Betsy Nicoletti

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

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Medical Record Documentation: CMS reduces the burden

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CMS wants to ease the burden of physician documentation of E/M services and teaching physician rules and has used its 2018, 2019 and 2020 Physician Fee Schedule Final Rules to do so. These changes are not reflected in the current CPT book or in the 1995 and 1997 Documentation Guidelines. There is silence from private payers and Medicare Advantage plans about these changes.

This webinar will review CMS’s changed policy for teaching physician rules and E/M services. Each medical group will need to decide for itself whether to implement these changes, with the understanding that they apply to fee-for-service Medicare only.

After the webinar, participants will be able to:

  • Describe the updated teaching physician rules
  • Use the updated CMS policies if responding to a MAC audit
  • Provide information about CMS policy to their practice

Filed Under: Uncategorized

Telemedicine in the time of COVID-19

March 23rd, 2020

The coding and reimbursement rules for telehealth changed fast in March. Congress passed a law relaxing certain telemedicine restrictions during the period of a government state of emergency. CMS released rules ten days later with instructions on billing for telehealth, and reminding practices of other non-face-to-face services that can be reported. Some private payers are following suit. This webinar will describe the new telehealth Medicare rules. Join us to learn about CPT coding for telehealth, diagnosis coding, and the type of communication that can be used for telehealth services.

After the webinar, participants will be able to:

  • Find the CPT and HCPCS codes that may be reported via telehealth
  • Describe the updated CMS Medicare rules
  • Select accurate diagnosis codes for COVID-19

Filed Under: Uncategorized

On-line digital services and remote monitoring

February 27th, 2020

Register here

The new CPT ® codes for non-face-to-face services include both on-line digital evaluations and remote physiological monitoring. Hold your celebration—the digital E/M codes are not office visits through your portal and have very specific documentation requirements. The webinar will start with a brief overview of Medicare covered telehealth, and then describe these two new sets of codes, with the documentation rules and clinical examples.

At the end of the webinar, you’ll be able to:

  • Use the detailed handout to explain the rules to your practice
  • Determine if your electronic health record has the templates needed to store and document the required components
  • Work with the care team to implement the new 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