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

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December 12th Webinar - CPT® Coding Changes for 2020  →  REGISTER

Screening codes guide – G0442, G0443, G0444, G0446, G0447

Medicare pays for some screening services for its beneficiaries, using HCPCS codes. These screening codes are time-based HCPCS codes with … [Read more...]

Last revised: May 22, 2019
by Betsy Nicoletti
Tagged With: HCPCS codes, preventive medicine services, screening

Behavioral Health Integration and CCM codes, 2018

This post has been updated to reflect changes in CPT® and HCPCS codes for 2018. The updated quick reference sheet includes the description for … [Read more...]

Last revised: June 17, 2019
by Betsy Nicoletti
Tagged With: HCPCS codes, primary care

Intensive behavioral counseling for cardiovascular disease, HCPCS code G0446

Medicare pays a primary care physician or other primary care practitioner in a primary care setting to annually provide one face-to-face behavioral … [Read more...]

Last revised: March 18, 2019
by Betsy Nicoletti
Tagged With: HCPCS codes, Medicare rules, preventive medicine services

Other new proposals in the 2019 Proposed Physician Fee Schedule Rule

This is the second CodingIntel post about CMS proposed changes to the 2019 Physician Fee Schedule rule. If you missed it, be sure to read the first … [Read more...]

Last revised: August 20, 2018
by Betsy Nicoletti
Tagged With: CPT®codes, HCPCS codes, Medicare rules, Physician Billing

CMS Proposed Changes in the 2019 Physician Fee Schedule Rule | Webinar

Recorded August 16, 2018 Some Fee Schedule rules are almost boring, but not this year! CMS is proposing significant changes to the payment … [Read more...]

Last revised: November 26, 2019
by Betsy Nicoletti
Tagged With: CMS, E/M services, HCPCS codes

Screening for depression | HCPCS code G0444

Annual depression screening code G0444 Medicare pays primary care practices to screen all Medicare patients annually for depression. The service … [Read more...]

Last revised: March 18, 2019
by Betsy Nicoletti
Tagged With: HCPCS codes, Medicare rules, preventive medicine services, screening, Wellness Visits

Behavioral counseling for obesity, HCPCS code G0447

Medicare pays for ongoing face-to-face behavioral counseling for patients with a BMI  of ≥ 30, who are alert and able to participate in … [Read more...]

Last revised: March 18, 2019
by Betsy Nicoletti
Tagged With: counseling, HCPCS codes, Medicare rules, preventive medicine services

Prolonged services codes for Medicare preventive medicine services: G0513, G0514

The first chart I posted with this article had an error. Thanks to the sharp eyed member who found my error and pointed it out. We've posted the … [Read more...]

Last revised: March 18, 2019
by Betsy Nicoletti
Tagged With: HCPCS codes, Medicare rules, preventive medicine services, prolonged services, well

Coding changes for 2018 | Webinar

Recorded February 15, 2018 Listen in on this high level overview of new CPT® and HCPCS codes for 2018! Every year, the AMA updates the CPT® … [Read more...]

Last revised: July 25, 2019
by Betsy Nicoletti
Tagged With: CPT®codes, HCPCS codes

G0101 Pelvic and Breast Exam

Medicare does not pay for routine physical exams annually for patients - a sore spot for gynecologists, primary care providers and Medicare … [Read more...]

Last revised: October 28, 2019
by Betsy Nicoletti
Tagged With: HCPCS codes, Medicare rules, preventive medicine services

Care Management for Behavioral Health Conditions

Care Management for Behavioral Health Conditions Overview CMS developed HCPCS G0507 code for care management performed by clinical staff for … [Read more...]

Last revised: April 23, 2019
by Betsy Nicoletti
Tagged With: HCPCS codes, primary care

New modifier for telemedicine in 2017: modifier 95

An Overview of Telemedicine Modifier 95: The American Medical Association added a new modifier, symbol and Appendix to CPT® in 2017; Modifier … [Read more...]

Last revised: May 14, 2019
by Betsy Nicoletti
Tagged With: coding, E/M other, HCPCS codes, modifiers

New Revenue Opportunities for Primary Care in 2017

2017 brings primary care new revenue opportunities when providing care coordination services, including non-face-to-face prolonged services. There are … [Read more...]

Last revised: March 28, 2019
by Betsy Nicoletti
Tagged With: HCPCS codes, primary care

How Physician Services are Paid – Infographic

CPT® Codes for Medical Reimbursement CPT® codes, HCPCS, modifiers, global surgical packages, CMS formulas, diagnosis codes, location, and … [Read more...]

Last revised: June 8, 2017
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 … [Read more...]

Last revised: February 2, 2017
by Betsy Nicoletti
Tagged With: CPT®, CPT®codes, diagnosis coding, HCPCS, HCPCS codes, Medicare, Medicare rules, modifiers, physician coding

High Intensity Behavioral Counseling to Prevent Sexually Transmitted Illnesses

CMS covers counseling to prevent STI in certain circumstances. The code is G0445. G0445 – Semiannual high intensity behavioral counseling to … [Read more...]

Last revised: March 18, 2019
by Betsy Nicoletti
Tagged With: HCPCS codes, preventive medicine services

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Latest Intel

CPT® Coding Changes for 2020 | Webinar

December 12, 2019 @ 12:00 pm (EST) Learn … Read More...

Are you sure?

Coders crave certainty We coders don’t just … Read More...

CMS’s 2020 Physician Fee Schedule Final Rule | Webinar

Recorded November 21, 2019 CMS released the … Read More...

Non-physician practitioners in nursing facilities

Question: Can a physician assistant see … 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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