Coding Intel

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

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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

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

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

Wellness visits and care management in Rural Health Centers and Federally Qualified Health Centers (RHCs and FQHCs)

RHCs and FQHCs are paid an all-inclusive rate (AIR) or national prospective payment system (PPS) rate for any service that is defined as a visit to … [Read more...]

Accurate at time of posting: May 8, 2018
by Betsy Nicoletti
Tagged With: CCM, TCM, Wellness Visits

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

Wellness visits and prolonged care | How to use G0513 & G0514

Medicare stunned us by creating two prolonged services HCPCS codes for use with Medicare covered preventive medicine services in 2018. They may be … [Read more...]

Accurate at time of posting: February 27, 2018
by Betsy Nicoletti
Tagged With: Medicare rules, preventive medicine services, Wellness Visits

Billing for pap smear

Medical practices often ask what codes to use in order to bill for a pap smear provided during a preventive medicine service or other E/M service.  … [Read more...]

Accurate at time of posting: February 19, 2018
by Betsy Nicoletti
Tagged With: preventive medicine, preventive medicine services, screening, Wellness Visits

Can you screen for an existing condition? | Diagnosis Coding for Lab Services

Can you screen for an existing condition, “In the absence of any signs, symptoms or associated diagnosis” Sometimes, the hardest thing about coding … [Read more...]

Accurate at time of posting: December 11, 2017
by Betsy Nicoletti
Tagged With: diagnosis coding, preventive medicine services, screening, Wellness Visits

Reporting a problem-oriented visit on the same day as Welcome to Medicare (G0402) or Initial and Subsequent Wellness Visit (G0438, G0439)

To do or not to do? When can you report a problem oriented visit with the Welcome to Medicare (G0402), or Initial or Subsequent (G0438, G0439) … [Read more...]

Accurate at time of posting: June 12, 2017
by Betsy Nicoletti
Tagged With: preventive medicine, Wellness Visits

Everyday Coding for Medical Practices

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 … [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

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

Examination Codes in ICD-10

In ICD-10-CM, diagnosis coding for preventive medicine services are divided as with or without abnormal findings. Learn about 'Z' codes in this 5 … [Read more...]

Accurate at time of posting: November 11, 2016
by Betsy Nicoletti
Tagged With: diagnosis coding, ICD-10, ICD-10-CM, preventive medicine, Wellness Visits

Can I get paid for…a problem oriented visit and wellness visit on the same day

Many patients come for their annual exam with a list of concerns. Or, the clinicians wants to treat chronic problems on the day of the preventive … [Read more...]

Accurate at time of posting: November 3, 2016
by Betsy Nicoletti
Tagged With: preventive medicine services, Wellness Visits

Performing services that increase primary care revenue

CMS states it wants to increase pay to primary care physicians. And while we might quarrel with their strategies or with the speed of achieving the … [Read more...]

Accurate at time of posting: April 25, 2016
by Betsy Nicoletti
Tagged With: advance care planning, primary care, TCM, Transitional Care Management, Wellness Visits

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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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