Webinar “Fishing for Clues to Report Adverse Effects, Injuries and Poisonings in ICD-10-CM” Tuesday, July 26, 2022

On , in Announcements, by AQ-IQ LLC

Unintentional injuries are the fourth most common cause of death in the US amongst all age groups and the number one cause of death in people of all genders and races for ages 1-44. In 2020 a total of 200,955 people died from unintentional injuries. The leading causes of death due to injury in the […]

Physician Fee Schedule Proposed Rule 2023

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In this major proposed rule, CMS is proposing to establish RVUs for CY 2023 for the PFS to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services, as well as changes in the statute. This proposed rule also includes discussions and provisions regarding several other […]

Rural Emergency Hospitals and Critical Access Hospital Conditions of Participation Updates

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CMS is releasing a new proposed rule protecting access to emergency care and additional outpatient services for people in rural communities. CMS is establishing the Conditions of Participation (CoPs) for Rural Emergency Hospitals (REHs). The proposed rule will allow small rural hospitals to seek this new health care provider designation and provide continued access to […]

2023 Home Health Prospective Payment System Rate Update

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This proposed rule would set forth routine updates to the Medicare home health and home infusion therapy services payment rates for calendar year (CY) 2023 in accordance with existing statutory and regulatory requirements. This proposed rule discusses home health utilization; proposes a methodology for determining the difference between assumed versus actual behavior change on estimated […]

Webinar “Collecting the Clues to Support Medical Necessity for Sepsis” Thursday, June 2nd

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Sepsis, the Conundrum that keeps on giving! Are you experiencing denials or frustrations with payers related to protocols and medical necessity for your sepsis admissions?  Listen in as the coder and clinical consultant discuss the recent challenges  and solutions related to sepsis reporting. Part 2 will focus on admission protocols, denials and appeals. Our goals […]

Listen to “Coffee with the Coder” on Monday

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The next episode of our audio blog “Coffee with the Coder®” is Monday, October 10th, 2022. CWTC features expert coders answering interesting (or popular) questions. Designed to take less time than a coffee break, CWTC is the conference call you don’t want to miss. And it’s FREE to listen. (717) 908 1834 access code 772888# […]

OPPS Proposed Rule FY 2022

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Medicare Program:  Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; Radiation Oncology Model; Request for Information on Rural Emergency Hospitals This proposed rule would revise the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for […]

Physician Fee Schedule Proposed Rule 2022

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CMS Proposes Physician Payment Rule to Improve Health Equity, Patient Access Rule Would Expand Access to Telehealth Services, Enhance Diabetes Prevention Programs The Centers for Medicare & Medicaid Services (CMS) is proposing changes to address the widening gap in health equity highlighted by the COVID-19 Public Health Emergency (PHE) and to expand patient access to […]

Physician Fee Schedule CY2021

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This final rule updates policies affecting the calculation of payment rates and includes misvalued codes. It also adds services to the telehealth list including a third temporary category for services added under the PHE, as well as certain other revisions to telehealth services. It also addresses direct supervision as it relates to interactive technology, payment […]