Webinar “Diabetes: Sugar on the Rise” begins at Noon April 23, 2019

On April 8, 2019, in Announcements, by AQ-IQ LLC

Associating signs and symptoms with diabetes is always based on the documentation by the physician or provider. It is suspected that the increase in per capita consumption of sugar and other sweeteners has influenced a rise in the instances of diabetes in the American population. What are the nuances that influence correct coding of this […]

IPPS and LTCH Proposed Rule FY2020

On April 23, 2019, in Documents, by AQ-IQ LLC

This proposed rule would update Medicare payment policies for hospitals under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) for fiscal year 2020 and advances two key CMS priorities, “Rethinking Rural Health” and “Unleashing Innovation,” by proposing historic changes to the way Medicare pays hospitals. The inpatient […]

CWTC [Episode 62] Diabetic Retinopathy Type 1 or 2, PPS vs Coders in IRF, Therapy Prior to Plan of Care, Modifiers

On April 22, 2019, 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 to twenty minutes every other Monday and to submit your favorite questions or comments for Coffee with […]

IRF PPS Proposed Rule FY2020

On April 18, 2019, in Documents, by AQ-IQ LLC

Proposed Fiscal Year 2020 Payment and Policy Changes for Medicare Inpatient Rehabilitation Facilities (CMS-1710-P) Overview: On April 17, 2019, the Centers for Medicare & Medicaid Services (CMS) proposed a rule that would update Medicare payment policies for facilities under the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) and the Inpatient Rehabilitation Quality Reporting Program (IRF […]

IRF Quality Improvement Program

On April 18, 2019, in Documents, by AQ-IQ LLC

Visit CMS for the latest on this program IRF Quality Reporting Spotlight & Announcements IRF Quality Reporting Measures Information IRF-PAI and IRF QRP Manual IRF Quality Reporting Technical Information IRF Quality Reporting Training IRF Quality Public Reporting IRF Quality Reporting FAQs IRF Quality Reporting Data Submission Deadlines IRF Quality Reporting Reconsideration and Exception & Extension […]

IRF PPS Final Rule FY2019

On April 18, 2019, in Documents, by AQ-IQ LLC

This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2019. As required by the Social Security Act (the Act), this final rule includes the classification and weighting factors for the IRF prospective payment system’s (PPS) case-mix groups and a description of the methodologies and data used […]

Corporate Integrity Agreements

On April 18, 2019, in Documents, by AQ-IQ LLC

Corporate Integrity Agreements From the OIG: Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Settlement Agreements with Integrity Provisions:  Updated 04-18-2019 21st Century Oncology, Inc. Fort Myers FL 11-17-2017 Link 21st Century Oncology, LLC March 2, 2016 Amendment Fort Myers FL 12-17-2015 Link 365 Hospice, LLC and John C. Rezk Carrolltown PA 02-08-2018 […]

CWTC [Episode 61] Combination Code on IRF-PAI, Resolving or Improving Diagnoses, Changing the IGC after Day 4

On April 8, 2019, 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 to twenty minutes every other Monday and to submit your favorite questions or comments for Coffee with […]

Webinar “Critical Illness Myopathy- Creating Effective Documentation for Supporting this Diagnosis” begins at Noon Thursday, April 11, 2019

On April 8, 2019, in Announcements, by AQ-IQ LLC

Critical illness myopathy is a relatively recent diagnosis that has become a hot button topic for denied claims in the acute hospital and in the IRF setting. This session will discuss the clinical presentation and clues to look for to determine whether CIM is an accurate diagnosis or additional information or query is necessary to […]