CY2021 ESRD Proposed Rule

On , in Announcements, Documents, by AQ-IQ LLC

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

On , in Announcements, by AQ-IQ LLC

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 […]

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 […]

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 […]

IPPS and LTCH Proposed Rule FY2021

On , in Announcements, Documents, by AQ-IQ LLC

On May 11, 2020, the Centers for Medicare & Medicaid Services (CMS) proposed a rule that focuses the agency’s efforts on a singular objective: transforming the healthcare delivery system through competition and innovation to provide patients with better value and results. The proposed rule would update Medicare payment policies for hospitals under the Inpatient Prospective […]

Webinar “Sepsis After Careful Study” begins Tuesday, May 12, 2020 at 1pm Eastern

On , in Announcements, by AQ-IQ LLC

According to the CDC, “Sepsis is the body’s extreme response to an infection. It is a life-threatening medical emergency. Sepsis happens when an infection you already have —in your skin, lungs, urinary tract, or somewhere else—triggers a chain reaction throughout your body. Without timely treatment, sepsis can rapidly lead to tissue damage, organ failure, and death.” […]

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, January 18, 2021. 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. If you’d like to be reminded […]