Proposed Rule to End Unnecessary Rules

On , in Industry News, by AQ-IQ LLC

This proposed rule would reform Medicare regulations that CMS has identified as unnecessary, obsolete, or excessively burdensome on health care providers and suppliers, as well as certain regulations under the Clinical Laboratory Improvement Amendments of 1988 (CLIA). The comment period for this rule ends 4/8/2013. Read the text from the Federal Register for February 7, […]

Initiative To Improve End-Stage Renal Disease Care

On , in Industry News, by AQ-IQ LLC

On January 31, 2013, the Centers for Medicare & Medicaid Services released a call for applications to participate in the testing of the new Comprehensive End-Stage Renal Disease (ESRD) Care model.  Through this new initiative, CMS will partner with groups of health care providers and suppliers – ESRD Seamless Care Organizations (ESCOs) – to test […]

CPT© Coding Percutaneous Coronary Interventions, 2013 Changes

Proposed Rule Amends State Flexibility for Medicaid Benefit Packages

On , in Industry News, by AQ-IQ LLC

This proposed rule would lay out a structure and options for coordinating Medicaid, CHIP, and Exchange eligibility notices and appeals; provide additional benefits and cost-sharing flexibility for state Medicaid programs; and codify several provisions included in the Affordable Care Act and Children’s Health Insurance Program Reauthorization Act (CHIPRA). Key Provisions Process for Appeals of Eligibility […]

CPT© Coding Update for CY13

CPT® Errata 2013

On , in Archives, by AQ-IQ LLC

Download the document here.

RAC Focus: IP DRGs for Skin Procedures

CPT© Coding Colonoscopies

CMS Inpatient Only List CY2013

On , in Archives, by AQ-IQ LLC

Procedures That Will be Paid Only as Inpatient for CY2013 This is a zip file for download. CPT® license agreement required.   CY2013 OPPS Addenda [ZIP, 2.1 MB] (The 2013 Inpatient Only List is here as Addendum E.)