IRF-PAI Manual

On October 14, 2019, in Documents, by AQ-IQ LLC

FY 2020 Information IRF-PAI (version 4.0 FINAL) – Effective October 1, 2020 (FY 2021), as proposed in the FY 2020 IRF PPS final rule. Change Table listing differences from the previous version IRF-PAI Manual Version 3.0 – This manual contains information regarding data collection on the IRF-PAI version 3.0, effective October 1, 2019. Please note that the IRF-PAI Manual […]

CMS Data Files for IRFs (2018 and prior)

On October 2, 2019, in Archives, Documents, by AQ-IQ LLC

FY 2018 IRF PPS Final Rule Data Files (82 FR 36238) IRF Rate Setting Final Rule (82 FR 36238)  This file contains data for each of the 1,140 inpatient rehabilitation facilities used to estimate the policy updates in the final inpatient rehabilitation prospective payment system regulation. The methodology used to update the payment data is described […]

ICD-10

On October 1, 2019, 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 […]

Physician Fee Schedule and Quality Payment Program CY2020 Proposed Rule

On August 15, 2019, in Documents, by AQ-IQ LLC

As part of CMS’s annual changes to the Medicare Physician Fee Schedule and Quality Payment Program, the agency’s proposals are aimed at reducing burden, recognizing clinicians for the time they spend with patients, removing unnecessary measures and making it easier for them to be on the path towards value-based care.  Last year, the Trump Administration finalized […]

ESRD and DMEPOS CY 2020 Proposed Rule

On July 30, 2019, in Documents, by AQ-IQ LLC

On July 29, 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, 2020. This rule also: Proposes updates to the Acute Kidney Injury (AKI) dialysis payment rate for renal dialysis […]

OPPS Proposed Rule CY2020

On July 30, 2019, in Documents, by AQ-IQ LLC

CMS is proposing price transparency requirements that will increase competition among all hospitals by requiring them to make pricing information publicly available. As a result, patients would be able to shop for health care that meets their needs and budgets. The proposals for calendar year (CY) 2020 includes historic changes that would require hospitals to […]

HIPAA OCR Guidance

On July 25, 2019, in Documents, by AQ-IQ LLC

New OCR Guidance for Health Care Providers and Consumers on the HIPAA Privacy Rule and Communications with a Patient’s Family, Friends, or Others Involved in the Patient’s Care The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) has provided two websites containing HIPAA Privacy Rule guidance documents – one for health […]

CMS Voluntary Self-Referral Disclosure Protocol

On July 12, 2019, in Documents, by AQ-IQ LLC

Section 6409 of the Patient Protection and Affordable Care Act (ACA) was signed into law on March 23, 2010. Section 6409(a) of the ACA required the Secretary of the Department of Health and Human Services, in cooperation with the Inspector General of the Department of Health and Human Services, to establish a Medicare self-referral disclosure […]

Ambulance Services Guidance

On July 9, 2019, in Documents, by AQ-IQ LLC

  CMS provides guidance for Ambulance Service Providers on this page. Zip code files are updated regularly. Some of the most requested portions of the guidance include: The BBA of 2018 includes three major Medicare ambulance services provisions pertaining to: Extensions of certain ground ambulance add-on payments, Development of a data collection system for ground ambulance providers […]