Betsy Nicoletti

Medical Coding and Compliance Expert, Speaker, Educator, and Auditor

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CMS’s 2021 Proposed Physician Rule

Register here

There is often excitement and anticipation about CMS’s Proposed Physician Rule, due to be released at the end of June. The rule can be boring (wage index changes for practice expense) and exciting (E/M policy changes). This year, we will be looking at CMS’s values for the revised E/M services, which they told us about at the end of 2020. And, even more important, what will the conversion factor be, and how will the E/M changes and conversion factor update change revenue, by specialty. CMS also includes a section on telehealth each year, and while CMS has not committed to keeping the new telehealth rules, they will certainly discuss telehealth in the proposed rule.

This webinar will provide a high-level overview of the policy changes that CMS discusses in their 2021 proposed rule.

At the end of the session, participants will be able to:

• Describe the timeline for comments and the final rule
• List policy changes proposed for 2021
• Define the timeline for changes to new and established patient visits codes

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“My organization approached Betsy Nicoletti because we had providers failing coding audits.

Betsy’s name is out there in the coding world as a leader in the field and wanted the best for our providers.

Betsy works with the organization to set up webinars for our new provider on boarding training process (which according to them has been most beneficial), as well as subsequent auditing to ensure provider engagement and understanding.

Betsy’s one on one approach has helped the organization overall by the specialized attention to our specific needs.

I appreciate Betsy’s tactful approach with the providers to lessen their concerns as it relates to proper coding. She is up to date on all of the current changes in coding and maintains the communication whenever warranted.

Overall I have found the experience of working with Betsy as positive and educational. I would not hesitate to recommend Betsy to any organization that needs to improve their coding practices and improve success rates from outside auditing.”

Julie D., LPN
Clinical Performance/Operations Manager

• Develop agenda with Betsy*
• Betsy will customize presentation and prepare learning materials
• 90 minute Zoom, live education session
• 30 days Q&A follow up
• Recording of session to show new hires
• Interactive: everyone hears the same thing and can ask questions

*Betsy’s area of expertise doesn’t include all procedural coding – email to set up a time to discuss your needs