CodingIntel

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

Teaching Physician Rules – Psychiatric Services

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In psychiatry if reporting time-based psychotherapy services, the time of the attending physician is the time used to select the code.

For psychiatry services that are not time based, the requirement for the presence of the physician may be met if the attending uses a one way mirror or video (not audio) equipment.  This concurrent observation for non time based services, such as an initial diagnostic evaluation, is permitted.

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- Betsy Nicoletti
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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.