Accountable Care Organizations under the Medicare Shared Savings Program

On December 24, 2018, in Documents, by AQ-IQ LLC

December, 2018 Update: The national program for ACOs in Medicare has been in operation for six years, and over time CMS has learned from these experiences. Building on this experience, Pathways to Success overhauls the current program to put true accountability in Accountable Care Organizations and promote program-wide savings for Medicare’s ACOs. Pathways to Success […]

IPPS and LTCH Final Rule FY2019

On October 8, 2018, in Documents, by AQ-IQ LLC

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. […]

Get on Your Revenue Cycle and Let’s Roll

ICD-10

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 […]

CWTC [Episode 37] Obesity Counseling, Revascularization Reporting, Weakness in IRF, BMI for non-standard bodies

On May 15, 2018, 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 minutes every other Monday and to submit your favorite questions or comments for Coffee with the Coder® […]

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 […]

CWTC [Episode 19] Uremic Neuropathy, Payor Requirements, Secondary Dx in Terminal Cases, Petechial Hemorrhage Reporting

On August 29, 2017, in CWTC, Uncategorized, 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 […]

IPPS and LTCH Final Rule FY2018

On August 8, 2017, in Documents, Industry News, by AQ-IQ LLC

In this final rule, CMS is increasing the amount of uncompensated care payments made to acute care hospitals by $800 million to approximately $6.8 billion for fiscal year 2018. Uncompensated care represents healthcare services provided by hospitals or providers for which they don’t get reimbursed. Often uncompensated care arises when people don’t have insurance and […]