CodingIntel

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

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Are start and stop times required for non face-to-face prolonged care services?

Question: Regarding non face-to-face prolonged care, does Medicare require start and stop times, they way they do for prolonged face-to-face care? … [Read more...]

Using Time to Select a Code

Use these rules when billing for codes that use the 1995/1997 guidelines. In 2021, this does not include codes 99202--99215. What codes continue to … [Read more...]

Don’t forget Care Plan Oversight

There are two sets of codes for care plan oversight, CPT (99374–99380) and HCPCS codes (G0181, G0182) The requirements for each are different, … [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. Wellness visits and prolonged care … [Read more...]

Coding Guide – Care Management Services

What you need to know about non face-to-face services CMS has a stated goal of recognizing management services provided outside of an office visit. … [Read more...]

Prolonged services and nursing home visits

Question: Prolonged Services and nursing home visits. I'm getting a "Code 99358 is a column 2 code for 99309, these codes cannot be billed … [Read more...]

Everything you want (and need) to know about E/M services

Evaluation and Management (E/M) services account for 30% of the revenue paid by Medicare for all physician services. For many specialties, E/M codes … [Read more...]

Prolonged Services

Lunch and Learn There are three sets of prolonged services codes. The first set describes add-on codes to E/M services, 99354—99357. The … [Read more...]

Non Face-to-Face Prolonged Service – 99358

Codes 99358 and 99359 are used for non-face-to-face prolonged services by the billing physician/NP/PA when provided in relation to an E/M service on … [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.

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Latest Intel

Insights: Changes in level of service using 2021 office visit guidelines

The American Medical Association (AMA) changed the … Read More...

Defining problems using the new 2021 office visit guidelines

The AMA has developed specific definitions for … Read More...

2021 Office Visit Coding Insights | Webinar

2021 Office Visit Coding Insights March 25, 2021 … Read More...

2021 Reimbursement: What Your Practice Needs to Know | Webinar

Recorded on February 18, 2021 @ 12:00 pm … 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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