November, 2012 - Make Your Revenue Smarter

CPT© Coding Colonoscopies

CMS Inpatient Only List CY2013

On , in Archives, by AQ-IQ LLC

Procedures That Will be Paid Only as Inpatient for CY2013 This is a zip file for download. CPT® license agreement required.   CY2013 OPPS Addenda [ZIP, 2.1 MB] (The 2013 Inpatient Only List is here as Addendum E.)

Billing: Hospital Issued Notice of Noncoverage (HINN)

IP Coding: Discharge Status

HIM: Release of Information

RAC Focus: Claims Review Targets

CPT© Coding with Modifiers

CY2013 and CY2014 Medicaid Payments Increased for Certain Physicians

On , in Industry News, by AQ-IQ LLC

This final rule implements Medicaid payment for primary care services furnished by certain physicians in calendar years (CYs) 2013 and 2014 at rates not less than the Medicare rates in effect in those CYs or, if greater, the payment rates that would be applicable in those CYs using the CY 2009 Medicare physician fee schedule […]

CMS Updates Physician Fee Schedules for CY2013

On , in Industry News, by AQ-IQ LLC

CMS issued a final rule with comment period for Medicare’s payments for physician fees for 2013.  It includes a new policy to pay a patient’s physician or practitioner to coordinate the patient’s care in the 30 days following a hospital or skilled nursing facility stay.  Recognizing the work of community physicians and practitioners in treating […]