Betsy Nicoletti

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

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2021 Reimbursement: What Your Practice Needs to Know

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CodingIntel is excited to announce that Elizabeth Woodcock will be presenting this webinar. Learn more about Elizabeth here.

2020 was clearly one for the history books, but 2021 will usher in another set of challenges — and opportunities – for your medical practice. This fast-paced, content-rich webinar will give you the knowledge you need as you begin the new year. From the fundamental changes to evaluation and management (E/M) coding — to 2021 Medicare reimbursement, this session will make sure you are prepared for 2021.

Join nationally recognized practice management expert Elizabeth Woodcock, MBA, FACMPE, CPC for the webinar; invest an hour of time with us to:

• Identify telemedicine regulations and virtual care reimbursement – and when they may end
• Overview the E/M documentation overhaul − and other coding changes
• Recognize the RVU update for 2021 − and how it will impact your practice

Filed Under: Uncategorized

CMS’s 2021 Physician Fee Schedule Final Rule

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CMS is releasing its 2021 Final Rule late this year, but CodingIntel will bring you the news of updated policies, the conversion factor, and RVUs for E/M services. CMS is under conflicting pressure from specialty societies, because the conversion factor and RVUs determine revenue.

The Final Rule will also bring welcome and unwelcome news about telehealth after the end of the public health emergency. CMS proposed new HCPCS codes for virtual communications by clinicians who cannot bill an E/M services.  And, we’ll find if they have finalized their long proposed add-on HCPCS code for complexity in an E/M service or tabled it.  Finally, CMS is clarifying its interpretation of some of the rules for remote monitoring.

One CMS/CPT disagreement is the use of prolonged care 99417. This 15 minute prolonged care code can only be used with codes 99205 and 99215 after a full 15 minutes are spent. But, do we start the clock at the minimum time range or the maximum time range for the based code? CMS and CPT disagree. Let’s see what the Final Rule has to say.

After the presentation, participants will be able to:

  • Identify current telehealth services that will not be used after the public health emergency ends
  • State CMS’s policy on prolonged services code 99417
  • Describe the new add-on code, if CMS implements it

Filed Under: Uncategorized

Coding for Behavioral Health Services

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This webinar describes CPT coding for behavioral health services, including services performed by therapists, psychiatrists and psychiatric nurse practitioners and physician assistants. It will answer questions about how to code for initial evaluations, psychotherapy, medication management (with and without psychotherapy on the same day), psychotherapy for patients in crisis, and the interactive complexity add-on code. There are also additional ICD-10-CM codes effective for 2021.

Medication management services, reported with E/M codes, are also changing. Most of these are billed as established patient visits and the rules for those change January 1, 2021.

Learning objectives

After the session, participants will be able to:

  • Select the correct code for initial evaluations
  • Describe the documentation requirements for psychotherapy
  • Understand how to bill for E/M services on the day of psychotherapy

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