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ReOpening America Guidelines – Phase 1 – April 19, 2020

On , in Announcements, by AQ-IQ LLC

From the Centers for Medicare and Medicaid Services: The United States is experiencing an unprecedented public health emergency from the COVID-19 pandemic. Healthcare facilities in some areas are stretched to their limits of capacity, and surge areas have been needed to augment care for patients with COVID-19. To expand capacity to care for these patients […]

IRF Data Files from CMS (2020 and 2019)

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FY2020 Final Rule Data Files Download for FY2020 (zip) includes: IRF Wage Index Final Rule – These files contain the proposed urban and rural Core-Based Statistical Area FY 2020 IRF wage index tables. IRF Rate Setting Final Rule – This file contains data for each of the 1,122 inpatient rehabilitation facilities used to estimate the policy updates in […]

Physician Fee Schedule and Quality Payment Program CY2020 Proposed Rule

On , in Documents, by AQ-IQ LLC

As part of CMS’s annual changes to the Medicare Physician Fee Schedule and Quality Payment Program, the agency’s proposals are aimed at reducing burden, recognizing clinicians for the time they spend with patients, removing unnecessary measures and making it easier for them to be on the path towards value-based care.  Last year, the Trump Administration finalized […]

Accountable Care Organizations under the Medicare Shared Savings Program

On , in Documents, by AQ-IQ LLC

December, 2018 Update: The national program for ACOs in Medicare has been in operation for six years, and over time CMS has learned from these experiences. Building on this experience, Pathways to Success overhauls the current program to put true accountability in Accountable Care Organizations and promote program-wide savings for Medicare’s ACOs. Pathways to Success […]

IPPS and LTCH Final Rule FY2019

On , in Documents, by AQ-IQ LLC

On August 2, 2018, CMS released the Final Rule for IPPS and LTCH for FY2019. Corrections were issued September 28, 2018. We are revising the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems for FY 2019. […]

Medicaid Program Integrity Initiatives

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

Today, the Centers for Medicare and Medicaid Services (CMS) announced new and enhanced initiatives designed to improve Medicaid program integrity through greater transparency and accountability, strengthened data, and innovative and robust analytic tools. Recent years have seen a rapid increase in Medicaid spending driven by several factors, including Medicaid expansion, from $456 billion in 2013 […]

Medicaid and CHIP Scorecard

On , in Documents, by AQ-IQ LLC

Today, the Centers for Medicare & Medicaid Services (CMS) released the first ever Medicaid and Children’s Health Insurance Program (CHIP) Scorecard, a central component of the Administration’s commitment to modernize the Medicaid and CHIP program through greater transparency and accountability for the program’s outcomes. For the first time, CMS published state Medicaid and CHIP quality […]

IPPS and LTCH Proposed Rule FY2019

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

On April 24, 2018 CMS  issued a proposed rule for FY2019 expected to empower patients through better access to hospital price information, improve patients’ access to their electronic health records, and make it easier for providers to spend time with their patients. The rule proposes updates to Medicare payment policies and rates under the Inpatient […]

OPPS Final Rule 2018

On , in Documents, by AQ-IQ LLC

About this FR: Patients over Paperwork Initiative CMS recently launched the Patients Over Paperwork Initiative, a cross-cutting, collaborative process that evaluates and streamlines regulations with a goal to reduce unnecessary burden, increase efficiencies, and improve the beneficiary experience. Through the Patients Over Paperwork Initiative, CMS, along with its partners and stakeholders, is committed to removing regulatory […]