Coding Intel

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

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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 … [Read more...]

Accurate at time of posting: October 1, 2018
by Betsy Nicoletti
Tagged With: billing, category of code, CPT codes, critical care, using time to select a code

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 … [Read more...]

Accurate at time of posting: June 27, 2017
by Betsy Nicoletti
Tagged With: diagnosis coding, Medicare rules, Physician Billing, primary care, screening

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 … [Read more...]

Accurate at time of posting: March 6, 2017
by Betsy Nicoletti
Tagged With: 99495, 99496, TCM, Transitional Care Management

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...]

Accurate at time of posting: February 28, 2017
by Betsy Nicoletti
Tagged With: diagnosis coding, HCC, risk adjusted coding

Reporting post op visits to Medicare in 2017

CMS has mandated post op reporting using code 99024 in 9 states for about 250 codes.  This isn’t just for surgeons! Many of the codes on the list are … [Read more...]

Accurate at time of posting: February 21, 2017
by Betsy Nicoletti
Tagged With: global surgery, global surgical package, major procedures, Medicare, minor procedures

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, … [Read more...]

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

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 … [Read more...]

Accurate at time of posting: February 2, 2017
by Betsy Nicoletti

Getting Paid for Advance Care Planning

This 5 minute video covers the criteria for billing Advance Care Planning services, CPT codes 99497 and 99498. For additional information on Advance … [Read more...]

Accurate at time of posting: January 26, 2017
by Betsy Nicoletti
Tagged With: 99497, 99498, advance care planning

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 … [Read more...]

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

Reporting Screening Colonoscopy

What is the difference between a screening and diagnostic colonoscopy, and how are they coded? What if a screening colonoscopy was scheduled, but a … [Read more...]

Accurate at time of posting: November 16, 2016
by Betsy Nicoletti
Tagged With: Colonoscopy, diagnostic testing, modifiers, screening

Modifier 25

There are always questions about modifier 25. Show this video to your physicians, NPs and PAs, and your coding staff, at your next staff meeting. … [Read more...]

Accurate at time of posting: November 15, 2016
by Betsy Nicoletti
Tagged With: E/M services, Modifier 25, modifiers

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, … [Read more...]

Accurate at time of posting: November 15, 2016
by Betsy Nicoletti
Tagged With: Global days, global surgery, global surgical package, Medicare rules, minor procedures, Modifier 25

Not all Unspecified Codes are Created Equal

What kind of unspecified codes can a practice still use? Which ones need to be avoided? Quick, five minute guidance in this video about unspecified … [Read more...]

Accurate at time of posting: November 14, 2016
by Betsy Nicoletti
Tagged With: ICD-10, ICD-10-CM

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 … [Read more...]

Accurate at time of posting: November 14, 2016
by Betsy Nicoletti
Tagged With: cpt rules, critical care

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 … [Read more...]

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

Explaining E/M Modifiers: 24, 25, 57

These evaluation and management modifiers indicate to a payer that the service provided was not part of the global surgical package. What are the … [Read more...]

Accurate at time of posting: November 14, 2016
by Betsy Nicoletti
Tagged With: global surgical package, Modifier 25, modifier 57, modifiers

So Your Payer Has Requested Records: Billing high level services

Documentation is key when billing high level services. What do clinicians need to know? What role do education and internal audits play? This short … [Read more...]

Accurate at time of posting: November 14, 2016
by Betsy Nicoletti
Tagged With: audit, Compliance, E/M services

Billing for New Patients, Established Patients and Consults

Select the correct category of code: should it be a new patient, an established patient or a consult? This video includes CPT and Medicare … [Read more...]

Accurate at time of posting: November 14, 2016
by Betsy Nicoletti
Tagged With: consults, E/M services, established patient, new patient

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 … [Read more...]

Accurate at time of posting: November 14, 2016
by Betsy Nicoletti
Tagged With: E/M services, preventive medicine, preventive medicine services, split visits, Wellness Visits

ICD-10 Coding for Chronic Diseases – Part 1

This is the first part of a two part series regarding coding for chronic diseases. Includes coding for current conditions and some "status" … [Read more...]

Accurate at time of posting: November 14, 2016
by Betsy Nicoletti
Tagged With: ICD-10, ICD-10-CM

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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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