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Nicoletti Notes | nicolettinotes.com Reviews
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(by Betsy Nicoletti)
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1 nicoletti notes
2 betsynicoletti com
3 share this
4 by betsy nicoletti
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6 3 comments
7 categories ccm
8 chronic care management
9 medicare
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Nicoletti Notes | nicolettinotes.com Reviews

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Medicare | Nicoletti Notes

http://nicolettinotes.com/tag/medicare

Tag Archives for Medicare. Medical Billing: Avoid the Three Deadly Sins of Compliance. July 14, 2016. End confusion about modifier -57 (and get paid for initial evaluations). Experienced coders are shaking their heads as they read this. They know that the (E/M) service should have been reported with modifier-57 not modifier -25. Why? Key points to remember:. Append modifier -57 to any E/M service on the day of or the day before a. May 17, 2016. CMS Updates, TCM, CCM and ACP. Here are some highlights.

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TCM | Nicoletti Notes

http://nicolettinotes.com/tag/tcm

Tag Archives for TCM. Chronic Care Management: new CPT and CMS benefit code for 2015. CMS is going to use a CPT code instead of developing a HCPCS code to describe the service. In the proposed rule they stated their intention of developing a HCPCS code but they’ve changed their minds. This means that practices can learn about this code right in a resource that is sitting on their shelves. I hope everyone reading this has their 2015 CPT code on the desk right now. CMS is proposing general, not direct, sup...

3

Coding | Nicoletti Notes

http://nicolettinotes.com/category/coding-2

Category Archives for Coding. End confusion about modifier -57 (and get paid for initial evaluations). Recently I completed an audit for a general surgery practice. Included in the audit were two services for an initial hospital visit on the day of an emergency surgery. Both of these were reported with modifier -25 on the evaluation and management (E/M) service and both were denied by the payer. The practice did not appeal the denials. Key points to remember:. May 17, 2016. CMS is going to use a CPT code...

4

What’s the RAC up to these days? | Nicoletti Notes

http://nicolettinotes.com/2015/02/05/whats-the-rac-up-to-these-days

What’s the RAC up to these days? When you look at the list of topics that the RAC is investigating in Region A, you’ll see that the majority of them relate to inpatient and outpatient services. This makes sense, when you consider that the RACs arcade percentage of the money that they recover. A larger bill means a larger percentage of the returned to the RAC. But there are some areas of concern for physicians in the list. February 5, 2015. HCPCS modifiers X{EPSU} →. Leave a Reply Cancel reply.

5

Getting paid for coordinating care – what does the primary care provider need to do? | Nicoletti Notes

http://nicolettinotes.com/2015/01/07/getting-paid-for-coordinating-care-what-does-the-primary-care-provider-need-to-do

Getting paid for coordinating care – what does the primary care provider need to do? By Narath Carlile MD MPH. We all know that patients with comorbid conditions can’t and don’t get all the care they need in a 30 minute office visit. Finally, physicians can get paid for the coordination work between visits. Here’s how to make it a reality. The bottom line: A physician caring for 200 qualifying patients could see additional revenue of roughly $100,000 annually. How is it done? The chronic conditions place...

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The Field Guide to Physician Coding 3nd Edition

https://www.greenbranch.com/fieldguide

Medical Practice Management Books, Journals and Articles for Physicians, Practice Administrators and Doctors' Office Managers. EBooks in EPUB Format. EBooks in PDF Format. MPM JOURNAL and FAST PRACTICE. Health Policy and Statistics. The Field Guide to Physician Coding 3rd Edition. Betsy Nicoletti, MS, CPC. All Physicians can increase their revenue and improve their compensation through accurate coding. This book tells you how. NEW AND UPDATED FOR THIS EDITION! Cloning Notes in an EHR. Cloning Notes in an...

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Betsy Nicoletti - Medical Coding and Compliance Expert, Speaker, Educator, and Auditor

http://www.betsynicoletti.com/section_70_Client-Only-Videos.cfm

The Video Solution in Coding Education. This area contains short informative video clips and other topical resources for new clinicians and staff members. New videos are regularly added. Topics include E/M Services. ICD-10, Global Surgery. Enter your client username. There are limited subscriptions available for others who are not able to work with Betsy personally. Click here. For a list of current video titles. 351 Pleasant St., Suite B, #116, Northampton, MA 01060. Phone: 413.727.8357.

