G0447

G0447 face-to-face behavioral counseling for obesity, 15 minutes G0473 Face-to-face hehavioral counseling for obesity, group (2-10) 30 … [Read more...]

Preventive Medicine Services – Medicare

Medicare has very specific requirements for preventive services. What can you bill, what must you document? This article covers all the bases … [Read more...]

Billing for pap smear

Billing for pap smears in a physician practice can be confusing for clinicians. Pap smears can be screening services or diagnostic services … [Read more...]

Prolonged services codes for Medicare preventive medicine services: G0513, G0514

There are HCPCS prolonged services codes to be used with Medicare preventive services reported based on time.  CMS allows these prolonged care codes … [Read more...]

Reporting a problem-oriented visit on the same day as Welcome to Medicare (G0402) or Initial and Subsequent Wellness Visit (G0438, G0439)

I continue to hear that some consultants and coders don't agree with reporting a problem oriented visit with welcome to Medicare or wellness visit … [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...]

Screening for Other Sexually Transmitted Illnesses (STI)

This article covers CPT® and diagnosis codes used for screening for other sexually transmitted illnesses. It includes descriptions and screening … [Read more...]

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

How Physician Services are Paid – Overview

Have a new staff member or practitioner who needs … Read More...

Two visits for the price of one? | Multiple medical visits on the same day

Patients often schedule two medical appointments … Read More...

HCC coding: V24 versus V28

Medical practices are assessing the impact of the … Read More...

CMS’s 2024 shared or split services policy: document and report them correctly

In 2024, CPT expanded its definition of … 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.

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