SNF PPS and Consolidated Billing 2014 Final Rule

On , in Archives, by AQ-IQ LLC

This final rule updates the payment rates used under the prospective payment system for skilled nursing facilities (SNFs) for fiscal year (FY) 2014. In addition, it revises and rebases the SNF market basket, revises and updates the labor related share, and makes certain technical and conforming revisions in the regulations text. This final rule also […]

OPPS Proposed Rule 2014

On , in Archives, by AQ-IQ LLC

Medicare and Medicaid Programs:  Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Organ Procurement Organizations; Quality Improvement Organizations; Electronic Health Records (EHR) Incentive Program; Provider Reimbursement Determinations and Appeals This proposed rule would revise the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) […]

IRF Transition: (Part 3 Lining Up to Your Wave) ICD-10-CM and IRF Impairment Group Codes

Medical Loss Ratio Correction 2014 Final Rule

On , in Archives, by AQ-IQ LLC

This document corrects technical, typographical, and cross-referencing errors in the final rule that appeared in the May 23, 2013 Federal Register titled “Medicare Program; Medical Loss Ratio Requirements for the Medicare Advantage and the Medicare Prescription Drug Benefit Programs.” View this Final Rule in the Federal Register for July 22, 2013 View the preceding Final Rule […]

SESSION 1 Watching the Wave Approach

Screening and Diagnostic Mammography

On , in Documents, by AQ-IQ LLC

CMS Guidance for documentation, coding and billing of mammography dated August, 2012. This article is from the Medicare Learning Network.

CPT© Coding Physical Therapy

HHS Final Rule and Treasury Notices on Individual Shared Responsibility Provision Exemptions and Related Topics

On , in Industry News, by AQ-IQ LLC

Under the Affordable Care Act, the federal government, states, insurers, employers, and individuals share the responsibility to reform and improve the availability, quality, and affordability of health insurance coverage in the United States.  Starting in 2014, the individual shared responsibility provision calls for each individual to have health insurance coverage (known as minimum essential coverage), qualify […]