Coding Intel

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

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How to get paid for services in medical practices: three quick videos for new clinicians and staff

An Overview of CPT Codes, HCPCS, Diagnosis Codes & ICD-10-CM This three-part series from CodingIntel is a must see for new staff and physicians, and is a helpful review for everyone. Includes modules on How Physician Services are Paid, and the basics of CPT codes, HCPCS, diagnosis codes and ICD-10-CM. Part 1 - How Physician Services are Paid Have a new staff member or physician who needs a primer on “how physician services are paid?” This … [Read more...]

Accurate at time of posting: February 7, 2017
by Betsy Nicoletti
Tagged With: CPT, diagnosis coding, ICD-10, modifiers, physician coding

Everyday Coding

How can a practice increase its revenue?  The easiest way is by collecting for services already performed, and the first step in that process is accurate CPT coding. Everyday Coding is Betsy's signature course. We've gathered all the components here in one convenient spot. You can work through them one at a time, select just the ones you need, or customize training for your physicians and staff. You can find supplementary content by … [Read more...]

Accurate at time of posting: November 30, 2016
by Betsy Nicoletti
Tagged With: coding, CPT, cpt rules, Documentation Guidelines, E/M services, global surgical package, Medicare rules, modifiers, Physician Billing, preventive medicine, Wellness Visits

Boost Collections by Accurate Coding

Need to increase your revenue? Which would you choose? A) Add more office hours B) Double book during existing hours C) Collect better for the services we've already performed This video provides two strategies for better collection through coding... NOTE: ICD-10 was implemented after this video was recorded, so you will hear references to ICD-9. The strategies are equally relevant under ICD-10. … [Read more...]

Accurate at time of posting: November 29, 2016
by Betsy Nicoletti
Tagged With: CPT, CPT codes, cpt rules

How Fees are Set in the Medicare Fee Schedule

How does Medicare calculate payments? This overview provides information and examples to explain how fees are set in the Medicare Fee Schedule. 2016 conversion factor: $35.8279 CMS fee calculation: [(Work RVU * Work GPCI) + (Non-Facility PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor (CF) = Non-Facility fee [(Work RVU * Work GPCI) + (Facility PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor = Facility … [Read more...]

Accurate at time of posting: November 14, 2016
by Betsy Nicoletti
Tagged With: CPT, CPT codes, cpt rules, Medicare, Medicare rules

Secrets of the Medicare Fee Schedule

The Medicare Fee Schedule is much more than Relative Value Units! It is the source of global days and status indicators. It tells if a service can be paid bilaterally, if an assistant at surgery is allowed and the break down of the professional and technical component for tests. What you need to know about the Medicare Fee Schedule in 10 minutes... … [Read more...]

Accurate at time of posting: November 14, 2016
by Betsy Nicoletti
Tagged With: CMS, CPT, Medicare, RVUs

How Physician Services are Paid – Infographic

CPT Codes for Medical Reimbursement CPT codes, HCPCS, modifiers, global surgical packages, CMS formulas, diagnosis codes, location, and more...how do all these pieces come together for medical reimbursement? This helpful infographic from CodingIntel shows how physician services are paid with proper medical billing and coding. … [Read more...]

Accurate at time of posting: November 14, 2016
by Betsy Nicoletti
Tagged With: CPT, CPT codes, diagnosis coding, HCPCS, HCPCS codes, Medicare, modifiers

How Physician Services are Paid

Have a new staff member or physician who needs a primer on "how physician services are paid?" This short video is a must see! Learn how all the pieces come together, from CPT and HCPCS, to diagnosis coding and Medicare rules. All in about 15 minutes... … [Read more...]

Accurate at time of posting: November 11, 2016
by Betsy Nicoletti
Tagged With: CPT, CPT codes, diagnosis coding, HCPCS, HCPCS codes, Medicare, Medicare rules, modifiers, physician coding

Consultations: Why Can’t I Get Paid for This?

A surgeon is called to the emergency to see a patient with abdominal pain and bills a consult for the service. This brief video uses an example of billing for a post op service in the global period to help clarify what is and what is not a consult... … [Read more...]

Accurate at time of posting: November 11, 2016
by Betsy Nicoletti
Tagged With: consults, CPT, CPT codes

Selecting Category of Code

Some of the most common questions we receive are in regard to selecting category of code for E/M services. This 20 minute video offers step by step guidance for accurately selecting the category of code for office, inpatient, emergency, and observation services. … [Read more...]

Accurate at time of posting: November 11, 2016
by Betsy Nicoletti
Tagged With: category of code, consults, CPT, CPT codes, E/M services, inpatient, observation, office

Chronic Care Management: Benefit Update

In the 2015 Final Physician Fee Schedule released on Halloween (CMS loves holiday releases of rules) CMS continues to state its support for primary care. One of the methods: a new benefit, chronic care management (CCM) for which they are proposing a rate of about $40 for 20 minutes or more of this non-face-to-face service during a calendar month. We knew about this from the proposed rule but were in wait and see mode until the final rule came … [Read more...]

Accurate at time of posting: November 19, 2014
by Betsy Nicoletti
Tagged With: CMS, CPT, Medicare, TCM

Risky business, or tempest in a teapot: Are you an audit target?

Some days, it appears we compliance and coding folks are like the boy who cried wolf.  We see shadows around every corner.  We emulate Captain Kirk, shouting, “Red Alert! Shields up!”  (Done mixing my metaphors now, I promise.)  The mainstream press doesn’t help with headlines of fraud accusations and sensational stories of government regulations.  In the past three days, the New York Times had headline stories about a hospital chain encouraging … [Read more...]

Accurate at time of posting: January 26, 2014
by Betsy Nicoletti
Tagged With: audit, CMS, Compliance, CPT, OIG, physician coding, risk, RVUs

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Don’t forget Care Plan Oversight

When CPT developed and CMS recognized chronic care … Read More...

Are you missing the initial annual wellness visit? | G0438

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Care Plan Oversight | Coding reference sheet

This reference chart for Care plan oversight (CPO) … Read More...

Age and wellness visits | Eligibility for Welcome to Medicare

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Our mission is to provide accurate, comprehensive, up-to-date coding answers, 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 22,100 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 40,000 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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