Betsy Nicoletti

Betsy Nicoletti

Betsy Nicoletti is the founder of She is also the author of “A Field Guide to Physician Coding.” She believes all physicians can improve their compliance and increase their revenue through better coding. She may be reached at or 802 885 5641.

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Reporting vaccine administration can be tricky. Practices should review most recent updates and be aware of differences between commercial and federal payers.

Reviewing the definitions of modifiers first will ensure that applying a modifier goes from a game of chance to a sure thing.

Claims are paid based on the CPT code submitted to the payer. The diagnosis code supports medical necessity and tells the payer why the service was performed.

Sometimes patients show up for preventive care and an urgent problem. Should you eat the cost for one service? Or bill for both?

The ICD-10 transition will require a significant change in mindset for practice administrators and staff alike. The time for excuses is past.

But if the facts on the use of modifier 25 are clear, why are practices and hospital systems paying back millions of dollars for the incorrect use of modifier 25?

The Medicare Physician Fee Schedule is packed with information that guides coding and leads to better reimbursement. So why not do your homework?

ICD-10 diagnosis codes are effective Oct. 1, 2014. Set an implementation budget and timeline. Identify ICD-9/ICD-10 differences. Say goodbye to nonspecific codes.

Medical practices are concentrating on critical changes as part of the ACA but it is important not to lose focus on the basics of coding.

Here is what your medical practice needs to know about HCPCS codes, where they fit with CPT codes, and how to understand them.


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