Webinar September 1, 2016, “IRF Transition: Techniques for UB-04 Coders Only” begins at noon EDT (9 am Pacific)

On August 25, 2016, in Announcements, by AQ-IQ LLC

Inpatient Rehab coding offers unique challenges which are not limited to the challenges of coding for the IRF-PAI. The UB-04 comes with a different set of guidelines and expectations. These multi-faceted challenges for IRF coding have not diminished with the advent of ICD-10.  Explore the techniques and best practices for UB-04 coding in the IRF […]

CMS Beneficiary Notices

On August 16, 2016, in Documents, by AQ-IQ LLC

Both Medicare beneficiaries and providers have certain rights and protections related to financial liability under the Fee-for-Service (FFS) Medicare and the Medicare Advantage (MA) Programs. These financial liability and appeal rights and protections are communicated to beneficiaries through notices given by providers. Links to the following financial liability notices and their instructions: FFS Advance Beneficiary Notice […]

ICD-10

On August 8, 2016, in Documents, by AQ-IQ LLC

On October 1, 2015, the ICD-9 code sets used to report medical diagnoses and inpatient procedures were replaced by ICD-10 code sets. The transition to ICD-10 is required for everyone covered by the Health Insurance Portability Accountability Act (HIPAA). Please note, the change to ICD-10 does not affect CPT coding for outpatient procedures and physician services. Click […]

IRF PAI Manual Resource Tool with ICD-10-CM Documentation & Coding Cues

IPPS Final Rule FY2017

On August 2, 2016, in Announcements, Documents, Industry News, by AQ-IQ LLC

CMS issued a final rule to update fiscal year (FY) 2017 Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS). The final rule, which would apply to approximately 3,330 acute care hospitals and approximately 430 LTCHs, applies for discharges occurring on or […]

CMS Moratoria and Demonstration Project

On August 2, 2016, in Announcements, Industry News, by AQ-IQ LLC

CMS announced an extension and statewide expansion of fraud-fighting temporary provider enrollment moratoria efforts in six states, along with a new related demonstration project to allow for certain exceptions to the moratoria and heightened screening requirements for new providers.  CMS also announced it is immediately lifting the current temporary moratoria on all Medicare Part B, […]

Hospice Wage Index and Payment Rate Update FY2017

On August 2, 2016, in Announcements, by AQ-IQ LLC

This update also includes updates to the Hospice Quality Reporting Requirements. New quality measures are added Information regarding the Medicare Care Choices Model (MCCM) is also included. Read the Final Rule in the Federal Register for August 5, 2016  

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On August 1, 2016, in Announcements, by AQ-IQ LLC

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SNF PPS Final Rule FY2017

On August 1, 2016, in Announcements, Documents, by AQ-IQ LLC

This Final Rule addresses the Skilled Nursing Facility Prospective Payment System and Consolidated Billing as well as the SNF Value-Based Purchasing Program, the SNF Quality Reporting Program, and SNF Payment Models Research. Read the Final Rule in the Federal Register for August 5, 2016