Coding Intel

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

Screening pelvic/breast exam and pap smear denials | G0101 and Q0091

Lunch and Learn - June 2017 Updated for 2018 We received this question from one of our members: "We have a medicare patient for whom we provided a pelvic and a breast exam and a pap smear. We submitted it to Medicare and it got denied.  Can you tell me why?" Medicare doesn't pay for "routine services", but they do pay for certain screening test. This short video reviews the Medicare requirements and coding for screening pelvic and breast … [Read more...]

Wondering about Transitional Care Management?

A Video Overview of TCM Codes Finally, payment for services practices typically do for free! Transitional Care Management (TCM) provides payment to medical practices for helping complex patients transition from a facility to a non-facility setting, for example, from the hospital to home. It pays for the provider and clinical staff to perform non-face-to-face services and get paid for the work. Watch this 15 minute video courtesy of CodingIntel … [Read more...]

HCC Coding

What to Know About HCC Coding, Risk Adjustment and Diagnosis Codes Payers are moving to new payment models that take into consideration how sick your patient population is. What is risk adjustment? What are HCC's? What is HCC coding? What are the proper diagnosis codes? And what does it all mean for your practice? Watch this 15 minute video from CodingIntel to learn more. Additional information can be found in our Billing Guide for Risk … [Read more...]

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...]

Lunch and Learn

Are you looking for an easy way to keep your staff up-to-date with coding changes? Are you concerned about accuracy and compliance issues? These short, videos and learning guides can help. Presented in a convenient format Focusing on coding changes Simplifying complex concepts Watch a brief (10-15 minute) video, download the learning guide and use them for staff meetings. Available on demand for those staff members who can’t leave … [Read more...]

Coding for Hospitalists

Coding for services done by hospitalists and other specialty physicians in the hospital can be confusing.  After watching these videos and downloading the guides, you'll be confident that you are selecting the right category of code and level of service.  The third video discusses critical care and prolonged inpatient services. These are great for newly hired hospitalists or coders that code for them.  Each is about 12 minutes long, so they'd … [Read more...]

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...]

Why You Shouldn’t Automatically Bill an E/M with Every Procedure

Should you bill just a procedure? Or an E/M service with it? Medicare provides a breakdown by CPT code of the pre-evaluation, pre-operative, intraoperative, and post-operative times included in each code. Find out more in this 5 minute video. After watching, check out this article for additional information. And download the time file referred to in the video using the button below. Download CMS Time File … [Read more...]

Critical Care

Critical care has high relative value units and payments so it's important to know the coding rules. This video describes when and how to bill for critical care services including: the components of critical care, what can be included in the time of critical care and what can't be included, and the time thresholds for reporting critical care. … [Read more...]

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...]

Billing a problem oriented visit with a preventive service

Two for the price of one, or report both a problem oriented visit and a preventive service? This video includes CPT and Medicare guidelines for deciding if you can bill both the E/M service and the preventive service, or if you must select only one. After watching, check out this article for some additional resources. … [Read more...]

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 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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