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CY2021 Physician Fee Schedule Proposed Rule

On , in Announcements, Documents, by AQ-IQ LLC

CMS issued a proposed rule on August 3, 2020, on proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, on or after January 1, 2021. This document is scheduled for publication in the Federal Register on August 17, 2020 Background on the Physician Fee Schedule Since […]

CY2021 ESRD Proposed Rule

On , in Announcements, Documents, by AQ-IQ LLC

On July 6, CMS issued a proposed rule that proposes to update payment policies and rates under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished to beneficiaries on or after January 1, 2021. This rule also proposes updates to the Acute Kidney Injury (AKI) dialysis payment rate for renal […]

CWTC [Episode 78] Need for Z992, 3 Etiologics for IRFPAI, Left Heart Cath Reporting

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, 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 […]

CWTC [Episode 71] Dialysis Duration, Excisional Debridement and 7th Character for Comorbids in IRF

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, 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 […]

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

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, 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 […]

ESRD PPS FY2019

On , in Documents, Industry News, by AQ-IQ LLC

Today, the Centers for Medicare & Medicaid Services (CMS) proposed innovative changes to the payment rules for Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) and the End-Stage Renal Disease (ESRD) program. The DME proposals in the proposed rule released today aim to increase access to items for patients and simplify Medicare’s DMEPOS Competitive Bidding […]

Proposed Rule FY2018 SNF PPS

On , in Industry News, by AQ-IQ LLC

This proposed rule would update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2018. It also proposes to revise and rebase the market basket index by updating the base year from 2010 to 2014, and by adding a new cost category for Installation, Maintenance, […]

Initiative To Improve End-Stage Renal Disease Care

On , in Industry News, by AQ-IQ LLC

On January 31, 2013, the Centers for Medicare & Medicaid Services released a call for applications to participate in the testing of the new Comprehensive End-Stage Renal Disease (ESRD) Care model.  Through this new initiative, CMS will partner with groups of health care providers and suppliers – ESRD Seamless Care Organizations (ESCOs) – to test […]

Changes for ESRD Facilities in 2013

On , in Industry News, by AQ-IQ LLC

CMS has issued a proposed rule that would update Medicare policies and payment rates for End-Stage Renal Disease (ESRD) facilities paid under the ESRD Prospective Payment System (PPS) for calendar year (CY) 2013.  The proposed rule would also strengthen incentives for improved quality of care and better outcomes for patients through improvements to the ESRD […]