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FY2025 IRF PPS Final Rule and IRF QRP

On , in Industry News, by AQ-IQ LLC

On July 31, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a final rule to update Medicare payment… Please log in to view this content.

IPPS and LTCH PPS Final Rule FY 2024

On , in Industry News, by AQ-IQ LLC

On August 1, 2023, CMS issued a Final Rule for fiscal year 2024 for the Medicare Program This Rule will be published on August 28, 2023 in the Federal Register. A preliminary copy is available here. This final rule will: revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of […]

CY24 OPPS Proposed Rule

On , in Industry News, by AQ-IQ LLC

On July 13, 2023, the Centers for Medicare & Medicaid Services (CMS) proposed Medicare payment rates for hospital outpatient and Ambulatory Surgical Center (ASC) services. The Calendar Year (CY) 2024 Hospital Outpatient Prospective Payment System (OPPS) and ASC Payment System Proposed Rule is published annually and will have a 60-day comment period, which will end […]

CY24 Physician Fee Schedule Proposed Rule

On , in Industry News, by AQ-IQ LLC

Proposed Payment Rate The CY 2024 PFS proposed rule includes updates to PFS payments for clinicians as required by law. Overall proposed payment amounts under the PFS would be reduced by 1.25% compared to CY 2023, in accordance with factors specified by law. CMS is also proposing increases in payment for many visit services, such as […]

Monkeypox – Global Health Emergency

On , in Industry News, by AQ-IQ LLC

The World Health Organization (WHO) recently declared monkeypox to be a global health emergency. Director-General Dr Tedros Adhanom Ghebreyesus explained in a press conference July 23, 2022. Visit the WHO site for the latest reports. As mentioned in the “Insider’s” portion of Coffee with the Coder® Episode 148, experts are seeking a more appropriate name […]

IRF PPS Proposed Rule FY2022

On , in Documents, Industry News, by AQ-IQ LLC

On April 7, 2021, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare payment policies and rates for facilities under the Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) and the IRF Quality Reporting Program (QRP) for fiscal year (FY) 2022. CMS is publishing this proposed rule consistent with the […]

Biosimilar Action Plan (BAP)

On , in Documents, Industry News, by AQ-IQ LLC

Read the FDA’s Action Plan here Excerpts from the plan:  Generic drugs, for instance, represent 90 percent of all prescriptions in the U.S.1 Generic competition facilitated by the 1984 Hatch Waxman Act provided savings of more than $1 trillion to the U.S. health care system over a decade and generated $265 billion in savings in […]

Physician Fee Schedule CY2019 Proposed Rule

On , in Documents, Industry News, by AQ-IQ LLC

Today, the Centers for Medicare & Medicaid Services (CMS) proposed historic changes that would increase the amount of time that doctors and other clinicians can spend with their patients by reducing the burden of paperwork that clinicians face when billing Medicare. The proposed rules would fundamentally improve the nation’s healthcare system and help restore the […]

Proposed Rule Medicaid Provider Reassignment

On , in Documents, Industry News, by AQ-IQ LLC

Centers for Medicare & Medicaid Services (CMS) proposed changes to the Medicaid Provider Reassignment regulation that would eliminate state’s ability to divert Medicaid payments away from providers, with the exception of payment arrangements explicitly authorized by statute. This proposed regulatory change is designed to ensure that taxpayer dollars dedicated to providing healthcare services for low-income […]