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
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 […]
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 […]
From the Centers for Medicare and Medicaid Services: The United States is experiencing an unprecedented public health emergency from the COVID-19 pandemic. Healthcare facilities in some areas are stretched to their limits of capacity, and surge areas have been needed to augment care for patients with COVID-19. To expand capacity to care for these patients […]
IRF PAI Manual Resource Tool with ICD-10-CM Documentation & Coding Cues
The American Medical Association (AMA) announced on September 4, the release of the 2020 Current Procedural Terminology (CPT®) code set containing identifiers and descriptors assigned to each medical, surgical, and diagnostic services available to patients. Trusted since 1966 as the health system’s common language, the CPT code set enables accurate reporting, measurement, analysis, and benchmarking of […]
NOTE: This webinar occured in the past, but don’t worry, we’re offering the replay for FREE. Coding for the IRF-PAI can be tricky proposition. From learning and applying rehab specific coding rules to choosing an etiologic, Case Mix Groups, and everything in between, inpatient rehab coding can be tough. The coder must make a lot […]
We are starting a blog here at AQ-IQ, and our first posts will be part of a Getting To Know You Series. We’ll be posting introductions to each team member gradually so that you know just who is behind the educational content on this website. We’re excited to share and open up here, and our […]
This proposed rule would update the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2018 as required by the statute. As required by section 1886(j)(5) of the Act, this rule includes the classification and weighting factors for the IRF prospective payment system’s (IRF PPS) case-mix groups and a description of […]