Webinar “ICD-10 Updates FY2021” begins Tuesday, September 29, 2020 at 1pm Eastern

On , in Announcements, by AQ-IQ LLC

October 1 marks the official implementation date for the 2021 ICD-10-CM changes! Are you ready? Listen in as we discuss the over 500 changes to the guidelines and code set. Learn how implementing the changes could impact DRG assignment for inpatient encounters, the additional codes provided for consideration for outpatient coding, and the latest official […]

CY2021 Physician Fee Schedule Proposed Rule

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CMS issued a proposed rule on August 3, 2020, on proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, on or after January 1, 2021. This document is scheduled for publication in the Federal Register on August 17, 2020 Background on the Physician Fee Schedule Since […]

IRF PPS Final Rule FY2021

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CMS issued the annual update for the Inpatient Rehabilitation Facility Prospective Payment System on August 4, 2020. This final rule also includes making permanent the regulatory change to eliminate the requirement for physicians to conduct a post admission visit since much of the information is included in the pre-admission screening documentation. This flexibility was offered […]

OPPS Proposed Rule CY2021

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On August 4, 2020, the CMS proposed policies that aim to increase choice, lower patients’ out-of-pocket costs, empower patients, and protect taxpayer dollars. These proposed changes would build on existing efforts to increase patient choice by making Medicare payment available for more services in different sites of service and adopting policy changes under the Medicare […]

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

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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 […]

Webinar “ICD-10 coding for Viruses, Influenza and Other Germs – Did you Catch That?” begins Tuesday, June 23, 2020 at Noon Eastern

On , in Announcements, by AQ-IQ LLC

When something “goes viral” it spreads rapidly through a population by being shared really often – it could be a video or meme or something else. Viruses do just that; they are conditions that spread relatively rapidly and easily from person to person but the difference is the person (host) usually does not intentionally share […]

Webinar “Mastering the Art of Modifier Use” begins Thursday, June 11, 2020 at Noon Eastern

On , in Announcements, by AQ-IQ LLC

Mastering the use of modifiers is an important skill all coders should have in their toolkit. Modifiers are a critical component of coding. Using modifiers correctly can reduce the risk of lost revenue and improve audit compliance. Using modifiers incorrectly can result in lost revenue and increased claims scrutiny. In general, all coders likely already […]