Removing the Barriers to IRF Payments

FREE Webinar “How to Make the Right Call- Selecting the Correct IGC’s for the IRF-PAI”

On November 8, 2017, in Announcements, by AQ-IQ LLC

Coding for the IRF-PAI can be tricky proposition. From learning and applying rehab specific coding rules to choosing an etiologic, Case Mix Groups, and everything in between, inpatient rehab coding can be tough. The coder must make a lot of difficult calls. In this session we will be discussing what is for many the toughest […]

Biosimilar Action Plan (BAP)

On July 18, 2018, in Documents, Industry News, by AQ-IQ LLC

Read the FDA’s Action Plan here Excerpts from the plan:  Generic drugs, for instance, represent 90 percent of all prescriptions in the U.S.1 Generic competition facilitated by the 1984 Hatch Waxman Act provided savings of more than $1 trillion to the U.S. health care system over a decade and generated $265 billion in savings in […]

CWTC [Episode 42] Fracture, Anesthesia, Remission, Discharge Service

On July 16, 2018, in CWTC, by AQ-IQ LLC

Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions for Health Information Management professionals, physicians, auditors, payors and students. You are invited to listen in for ten minutes every other Monday and to submit your favorite questions or comments for Coffee with the Coder® […]

Webinar “Coding Under Pressure: Reporting Pressure Ulcer Care in CPT” July 26, 2018 beginning at Noon Eastern (9am Pacific)

On July 16, 2018, in Uncategorized, by AQ-IQ LLC

Often, reporting pressure ulcer care can be confusing and frustrating. From differentiating between non-excisional to excisional debridement, to accurately reporting active wound management and surgical interventions.  Reporting pressure ulcer treatment can really make you feel like you are “under pressure. In this session we want to lift that pressure and show you how pressure-free coding […]

Physician Fee Schedule CY2019 Proposed Rule

On July 12, 2018, in Documents, Industry News, by AQ-IQ LLC

Today, the Centers for Medicare & Medicaid Services (CMS) proposed historic changes that would increase the amount of time that doctors and other clinicians can spend with their patients by reducing the burden of paperwork that clinicians face when billing Medicare. The proposed rules would fundamentally improve the nation’s healthcare system and help restore the […]

Proposed Rule Medicaid Provider Reassignment

On July 12, 2018, in Documents, Industry News, by AQ-IQ LLC

Centers for Medicare & Medicaid Services (CMS) proposed changes to the Medicaid Provider Reassignment regulation that would eliminate state’s ability to divert Medicaid payments away from providers, with the exception of payment arrangements explicitly authorized by statute. This proposed regulatory change is designed to ensure that taxpayer dollars dedicated to providing healthcare services for low-income […]

ESRD PPS FY2019

On July 11, 2018, in Documents, Industry News, by AQ-IQ LLC

Today, the Centers for Medicare & Medicaid Services (CMS) proposed innovative changes to the payment rules for Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) and the End-Stage Renal Disease (ESRD) program. The DME proposals in the proposed rule released today aim to increase access to items for patients and simplify Medicare’s DMEPOS Competitive Bidding […]

Home Health PPS Proposed Rule CY2019 and CY2020

On July 2, 2018, in Documents, Industry News, by AQ-IQ LLC

Today, the Centers for Medicare & Medicaid Services (CMS) proposed significant changes to the Home Health Prospective Payment System to strengthen and modernize Medicare, drive value, and focus on individual patient needs rather than volume of care. Specifically, CMS is proposing changes to improve access to solutions via remote patient monitoring technology, and to update […]

CWTC [Episode 41] Neuropraxia, Stroke Residuals in IRF, Z99.2

On July 2, 2018, in CWTC, by AQ-IQ LLC

Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions for Health Information Management professionals, physicians, auditors, payors and students. You are invited to listen in for ten minutes every other Monday and to submit your favorite questions or comments for Coffee with the Coder® […]

Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration

On June 29, 2018, in Industry News, by AQ-IQ LLC

Today, the Centers for Medicare & Medicaid Services (CMS) is advancing the Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration, which, when approved and adopted, would waive Merit-Based Incentive Payment System (MIPS) requirements for clinicians who participate sufficiently in certain Medicare Advantage plans that involve taking on risk. CMS seeks public comment on the information […]