Betsy Nicoletti

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

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Coding for prolonged services

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2021 brings a new CPT prolonged services codes for use only with 99205 and 99215 and changes the rules for face-to-face prolonged care codes 99354, 99355 and non-face-to-face prolonged care codes 99358, 99359. Complicating the use of the new CPT prolonged services code is that CMS is proposing different time thresholds than those published in the draft CPT document. This webinar will describe how to use the new prolonged services codes, show the time thresholds published (as of the date of the webinar) by CPT and CMS and describe the changes to the existing face-to-face and non-face-to-face prolonged care codes

After the webinar participants will be able to:

  • Use the new, 15-minute prolonged care code with 99205 and 99215
  • Describe the coding rule changes to existing prolonged care codes 99354, 99455, 99358, 99359
  • Know when to use office and outpatient visit codes without an add-on prolonged care code, based on time

p.s. What is the new CPT prolonged services code? We’ll find out when we get the 2021 CPT book. Right now, CPT and CMS are using a placeholder code, 99XXX.

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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