OPPS Proposed Rule CY2021

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

On August 4, 2020, the CMS proposed policies that aim to increase choice, lower patients’ out-of-pocket costs, empower patients, and protect taxpayer dollars. These proposed changes would build on existing efforts to increase patient choice by making Medicare payment available for more services in different sites of service and adopting policy changes under the Medicare […]

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CMS Beneficiary Notices

On , in Documents, by AQ-IQ LLC

Both Medicare beneficiaries and providers have certain rights and protections related to financial liability under the Fee-for-Service (FFS) Medicare and the Medicare Advantage (MA) Programs. These financial liability and appeal rights and protections are communicated to beneficiaries through notices given by providers. Hospitals are required to deliver the Important Message from Medicare (IM), CMS-R-193 to all […]

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CWTC [Episode 95] 7th Character for Comorbidities, Bilateral LE Weakness, Timed Therapy Minutes

On , in CWTC, by AQ-IQ LLC

Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions for Health Information Management professionals, physicians, auditors, payors and students. You are invited to listen in for ten to twenty minutes every other Monday and to submit your favorite questions or comments for Coffee with […]

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CWTC [Episode 94] AKA Revision in PCS, Obesity a Complication, Reporting Injections and Infusions

On , in CWTC, by AQ-IQ LLC

Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions for Health Information Management professionals, physicians, auditors, payors and students. You are invited to listen in for ten to twenty minutes every other Monday and to submit your favorite questions or comments for Coffee with […]

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ICD-10-PCS FY2021

On , in Documents, by AQ-IQ LLC

2021 ICD-10-PCS The 2021 ICD-10 Procedure Coding System (ICD-10-PCS) files below contain information on the ICD-10-PCS updates for FY 2021. These 2021 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2020 through September 30, 2021. Note: There is no GEMs file. As stated in the FY 2016 IPPS/LTCH PPS final rule (80 […]

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MLN Matters Articles Index, FY2004 – FY2019

On , in Documents, by AQ-IQ LLC

What is MLN Matters? The Centers for Medicare & Medicaid Services (CMS) is committed to partnering with the Medicare physician, provider, and supplier communities to ensure that Medicare beneficiaries receive all of the health care services to which they are entitled. MLN Matters are national articles designed to inform the physician, provider, and supplier community […]

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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 […]

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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

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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 […]

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