IPPS and LTCH Proposed Rule FY2020

On April 23, 2019, in Documents, by AQ-IQ LLC

This proposed rule would update Medicare payment policies for hospitals under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) for fiscal year 2020 and advances two key CMS priorities, “Rethinking Rural Health” and “Unleashing Innovation,” by proposing historic changes to the way Medicare pays hospitals. The inpatient […]

Proposed Rule Medicaid Provider Reassignment

On July 12, 2018, in Documents, Industry News, by AQ-IQ LLC

Centers for Medicare & Medicaid Services (CMS) proposed changes to the Medicaid Provider Reassignment regulation that would eliminate state’s ability to divert Medicaid payments away from providers, with the exception of payment arrangements explicitly authorized by statute. This proposed regulatory change is designed to ensure that taxpayer dollars dedicated to providing healthcare services for low-income […]

Home Health PPS Proposed Rule CY2019 and CY2020

On July 2, 2018, in Documents, Industry News, by AQ-IQ LLC

Today, the Centers for Medicare & Medicaid Services (CMS) proposed significant changes to the Home Health Prospective Payment System to strengthen and modernize Medicare, drive value, and focus on individual patient needs rather than volume of care. Specifically, CMS is proposing changes to improve access to solutions via remote patient monitoring technology, and to update […]

IRF PPS Proposed Rule FY2019

On April 28, 2018, in Documents, Industry News, by AQ-IQ LLC

On April 27, 2018, the Centers for Medicare & Medicaid Services (CMS) proposed changes on how Medicare pays inpatient rehabilitation facilities to make it easier for providers to spend more time with their patients, and improve the use of electronic health records. The proposed rule issued today proposes updates to Medicare payment policies and rates […]

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 […]

Hospital Outpatient, Ambulatory Surgical Center Payment Systems Proposed Rule FY2018

On July 20, 2017, in Documents, by AQ-IQ LLC

The proposed rule is one of several for 2018 that reflect a broader strategy to relieve regulatory burdens for providers; support the patient-doctor relationship in healthcare; and promote transparency, flexibility and innovation in the delivery of care. The OPPS and ASC payment system are updated annually to include changes to payment policies, payment rates, and […]

LTC Proposed Rule FY2018

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

This proposed rule would revise the requirements that Long-Term Care (LTC) facilities must meet to participate in the Medicare and Medicaid programs. Specifically, it would remove provisions prohibiting binding pre-dispute arbitration and strengthen requirements regarding the transparency of arbitration agreements in LTC facilities. This proposal would support the resident’s right to make informed choices about […]

IRF PPS Proposed Rule FY2018

On May 15, 2017, in Announcements, Documents, by AQ-IQ LLC

This proposed rule would update the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2018 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) case-mix groups and a description of […]

Proposed Rule FY2018 SNF PPS

On May 4, 2017, 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, […]