Webinar “Discharge Disposition: Where Did They Go?” begins Thursday, July 16, 2020 at Noon Eastern

On , in Announcements, by AQ-IQ LLC

When patients exit a hospital setting, there are several factors that can influence the amount of payment the hospital receives for the care provided. In addition to assignment of diagnosis and procedure codes, condition and value codes as well as patient date of birth and of course, payer contracts, the discharge disposition or discharge status […]

Reporting Telehealth Services - What's Temporary, What's (Currently) Permanent

ICD-10-PCS FY2021

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2021 ICD-10-PCS The 2021 ICD-10 Procedure Coding System (ICD-10-PCS) files below contain information on the ICD-10-PCS updates for FY 2021. These 2021 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2020 through September 30, 2021. Note: There is no GEMs file. As stated in the FY 2016 IPPS/LTCH PPS final rule (80 […]

ICD-10

On , 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 […]

MLN Matters Articles Index, FY2004 – FY2019

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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 […]

CY2021 ESRD Proposed Rule

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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 […]

Point of Origin Code Indicating Transfer from a Designated Disaster Alternative Care Site

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MLN Number MM11836 Revised was released July 1, 2020 that changes the implementation date to August 3, 2020. View the MLN: https://www.cms.gov/files/document/MM11836.pdf Official instruction, CR11836, issued to MACs: https://www.cms.gov/files/document/r10205OTN.pdf

Proposed Expanded Coverage for TEER for Patients with Mitral Valve Regurgitation

On , in Announcements, by AQ-IQ LLC

On June 30, CMS proposed to update its national coverage policy for a procedure known as transcatheter edge-to-edge repair (TEER) of the mitral valve to include patients with functional mitral regurgitation (MR).  TEER is a less invasive treatment option that involves clipping together a portion of the mitral valve leaflets for patients with a condition […]

CWTC [Episode 93] Inpatient COVID-19 Testing, IRF IGC and UB-04 Primary Diagnosis

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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 […]

CY2021 Home Health Proposed Rule

On , in Documents, by AQ-IQ LLC

On Jun 25th CMS issued a proposed rule [CMS-1730-P] that proposes routine updates to the home health payment rates for calendar year (CY) 2021, in accordance with existing statutory and regulatory requirements. This proposed rule also includes a proposal to make permanent the regulatory changes related to telecommunications technologies in providing care under the Medicare […]

CWTC [Episode 92] Colonoscopy, COVID-19 in IRF, Acute on Chronic Respiratory Condition

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 […]