Coding Intel

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

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Incident to and change to medications

Question: A CodingIntel member writes: "I am getting mixed information about incident-to and I was wondering if you could weigh in? If a NPP … [Read more...]

Accurate at time of posting: December 13, 2018
by Betsy Nicoletti
Tagged With: Compliance, Medicare rules, Physician Billing

That’s final, and I mean it! | 2019 Physician Final Rule

The 2019 Physician Final Rule was released right on time on November 1, 2018. By now, you’ve heard the news that CMS is not implementing its major … [Read more...]

Accurate at time of posting: November 9, 2018
by Betsy Nicoletti
Tagged With: CMS, Medicare rules, Physician Billing

Checklist for CPT code 99483 | cognitive assessment code for dementia

Is your practice performing cognitive assessments for patients with dementia, using CPT code 99483? If so, use this checklist to make sure you have … [Read more...]

Accurate at time of posting: October 30, 2018
by Betsy Nicoletti
Tagged With: Compliance, Documentation Guidelines, Medicare rules

Billing inpatient consultation for Medicare patients | Initial visit or subsequent

Question: What should a consulting physician bill when seeing a hospitalized Medicare patient? An initial hospital service or a subsequent hospital … [Read more...]

Accurate at time of posting: September 18, 2018
by Betsy Nicoletti
Tagged With: consults, inpatient, Medicare rules

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...]

Accurate at time of posting: August 2, 2018
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...]

Accurate at time of posting: July 17, 2018
by Betsy Nicoletti
Tagged With: CPT codes, HCPCS codes, Medicare rules, Physician Billing

Billing Guide – How Physician Services are Paid

Table of Contents CPT HCPCS Modifiers NCCI Multiple procedures Fee calculation Global surgical payment Diagnosis coding   A … [Read more...]

Accurate at time of posting: July 17, 2018
by Betsy Nicoletti
Tagged With: CMS, CPT codes, E/M services, HCPCS, ICD-10, Medicare rules

Billing Guide – Medicare Incident-to and Shared Services

This in depth guide reviews the requirements for billing Medicare Incident-to and shared services including: When/where these services can be … [Read more...]

Accurate at time of posting: July 17, 2018
by Betsy Nicoletti
Tagged With: Medicare rules, shared services

Billing Guide-Preventive Medicine Services

This is the resource guide from CodingIntel's one hour course on preventive medicine. Coding for preventive medicine services should be easy, but … [Read more...]

Accurate at time of posting: July 12, 2018
by Betsy Nicoletti
Tagged With: Medicare rules, preventive medicine services, screening, Wellness Visits

CMS proposes significant changes to E/M requirements

By now, you’ve read the headlines that CMS is proposing major changes to both the documentation requirements for new and established patient visits … [Read more...]

Accurate at time of posting: July 12, 2018
by Betsy Nicoletti
Tagged With: E/M services, HCPCS codes, Medicare rules

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...]

Accurate at time of posting: July 11, 2018
by Betsy Nicoletti
Tagged With: HCPCS codes, Medicare rules, 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...]

Accurate at time of posting: July 10, 2018
by Betsy Nicoletti
Tagged With: counseling, HCPCS codes, Medicare rules

Two visits for the price of one? | Multiple medical visits on the same day

Patients often schedule two medical appointments on the same day with physicians of different specialties.  It’s convenient for them. It saves travel … [Read more...]

Accurate at time of posting: June 14, 2018
by Betsy Nicoletti
Tagged With: Medicare rules, Physician Billing

Preventive Medicine Services – Medicare

Medicare has very specific requirements for preventive services. What can you bill, what must you document? This article covers all the bases … [Read more...]

Accurate at time of posting: June 12, 2018
by Betsy Nicoletti
Tagged With: Medicare, Medicare rules, preventive medicine, Wellness Visits

Shared Visits – Medicare

Medicare has specific rules for billing for Nurse Practitioners, Physician Assistants as shared services in the hospital.  These rules are explained … [Read more...]

Accurate at time of posting: June 11, 2018
by Betsy Nicoletti
Tagged With: Medicare rules, nurse practitioners, physician assistants, shared services

Are you missing the initial annual wellness visit? | G0438

After I gave a presentation at a family medicine conference a physician said to me, “What you just told me will pay for the entire cost of my coming … [Read more...]

Accurate at time of posting: April 10, 2018
by Betsy Nicoletti
Tagged With: Medicare rules, primary care, Wellness Visits

Age and wellness visits | Eligibility for Welcome to Medicare

Question: Does the patient need to be 65 years old in order to bill the Welcome to Medicare Visit? Answer: No, there is no age restriction … [Read more...]

Accurate at time of posting: April 3, 2018
by Betsy Nicoletti
Tagged With: Medicare rules, Wellness Visits

Billing physician services for hospice patients | Cheat sheet

Medical practices find the hospice modifiers confusing, and confusion leads to denials and payment delays. Use the decision trees below to help you … [Read more...]

Accurate at time of posting: April 2, 2018
by Betsy Nicoletti
Tagged With: Medicare rules, modifiers, Physician Billing

Teaching physician rules | Bedside procedures

Question: Can an attending bill for a bedside procedure that a resident did without the attending being present? If so, is this billed at 85% like … [Read more...]

Accurate at time of posting: March 22, 2018
by Betsy Nicoletti
Tagged With: Medicare rules, teaching physician rules

Billing physician services for hospice patients

Overview of hospice care Medicare beneficiaries who have a terminal illness with a life expectancy of six months or less can elect to have their … [Read more...]

Accurate at time of posting: March 13, 2018
by Betsy Nicoletti
Tagged With: Medicare rules, modifiers, Physician Billing

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Coding for Hospitalist Services | Webinar

March 21, 2019 @ 12:00 pm (EST) CMS … Read More...

Screening for skin cancer

Dermatologists frequently see patients for skin … Read More...

Coding for breast procedures: biopsy, localization devices, and surgery

From biopsy to localization device to mastectomy, … Read More...

Chronic care management services (CCM), CPT 99491: new code in 2019

CPT has added 99491 to the section of chronic care … 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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