The 2-Midnight Rule FAQs

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

CMS has provided an FAQ document to address concerns regarding the 2 Midnight Inpatient Admission Guidance which begins October 1, 2013. Click to read the document on the CMS site. Q: Will CMS direct the Medicare review contractors to apply the 2-midnight presumption-that is, contractors should not select inpatient claims for review if the inpatient […]

2014 Proposed Rule: PPS for Federally Qualified Health Centers, Changes for Rural Health Clinics, Changes to CLIA for Proficiency Testing Referral

On , in Industry News, by AQ-IQ LLC

This proposed rule would establish methodology and payment rates for a prospective payment system (PPS) for federally qualified health center (FQHC) services under Medicare Part B beginning on October 1, 2014, in compliance with the statutory requirement of the Affordable Care Act. This proposed rule would also establish a policy which would allow rural health […]

Obtaining Final Medicare Secondary Payer Conditional Payment Amounts via Web Portal

On , in Industry News, by AQ-IQ LLC

This interim final rule with comment period specifies the process and timeline for expanding CMS’ existing Medicare Secondary Payer (MSP) Web portal to conform to section 201 of the Medicare IVIG and Strengthening Medicare and Repaying Taxpayers Act of 2012 (the SMART Act). The interim final rule specifies a timeline for developing a multifactor authentication […]

SESSION 3 Riding the Wave

SESSION 2 Learning to Surf

IRF Coding: 6 Steps to Getting it Right

A Push Toward Perfection

IPPS Final Rule FY2014

On , in Archives, by AQ-IQ LLC

According to CMS the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals is being revised.  Some of the changes implement certain statutory provisions contained in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively known as the Affordable […]

IRF PPS Final Rule FY2014

On , in Archives, by AQ-IQ LLC

This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2014 (for discharges occurring on or after October 1, 2013 and on or before September 30, 2014) as required by the statute. This final rule also revised the list of diagnosis codes that may be counted toward […]