IPPS and LTCH Final Rule FY2019

On October 8, 2018, in Documents, by pam

On August 2, 2018, CMS released the Final Rule for IPPS and LTCH for FY2019. Corrections were issued September 28, 2018. We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems for FY 2019. […]

CMS Data Files for Inpatient Rehabilitation Facilities

On September 20, 2018, in Documents, by AQ-IQ LLC

FY 2019 IRF PPS Final Rule Data Files (83 FR 38514) IRF Rate Setting Final Rule (83 FR 38514)  This file contains data for each of the 1,126 inpatient rehabilitation facilities used to estimate the policy updates in the inpatient rehabilitation prospective payment system regulation. The methodology used to update the payment data is described in […]


On August 1, 2018, 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 […]

Medicaid Program Integrity Initiatives

On June 26, 2018, in Documents, Industry News, by AQ-IQ LLC

Today, the Centers for Medicare and Medicaid Services (CMS) announced new and enhanced initiatives designed to improve Medicaid program integrity through greater transparency and accountability, strengthened data, and innovative and robust analytic tools. Recent years have seen a rapid increase in Medicaid spending driven by several factors, including Medicaid expansion, from $456 billion in 2013 […]

Medicaid and CHIP Scorecard

On June 4, 2018, in Documents, by AQ-IQ LLC

Today, the Centers for Medicare & Medicaid Services (CMS) released the first ever Medicaid and Children’s Health Insurance Program (CHIP) Scorecard, a central component of the Administration’s commitment to modernize the Medicaid and CHIP program through greater transparency and accountability for the program’s outcomes. For the first time, CMS published state Medicaid and CHIP quality […]

Webinar “Working Out the Kinks of Reporting Arthritis with ICD-10-CM” June 7, 2018 beginning at Noon Eastern (9am Pacific)

On May 29, 2018, in Announcements, by AQ-IQ LLC

The Arthritis Foundation indicates that more than 50 million adults and 300,000 children living in the United States have some type of arthritis; in fact it is the leading cause of disability in America. Due to the prevalence of this diagnosis we as coders need to be surefooted when reporting it. In ICD-10 accurately reporting […]

IPPS and LTCH Proposed Rule FY2019

On April 25, 2018, in Documents, Industry News, by AQ-IQ LLC

On April 24, 2018 CMS  issued a proposed rule for FY2019 expected to empower patients through better access to hospital price information, improve patients’ access to their electronic health records, and make it easier for providers to spend time with their patients. The rule proposes updates to Medicare payment policies and rates under the Inpatient […]

MLN Matters Articles Index, FY2004 – FY2018

On January 25, 2018, in Documents, by AQ-IQ LLC

What is MLN Matters? The Centers for Medicare & Medicaid Services (CMS) is committed to partnering with the Medicare physician, provider, and supplier communities to ensure that Medicare beneficiaries receive all of the health care services to which they are entitled. MLN Matters are national articles designed to inform the physician, provider, and supplier community […]

Webinar “Relieving the Pressure: Coding for Laminectomies in CPT” January 11, 2018 beginning at Noon Eastern (9am Pacific)

On January 2, 2018, in Announcements, by AQ-IQ LLC

Coding for spinal procedures can feel as difficult to us as performing the surgery itself. Between deciphering the operative note to determining if the procedure should be reported as a stand-alone code or as a piece of another procedure.  Understanding bundling edits and rules for reporting instrumentation sometimes causes additional challenges. In this session we […]