Present on Admissions (POA) Fact Sheet (CMS) and Exempt Lists

On July 5, 2019, in Documents, by AQ-IQ LLC

This 5-page document from CMS explains the basics of POA Indicator Reporting for IPPS Hospitals POA Fact Sheet CMS coding explanation for POA Available zip files: FY 2020 Present On Admission (POA) Exempt List [ZIP, 1MB] FY 2019 Present On Admission (POA) Exempt List [ZIP, 1MB] FY 2018 Present On Admission (POA) Exempt List [ZIP, […]

IPPS and LTCH Proposed Rule FY2020

On April 23, 2019, in Documents, by AQ-IQ LLC

This proposed rule would update Medicare payment policies for hospitals under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) for fiscal year 2020 and advances two key CMS priorities, “Rethinking Rural Health” and “Unleashing Innovation,” by proposing historic changes to the way Medicare pays hospitals. The inpatient […]

IRF PPS Proposed Rule FY2020

On April 18, 2019, in Documents, by AQ-IQ LLC

Proposed Fiscal Year 2020 Payment and Policy Changes for Medicare Inpatient Rehabilitation Facilities (CMS-1710-P) Overview: On April 17, 2019, the Centers for Medicare & Medicaid Services (CMS) proposed a rule that would update Medicare payment policies for facilities under the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) and the Inpatient Rehabilitation Quality Reporting Program (IRF […]

IRF Quality Improvement Program

On April 18, 2019, in Documents, by AQ-IQ LLC

Visit CMS for the latest on this program IRF Quality Reporting Spotlight & Announcements IRF Quality Reporting Measures Information IRF-PAI and IRF QRP Manual IRF Quality Reporting Technical Information IRF Quality Reporting Training IRF Quality Public Reporting IRF Quality Reporting FAQs IRF Quality Reporting Data Submission Deadlines IRF Quality Reporting Reconsideration and Exception & Extension […]

IRF PPS Final Rule FY2019

On April 18, 2019, in Documents, by AQ-IQ LLC

This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2019. As required by the Social Security Act (the Act), this final rule includes the classification and weighting factors for the IRF prospective payment system’s (PPS) case-mix groups and a description of the methodologies and data used […]

CMS Inpatient Only List CY2019

On January 11, 2019, in Documents, by AQ-IQ LLC

This is a zip file for download. CPT® license agreement required. 2019 Final Rule OPPS Addenda – Opens in a new window (The 2019 Inpatient Only List is here as Addendum E.) It is available as an Excel file or as a Text file.

Accountable Care Organizations under the Medicare Shared Savings Program

On December 24, 2018, in Documents, by AQ-IQ LLC

December, 2018 Update: The national program for ACOs in Medicare has been in operation for six years, and over time CMS has learned from these experiences. Building on this experience, Pathways to Success overhauls the current program to put true accountability in Accountable Care Organizations and promote program-wide savings for Medicare’s ACOs. Pathways to Success […]

IPPS and LTCH Final Rule FY2019

On October 8, 2018, in Documents, by AQ-IQ LLC

On August 2, 2018, CMS released the Final Rule for IPPS and LTCH for FY2019. Corrections were issued September 28, 2018. We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems for FY 2019. […]

CMS Data Files for Inpatient Rehabilitation Facilities

On September 20, 2018, in Documents, by AQ-IQ LLC

FY2020 Final Rule Data Files Download for FY2020 (zip) includes: IRF Wage Index Final Rule – These files contain the proposed urban and rural Core-Based Statistical Area FY 2020 IRF wage index tables. IRF Rate Setting Final Rule – This file contains data for each of the 1,122 inpatient rehabilitation facilities used to estimate the policy updates in […]