Alabama Top 5 Reasons for Claims Rejection June, 2008

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

Audit trails show which of your claims were accepted by the Cahaba GBA Part B processing system, along with claims that were rejected and the reason for the rejection.  Referring to this report will allow you to correct and resubmit claims quickly, resulting in a dramatically reduced turnaround time.  You will also become aware of […]

IPPS Final Rule FY2017

On August 2, 2016, in Archives, 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 […]

OPPS Proposed Rule CY2017

On July 7, 2016, in Archives, by AQ-IQ LLC

Several of the proposed policy changes would improve the quality of care Medicare patients receive by better supporting their physicians and other health care providers. These proposals are based on feedback from stakeholders, including beneficiary and patient advocates, as well as health care providers, including hospitals, ambulatory surgical centers and the physician community. This proposed […]

Physician Fee Schedule 2016

On June 1, 2016, in Archives, by AQ-IQ LLC

Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2016; Corrections published June 1, 2016. The addenda and supporting files posted on this page reflect what was displayed in the Physician Fee Schedule Final Rule on October 30, 2015. CY 2016 PFS Final Rule Addenda (Updated 11/05/2015) […]

IPPS and LTCH Proposed Rule FY2017

On April 28, 2016, in Archives, by AQ-IQ LLC

CMS issued a proposed 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) on April 18, 2016. The proposed rule, which would apply to approximately 3,330 acute care hospitals and approximately 430 LTCHs, would affect […]

SNF Proposed Rule FY2017

On April 26, 2016, in Archives, by AQ-IQ LLC

On April 21, 2016, CMS issued a proposed rule [CMS-1645-P] outlining proposed Fiscal Year (FY) 2017 Medicare payment rates and quality programs for skilled nursing facilities (SNFs). The FY 2017 proposals and other issues discussed in the proposed rule are summarized below. The proposed policies in the proposed rule continue to shift Medicare payments from […]

IRF PPS Proposed Rule FY2017

On April 26, 2016, in Archives, by AQ-IQ LLC

This proposed rule would update the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2017 as required by the statute. As required by section 1886(j)(5) of the Act, this rule includes the classification and weighting factors for the IRF prospective payment system’s (IRF PPS’s) case-mix groups and a description of […]

CMS Inpatient Only List CY2016

On November 25, 2015, in Archives, by AQ-IQ LLC

This is a zip file for download. CPT® license agreement required. 2016 OPPS Final Rule Addenda – Opens in a new window (The 2016 Inpatient Only List is here as Addendum E.) It is available as an Excel file or as a Text file. For additional information on the OPPS Final Rule see this document. […]

OIG Work Plan 2016

On November 24, 2015, in Archives, by AQ-IQ LLC

The Work Plan describes the primary objectives and provides for each review its internal identification code and the year in which OIG expects one or more reports to be issued as a result of the review. Get the PDF (80 pages)