Modifier -25 Under the Microscope

CWTC [Episode 121] Mutually Exclusive Therapies and IRF Discharge Disposition

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 […]

NCCI Resources

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CMS originally developed the Medically Unlikely Edit (MUE) program to reduce the paid claims error rate for Part B claims. The first edits were implemented January 1, 2007. Subsequently there have been quarterly updates increasing the number of edits. Visit the NCCI main page on the CMS site. National Correct Coding Initiative Policy Manual for […]

IRF PPS Final Rule FY2022

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The IRF prospective payment system (IRF PPS) Addenda along with other supporting documents and tables referenced in this final rule are available on the CMS website . Prior to 2020, each rule or notice issued under the IRF PPS has included a detailed reiteration of the various regulatory provisions that have affected the IRF PPS […]

CWTC [Episode 120] Hypercoaguable State, Guillian Barre due to, Recurrent DVT

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 […]

CMS Inpatient Only List CY2022

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The additions to the list begin on page 364 of this Federal Register article. https://public-inspection.federalregister.gov/2021-15496.pdf The complete list is due when the Outpatient Prospective Payment System (OPPS) Final Rule is issued.  

Webinar “Demystifying Radiation Oncology” begins Thursday, August 5, 2021 at 1pm Eastern

On , in Announcements, by AQ-IQ LLC

Radiation oncology involves doctors who specialize in high energy ionizing radiation therapy to treat a wide variety of malignant cancers and some non-malignant conditions. It uses several distinct modalities such as teletherapy, brachytherapy, hyperthermia and stereotactic radiation. The American Cancer Society states that “Radiation therapy uses high-energy particles or waves, such as x-rays, gamma rays, […]

Stay on the Right Track with HCC Coding

OPPS Proposed Rule FY 2022

On , in Announcements, by AQ-IQ LLC

Medicare Program:  Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; Radiation Oncology Model; Request for Information on Rural Emergency Hospitals This proposed rule would revise the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for […]