January, 2017 - Make Your Revenue Smarter

Final Rule: Home Health Agencies Conditions of Participation

On , in Announcements, by AQ-IQ LLC

This final rule revises the conditions of participation (CoPs) that home health agencies (HHAs) must meet in order to participate in the Medicare and Medicaid programs. The requirements focus on the care delivered to patients by HHAs, reflect an interdisciplinary view of patient care, allow HHAs greater flexibility in meeting quality care standards, and eliminate […]

CWTC [Episode 4] Consults, E&M, CHF, & Cultures

On , 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. 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®. In this episode Paula Digby […]

IRF Coding: HIM Basics

CMS Appeal of Claims Decision

On , in Documents, by AQ-IQ LLC

Appeal of Claims Decision : CMS Manual System: Pub 100-04: Chapter 29 This 100 page document contains detailed information regarding the appeals process. Additional information is available in the Federal Register for January 17, 2017.

1997 Guidelines for E&M (CMS)

On , in Documents, by AQ-IQ LLC

This 49 page document is produced by CMS as a reference guide for Physicians and coders. Click to read or download. 1997 Guidelines for Evaluation and Management

1995 Guidelines for E/M (CMS)

On , in Documents, by AQ-IQ LLC

  This 16 page document is produced by CMS as a reference guide for Physicians and coders. Click to read or download. 1995 Guidelines for Evaluation and Management  

CWTC [Episode 3] Precert and Conscious Sedation Questions

On , 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. 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® In this episode Paula Digby […]

Final Rule: Home Health Care Conditions of Participation (July, 2017)

On , in Documents, by AQ-IQ LLC

CMS has finalized rules governing home health agencies that will improve the quality of health care services for Medicare and Medicaid patients and strengthen patients’ rights. These Medicare and Medicaid Conditions of Participation are the minimum health and safety standards a home health agency must meet in order to participate in the Medicare and Medicaid […]

Physician Fee Schedule 2017

On , in Documents, by AQ-IQ LLC

Links to the CMS data:   CY 2017 PFS Final Rule Addenda [ZIP, 1MB] CY 2017 PFS Final Rule Sample PE Worksheet [ZIP, 74KB] CY 2017 PFS Final Rule Direct PE Inputs [ZIP, 6MB] CY 2017 PFS Final Rule Indirect Practice Cost Indices [ZIP, 11KB] CY 2017 PFS Final Rule Physician Time [ZIP, 628KB] CY […]