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Betsy Nicoletti - Medical Coding and Compliance Expert, Speaker, Educator, and Auditor: Speaker

http://www.betsynicoletti.com/section_65_Speaker.cfm

Comprehensive. Well-organized. Good tips. Great speaker.". The Reasons Why You Need Betsy at Your Next Meeting. Looking for a coding and compliance speaker who can engage your physicians and other clinicians? Betsy gets consistently high ratings, stays until the last question is answered, and meets all deadlines. Group practice managers can be confident that Betsy can and will hold the interest of clinicians on these complex topics and deliver accurate, true and up-to-date information.

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Betsy Nicoletti - Medical Coding and Compliance Expert, Speaker, Educator, and Auditor

http://www.betsynicoletti.com/index.cfm

Want Access to Great Coding Videos and Resources? Subscribe to The Video Solution in Coding Education. Pick a client access plan that fits your needs and budget. Helping Doctors Get Paid. Helping clinicians select the accurate codes for the services they perform, coder queries and insurance denials. A practice can avoid being the target of a payer or government audit through education, data analysis, effective compliance plans and audits. Coding Education that Matters to Clinicians.

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Betsy Nicoletti - Medical Coding and Compliance Expert, Speaker, Educator, and Auditor: Books and Training Videos by Betsy Nicoletti

http://www.betsynicoletti.com/article_89_Books-Training.cfm

Books and Training Videos by Betsy Nicoletti. Books and Training Videos by Betsy Nicoletti. Great books and training videos to help physicians and coding professionals increase income, reduce errors, and lower risk. Betsy Nicoletti understands how physicians think. These are excellent resources for physicians and coders alike. Auditing Physician Services 2nd Edition. Field Guide to Physician Coding 3rd Edition. Medical Welness Visits DVD. Psychiatry and Behavioral Health DVD. Coding for Hospitalists DVD.

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Betsy Nicoletti - Medical Coding and Compliance Expert, Speaker, Educator, and Auditor: Auditor

http://www.betsynicoletti.com/section_66_Auditor.cfm

How Can a Practice Avoid Being the Target of a Payer or Government Audit? Through Education, Data Analysis, an Effective Compliance Plan and Self-Audit. For every dollar the Office of Inspector General spends on enforcement activities, it returns $16.70 to the US Treasury. Quite a return on investment, isn't it. How can a practice avoid being the target of a payer or government audit? Through education, data analysis, an effective compliance plan and self-audit. The Accurate Coding System™.

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Betsy Nicoletti - Medical Coding and Compliance Expert, Speaker, Educator, and Auditor: Educator

http://www.betsynicoletti.com/section_64_Educator.cfm

Clinicians Care About Coding for Two Reasons . It Drives Revenue/Compensation and Because They Worry about Compliance. Ask a group of doctors or PAs or NPs, When you filled out your application for medical school, did you say, I want to be a doctor so I can be the best coder in the country. Or, if I become a PA, I'll master Medicare rules. Of course not. Clinicians care about coding for two reasons. It drives revenue / compensation and because they worry about compliance. Contact Betsy About Training.

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Betsy Nicoletti - Medical Coding and Compliance Expert, Speaker, Educator, and Auditor: Protecting Physicians Practices

http://www.betsynicoletti.com/article_49_About-Betsy.cfm

Betsy Nicoletti is the co-founder of Codapedia.com, a community web site devoted to physician reimbursement. She is also the author of. The Field Guide to Physician Coding 3rd Edition. Auditing Physician Services 2nd Edition. She developed The Accurate Coding System™. You may have heard her speak at conferences sponsored by Greenbranch Publishing, MGMA, DecisionHealth, ACHE, HFMA, AMBA, The Coding Institute, The Journal of Medical Practice Management™ and the World Research Group.

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Nicoletti Notes

ICD-10: AMA and CMS come to terms. CMS and the AMA have agreed to offer physician practices a grace period on code specificity of ICD-10 for the first year. The link to the announcement from the AMA is below, and you’ll notice it mentions “family” of codes. ICD-10 is divided into categories and subcategories. I’m not sure how the CMS Contractors will interpret “family.”. If I see any clarification or wise words from other consultants, I’ll add them here. July 6, 2015. CMS resources on CCM. May 12, 2015.

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