Make Your Revenue Smarter - Medical Reimbursement Education - Page 60

2017 Home Health PPS Payment Update

On , in Announcements, by AQ-IQ LLC

CMS projects that Medicare payments to home health agencies in CY 2017 would be reduced by 1.0 percent, or $180 million based on the proposed policies. The proposed decrease reflects the effects of the 2.3 percent home health payment update percentage ($420 million increase); the rebasing adjustments to the national, standardized 60-day episode payment rate, […]

Medicare National Coverage Determinations Manual

On , in Documents, by AQ-IQ LLC

Transmittals for Chapter 1 Part 1 (Sections 10 – 80.12)   Transmittals for Chapter 1 Part 2 (Sections 90 – 160.26)   Transmittals for Chapter 1 Part 3 (Sections 170 – 190.34)   Transmittals for Chapter 1 Part 4 (Sections 200 – 310.1) Crosswalk from NCD Manual to Coverage Issues Manual (CIM) [PDF, 447KB] Crosswalk […]

CMS Medicare Financial Management Manual

On , in Documents, by AQ-IQ LLC

Links to all Chapters and Crosswalks. The Internet-only Manuals (IOMs) are a replica of the Agency’s official record copy. They are CMS’ program issuances, day-to-day operating instructions, policies, and procedures that are based on statutes, regulations, guidelines, models, and directives. The CMS program components, providers, contractors, Medicare Advantage organizations and state survey agencies use the […]

CMS Proposed Rule for Improving Health Equity and Care Quality in Hospitals

On , in Announcements, by AQ-IQ LLC

CMS proposed new standards to improve the quality of care and advance health equity in our nation’s hospitals on June 16, 2016. The proposal applies to the 6,228 hospitals and critical access hospitals that participate in Medicare or Medicaid. The rule proposes to reduce overuse of antibiotics and implement comprehensive requirements for infection prevention. CMS […]

CPT© Modifier Toolbox - Advanced Usage

Physician Fee Schedule 2016

On , in Archives, by AQ-IQ LLC

Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2016; Corrections published June 1, 2016. The addenda and supporting files posted on this page reflect what was displayed in the Physician Fee Schedule Final Rule on October 30, 2015. CY 2016 PFS Final Rule Addenda (Updated 11/05/2015) […]

ICD-10-CM: Sepsis

IPPS and LTCH Proposed Rule FY2017

On , in Archives, by AQ-IQ LLC

CMS issued a proposed rule to update fiscal year (FY) 2017 Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) on April 18, 2016. The proposed rule, which would apply to approximately 3,330 acute care hospitals and approximately 430 LTCHs, would affect […]

Proposed FY2017 Payment and Policy Changes for Medicare IRFs

On , in Industry News, by AQ-IQ LLC

CMS issued a proposed rule on April 21 outlining proposed fiscal year (FY) 2017 Medicare payment policies and rates for the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) and the IRF Quality Reporting Program (IRF QRP). The FY 2017 proposals are summarized below. Proposed Updates to IRF payment rates: Updates to the payment rates under […]