Betsy Nicoletti

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

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CMS’s 2022 Proposed Physician Rule

August 26th, 2021 @ 12:00 pm Eastern

Click here to Register

CMS usually releases the Proposed Physician Fee Schedule rule at the end of June, (fingers crossed) and the Final Rule at the end of October. We won’t know what CMS is proposing until it’s released, but my crystal ball tells me it will include E/M policy changes, telehealth updates and maybe, shared services. It will certainly include proposed RVUs and a chart showing how those RVUs will affect each specialty.

Join us for this webinar and see what CMS has in store for 2022.

This webinar will provide a high-level overview of the policy changes that CMS discusses in their 2022 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 that will affect their practices in the next year
  • See what CMS has in mind for telehealth–if they discuss it!

Filed Under: Uncategorized

Overview of FQHC Coding

Recorded June 24th, 2021

Coding for services in Federally Qualified Health Centers (FQHCs) is different than coding for free-standing medical practices or health system clinics. Services provided to patients under the FQHC Prospective Payment System (PPS) are reported differently than to patients with private insurance, in the same clinic. This webinar will describe what constitutes a visit, who may perform an FQHC visit, and what services may be provided. This overview will describe coding, and will only briefly discuss billing.

After the presentation, participants will be able to:

  • Describe a qualifying visit and who may perform it
  • Explain the importance of diagnosis coding when an FQHC is part of an ACO
  • Identify CPT, HCPCS and ICD-10-CM codes that relate to pay for reporting

Filed Under: Uncategorized

How medical practice services are paid

Register here

“Who makes up these rules, anyway?” If you’ve ever asked that question, or been asked that question, this webinar is for you. It’s not idle curiosity. Knowing where the coding rules come from leads to the source documentation, and accurate and compliant coding. The coding and reimbursement system is anything but simple. This webinar will explain how services are paid in fee-for-service medicine, and the use of CPT codes, HCPCS codes, ICD-10-CM codes, bundling, and payer policies. It is a broad overview aimed at describing “who makes up these rules” and where to look for definitive, citation-based answers.

After the webinar, participants will be able to:

• Describe the entities that develop and maintain the code sets used in medical practice coding
• Explain the differences between coding and reimbursement
• List the key resources required for accurate coding

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