June 5, 2026
Recorded November 21st, 2024
Guest Presenter Dr. Amarin “Ty” Alexander
Inpatient DRG coding is based on diagnosis coding. Learn how payers use coding summaries. This webinar describes Present on Admission (POA) conditions that invite scrutiny and why short Length of Stay (LOS) with one Major Complication and Comorbidity (MCC) might raise red flags.
Section I.C of the ICD-10-CM Official Guidelines for Coding and Reporting, titled “Chapter Specific Guidelines,” contains 22 chapters. These chapters offer detailed guidance on specific codes and code ranges in the ICD-10-CM manual. This article is part of a series that will delve into each of the chapters in Section I.C to delineate coding protocols […]
Section I.C of the ICD-10-CM Official Guidelines for Coding and Reporting, titled “Chapter Specific Guidelines,” contains 22 chapters. These chapters offer detailed guidance on specific codes and code ranges in the ICD-10-CM manual. This article is part of a series that will delve into each of the chapters in Section I.C to delineate coding protocols […]
Section I.C of the ICD-10-CM Official Guidelines for Coding and Reporting, titled “Chapter Specific Guidelines,” contains 22 chapters. These chapters offer detailed guidance on specific codes and code ranges in the ICD-10-CM manual. This article is part of a series that will delve into each of the chapters in Section I.C to delineate coding protocols […]
Scoring MDM elements can be challenging for E/M services This post includes questions related to: Major/Minor Procedure Data Elements (with link to additional resources) General Questions about the guidelines Using Time (with link to additional resources) Social Determinants of Health Major or Minor Procedure? Question: I have a question about how to determine if a […]
There are two CPT® codes specifically for blood pressure self-measurement and management. The first is for patient education and calibration of a home blood pressure device The second is for reviewing data collected by the patient at home, with a report and communication back to the patient Here are the official definitions: 99473 Self-measured blood […]
The first step to finding the most accurate code is to confirm that you are working with the correct version of the ICD-10-CM Official Guidelines for Coding and Reporting. The correct version may be the most recent update, or – in the context of retrospective coding– it may need to be a previous version that […]
Recorded October 16th, 2024
Guest Presenter Elizabeth Woodcock
Gain valuable insights on how to effectively respond to industry changes and actionable steps to enhance your revenue cycle management in this engaging webinar centered around navigating the current inflection point in patient collections.
You may have heard about the “Seven Elements for an Effective Compliance Plan.” In fact, if you enter that term in a popular web browser “about 575,000” results appear within seconds. Fortunately, compliance and enforcement agencies endorse the elements and provide great examples on what to do – without having to delve much into those […]
Recorded October 9th, 2024
1 CEU expires 10/30/26
Guest Presenter Pam Warren of MaineHealth
This webinar is a guide for auditors and coders looking for regulatory guidance when they are answering coding, compliance and regulatory questions from practitioners and colleagues. This presentation offers common healthcare compliance scenarios and provides the location of the associated guidance.
Table of Contents G2211 FAQ Changes to G2211 in 2025 and 2026 Not all visits Clinician’s relationship with the patient, type of problem Acute condition, seen in primary care CMS expected frequency Q&A from CodingIntel’s August 17, 2023, CMS Proposed Rule Webinar G2211 Visit complexity inherent to evaluation and management associated with medical care services […]
When I was reviewing terms people use to find CodingIntel I was surprised to find that people were searching for “xxxA.” At first, I was afraid searchers were looking for a different kind of site….or sight. I hope some searchers were looking for information about placeholder code X and 7th character extension A. These are […]
Recorded September 25th, 2024
Guest Presenter Pam Warren of MaineHealth
The OIG identifies seven elements of an effective Compliance Plan. One of them is conducting internal monitoring and auditing. This presentation will look at what to audit, how to evaluate risk, how to set up your audit process, and how to report your results.
As you read this article, it will be helpful if you have the ICD-10-CM book in front of you. You can download a pdf copy here. And even if you don’t download the entire book, download the Official Guidelines instead. There are four cooperating parties to ICD-10-CM. They publish and update the official guidelines for […]
E/M elements for MDM There are three elements in medical decision-making and this article describes the first of three When selecting a level of service based on medical decision-making two of the three elements are required CPT® has developed definitions for many of the components in the MDM chart. The examples listed in the definitions […]
The third element of MDM: risk of complications and/or morbidity or mortality of patient management at the encounter Coding for E/M Services There are three elements in medical decision-making and this article describes the third, the risk of complications and/or morbidity or mortality related to patient management When selecting a level of service based on […]
Recorded August 15th, 2024
1 CEU expires 8/30/26
Guest Presenters Cheryl Krusch and Natalie Laaman of BerryDunn
This webinar reviews essential documentation requirements and coding standards, describes common denial reasons, and provides proactive steps to mitigate risk effectively. Elevate your practice’s compliance standards and ensure proper documentation and coding for revenue integrity.
Recorded August 13th, 2024
Guest Presenter Dr. Amarin “Ty” Alexander
Independent Review Entities review inpatient records for diagnostic accuracy and DRG determinations. This case-study focused webinar will describe important ICD-10-CM Guidelines that establish the rules for these decisions.
Question: In 2026, how will we indicate practitioners are providing longitudinal or complex care who are in assisted living or receiving services in their home? Answer: In 2023, the codes for services performed in a patient’s home or in an assisted living facility were combined to one code set. Codes (99341—99345 for new patients) and (99347—99350 […]
Question: When using the E/M guidelines, is the problem an acute, uncomplicated illness or an acute illness with systemic symptoms? Answer: Codes for Visits in Assisted Living (and a Visit Complexity Update for 2026!) Acute, uncomplicated illness Acute illness with systemic symptoms From CPT®: A recent or new short-term problem with low risk of morbidity […]
Definition and Explanation of Critical Care Service Definition: Coding service for caring for a critically ill or injured patient Explanation: Critical care has high relative value units and payments so it’s important to know the coding rules. This article describes what can be included in the time of critical care what can’t be included, and […]
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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.
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