Membership Basics: What's Included
You get exclusive access to our library of essential coding resources for medical practices including webinars, articles, in-depth coding guides, quick reference sheets, annual CPT® and CMS updates, and more. See the list below for a summary of what you will and won't find on CodingIntel.
|What you WILL find on CodingIntel||What you WON'T find on CodingIntel|
|E/M category of code, level of service and prolonged services||Facility or ASC coding rules|
|Updates on CPT codes||Updates on OPPS billing|
|Global surgery rules, pre-ops, post-ops and use of modifiers||Specialty procedural coding (Ortho, cardiac, etc.)|
|Preventive medicine, wellness visits, split visits||Individual commercial payers or state Medicaid rules|
|Explanation of NCCI||NCCI look up function|
|Medicare specific rules for physician offices, including incident to and shared services||Medicare specific rules for facilities and supervision of services|
|HCC and diagnosis coding||Forum for submitting individual coding questions|
|Medicare updates for physician services, including HCPCS codes||Medicare policies and updates for facilities or ASC|
Does membership include a place to ask coding questions?
CodingIntel does not provide individual answers to coding questions. From time to time, we may use questions that are submitted frequently as a basis for an article.
Sheer volume. There are more questions than there is time to answer them.
- Procedure coding. We don’t have the staff and or the expertise to read and code procedure notes. See below for options.
- Compliance issues. Some questions describe compliance situations that should be addressed by the compliance department or health care attorney, and not sent via email to someone outside the organization.
- Reimbursement issues. If only payers all followed coding rules! Unfortunately, some issues are specific to a payer’s policies and their own interpretation.
- What if questions: If you’re a coder, you’ve been in a meeting when someone says, “What if the NP and a PA walk into a bar,” no, sorry, What if both participate with a resident and an attending, and the PA….” or “What if, half the procedure is done on a Tuesday but the other half is done….” When I get a “what if” question, it’s never by itself. I am sorry, answering individual “what if” questions isn’t part of CodingIntel.
If you are looking for a Q&A service, the AMA offers the CPT Network and Knowledge Base, an internet-based system that provides AMA members and subscribers the tools to quickly research a database of commonly asked CPT coding questions and clinical examples (vignettes).
If you are a physician or work for a physician, we suggest asking the physician to send the coding question to his/her specialty society. Compliance questions should go the compliance department or medical director, and serious compliance concerns should be handled under attorney-client privilege. There are also listservs available, and you could pose your question there. The AAPC has one, as does Part B News.