CodingIntel

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

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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...]

Changes in HCC diagnosis coding from V22 to V23: what you need to know

CMS pays Medicare Advantage plans differentially based on Hierarchical Condition Category (HCCs). This coding model uses demographics and diagnoses … [Read more...]

How to improve the accuracy of your diagnosis risk scores | Dr. Edwin Knights

This reference is the companion resource for the webinar I presented in June with Edwin Knights, M.D., Improving the accuracy of your diagnosis risk … [Read more...]

Diabetes coding in Hierarchical Condition Coding (HCC)

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

Depression coding in 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...]

Dear Resident, Do you Understand Relative Value Units (RVUs)?

Measuring physician productivity with work RVUs: News flash! Physicians are more interested in medicine than coding. No doctor undertook the … [Read more...]

HCCs in Medical Practices | Risk Diagnosis Coding

What are HCCs and why do I need to know about them? Hierarchical Condition Category (HCC) is a coding system developed by Medicare to pay Medicare … [Read more...]

HCC diagnosis coding: what medical practices need to know about risk adjusted diagnosis coding

Recorded December 14, 2017 Risk coding is all the rage!  Are you up-to-date? In fee-for-service medicine, physician services are paid based on … [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...]

Compliance Issues in HCC | Risk-adjusted diagnosis coding

Lunch and Learn  This is the second video in this series which reviews HCC diagnosis coding. The first video was the an overview, so if you didn't … [Read more...]

HCC Coding

Introduction | HCC and Risk Adjusted Diagnosis Coding Payers are moving to new payment models that take into consideration how sick your patient … [Read more...]

Diagnosis Coding: It’s not just for claims anymore

What to Know About HCC Codes, Medicare Risk Adjustment and HCC Coding Guidelines Getting ready for risk-adjusted diagnosis and alternate payment … [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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