Betsy Nicoletti

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

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Modifier update 2022

February 17, 2022 @ 12:00 pm (EST)

CMS released four new modifiers at the end of 2022, and CPT released one. These include modifiers for split/shared services, critical care in the post op period, audio-only telehealth services and physician supervision via audio/visual communication. It’s a lot of change for medical practices and coders. This webinar will describe the rules for using these services, based on CMS transmittals released mid-January. There will be a brief discussion of the new place of service code 10 and CMS’s policy about it.

After the webinar, participants will be able to:

  • Describe the rules for split/shared services and the modifier to use for Medicare patients
  • Know when to append modifier FT for critical care in the global period
  • Identify services that may be reported as telehealth services

Filed Under: Uncategorized

CPT Coding Changes for 2022

January 27, 2022 @ 12:00 pm (EST)

Register here

What’s new for CPT® in 2022?  Join this 90 minute live webinar to learn about what’s new and exciting in the world of CPT® coding.  There are about 250 new CPT® codes to explore.  Some of the highlights include new codes for principal care management, decompressive laminectomies, cardiac catheterizations for congenital heart anomalies and so much more.

Have your CPT® book handy for this webinar.

After the webinar, participants will be able to:

  • Apply new and revised CPT codes for 2022
  • Describe new principal care management codes in the E/M chapter
  • Understand the new catheterization codes for congenital heart defects in the Medicine chapter
  • Identify highlighted Category III new technology codes for CY 2022

Filed Under: Uncategorized

CMS’s 2022 Physician Fee Schedule Final Rule

December 15, 2021 @ 12:00pm

The Final Rule was released on time this year, November 2. As is often the case, there is something for everyone to object to in the rule.

First, the conversion factor decreases $1.30 to $33.59. But, CMS also clarifies its position on split/shared visits involving a physician and non-physician practitioner for 2022 and 2023. For critical care, CMS is adopting the CPT book’s language for critical care services. In a relief to surgical practices, they are allowing critical care services in the post-op period that are unrelated to the surgery. This is the current rule. CMS is developing new modifiers for split/shared and for post-op services. There is a clarification (not a policy change) to the the Teaching Physician rules about using time to select E/M services. The webinar will discuss CMS’s updates to telehealth policy for 2022 and 2023, something everyone is interested in hearing about.

After the webinar, participants will be able to:

  • Describe CMS’s policy changes for shared services
  • Identify the modifiers for shared services and critical care
  • Define CMS’s telehealth policies for mental health services

Filed Under: Uncategorized

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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