Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

On October 20, 2016, in Documents, by AQ-IQ LLC

Summary: In their continuing effort to improve the Medicare Program, CMS has created the Quality Payment Program (QPP), which provides two options (based on defined criteria): MIPS (Merit-based Incentive Payment System) and APMs (Advanced Alternative Payment Models). QPP ends the SGR (Sustainable Growth Rate) formula and uses reporting data to validate important metrics. More details […]

Final Rule (with Comment Period) MIPS and APM Incentive under the Physician Fee Schedule

On October 14, 2016, in Industry News, by AQ-IQ LLC

CMS today issued this Final Rule (with comment period). SUMMARY: The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) repeals the Medicare sustainable growth rate (SGR) methodology for updates to the physician fee schedule (PFS) and replaces it with a new approach to payment called the Quality Payment Program that rewards the delivery of […]

Reducing Medical Record Reviews (New Pilot Program)

On October 14, 2016, in Industry News, by AQ-IQ LLC

CMS announced an 18-month pilot program to reduce medical record review for certain physicians while continuing to protect program integrity. Under the program, providers practicing within certain Advanced Alternative Payment Models (Advanced APMs) will be relieved of additional scrutiny under certain Medicare medical review programs. CMS has a statutory duty to protect the Medicare Trust […]

Webinar “Language Arts for IRF Physicians” set for Thursday, October 20, 2016, Noon Eastern (9:00 am Pacific)

On October 14, 2016, in Announcements, by AQ-IQ LLC

When you write, does your reader “hang onto every word”? If you are an IRF physician, the answer is “YES!” Every “turn of the phrase” is fascinating to the audience. How did you develop such skills? This session was recorded a few weeks ago when Paula Digby addressed a group of new physician residents in […]

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

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Webinar “CPT© Skin Procedures 2016: Part 4: Breast Procedures” begins September 29, 2016 at noon Eastern

On September 15, 2016, in Announcements, by AQ-IQ LLC

Sometimes coding procedures on the integumentary system in CPT© really gets under your skin! But once we realize that our questions are usually “only skin deep” and that a new perspective can make coding skin procedures in CPT© less difficult, we can basque in the light of confidence. In CPT© Coding Skin Procedures 2016 (Part […]

Webinar “Major Changes to ICD-10-CM for 2017” set for Thursday, September 15, 2016, Noon Eastern (9:00 am Pacific)

On August 31, 2016, in Announcements, by AQ-IQ LLC

Change is a constant in healthcare and nowhere in the field is that more prevalent than in medical coding. With the implementation of ICD-10 in October, 2015, we’ve seen a drastic change in the way we code and it looks like there is far more change on the horizon. For the year 2017 there have […]

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 […]