Physician Fee Schedule Proposed Rule 2023

On , in Announcements, by AQ-IQ LLC

In this major proposed rule, CMS is proposing to establish RVUs for CY 2023 for the PFS to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services, as well as changes in the statute. This proposed rule also includes discussions and provisions regarding several other […]

Long COVID Reporting

On , in Documents, by AQ-IQ LLC

Long COVID: Use ICD-10 Code U09.9 For a post COVID-19 condition, unspecified, like Long COVID, use code DX U09.9. Add other codes for conditions related to the COVID-19 infection, like R50.9 for fever. For a current COVID-19 infection, use code DX U07.1. Don’t use code DX U09.9. For a current COVID-19 infection and conditions from […]

Proposed Rule Conditions of Participation (CoPs) for Rural Emergency Hospitals (REH) and Critical Access Hospital CoP Updates

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This proposed rule would establish conditions of participation that Rural Emergency Hospitals (REH) must meet to participate in the Medicare and Medicaid programs. These requirements are intended to ensure that a high quality of care is furnished by REHs. This proposed rule also includes changes to the requirements Critical Access Hospital would have to meet […]

CWTC [Episode 145] Genetic Testing in Cancer Patients, CVA Reporting, IGC Selection

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  Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and… Please log in to view this content.

Rural Emergency Hospitals and Critical Access Hospital Conditions of Participation Updates

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

CMS is releasing a new proposed rule protecting access to emergency care and additional outpatient services for people in rural communities. CMS is establishing the Conditions of Participation (CoPs) for Rural Emergency Hospitals (REHs). The proposed rule will allow small rural hospitals to seek this new health care provider designation and provide continued access to […]

2023 Home Health Prospective Payment System Rate Update

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

This proposed rule would set forth routine updates to the Medicare home health and home infusion therapy services payment rates for calendar year (CY) 2023 in accordance with existing statutory and regulatory requirements. This proposed rule discusses home health utilization; proposes a methodology for determining the difference between assumed versus actual behavior change on estimated […]

CWTC [Episode 144] CVA on IRF-PAI, IRF PDx and 2Dx, IGC vs Comorbids, Z Code for Traumatic Fracture

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  Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and… Please log in to view this content.

June, 2022, New Codes for COVID-19: Pfizer-BioNTech Vaccines for Children as Young as 6 Months

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On June 17, 2022, the FDA amended the Pfizer-BioNTech COVID-19 vaccine emergency use authorization (PDF) to authorize use for all patients 6 months – 4 years old. Get important vial and dosing information. CMS issued new CPT codes effective June 17, 2022: Code 91308 for vaccine product: Long descriptor: Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease […]

CWTC [Episode 143] Biloma in ICD-10, Etio Dx in IRF, ABN

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Congratulations Kristy for winning today’s “mugging”! We appreciate your support! Coffee with the Coder® loves your questions.  To watch episode 143,… Please log in to view this content.