Webinar “Stay on the Right Track with HCC Coding” begins Tuesday, July 6, 2021 at 1pm Eastern

On , in Announcements, by AQ-IQ LLC

Hierarchical Coding Categories can impact your reimbursement. Your organization may be at risk for reduced reimbursement, which is like getting on the wrong track and heading in the wrong direction. HCCs help us provide a clear picture of our patient’s severity of illness, identifying acute and chronic conditions so that payments are appropriately valued. Stay […]

IPPS and LTCH Proposed Rule FY2021

On , in Announcements, Documents, by AQ-IQ LLC

On May 11, 2020, the Centers for Medicare & Medicaid Services (CMS) proposed a rule that focuses the agency’s efforts on a singular objective: transforming the healthcare delivery system through competition and innovation to provide patients with better value and results. The proposed rule would update Medicare payment policies for hospitals under the Inpatient Prospective […]

Physician Fee Schedule CY2019 Proposed Rule

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

Today, the Centers for Medicare & Medicaid Services (CMS) proposed historic changes that would increase the amount of time that doctors and other clinicians can spend with their patients by reducing the burden of paperwork that clinicians face when billing Medicare. The proposed rules would fundamentally improve the nation’s healthcare system and help restore the […]

Home Health PPS Proposed Rule CY2019 and CY2020

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

Today, the Centers for Medicare & Medicaid Services (CMS) proposed significant changes to the Home Health Prospective Payment System to strengthen and modernize Medicare, drive value, and focus on individual patient needs rather than volume of care. Specifically, CMS is proposing changes to improve access to solutions via remote patient monitoring technology, and to update […]

Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration

On , in Industry News, by AQ-IQ LLC

Today, the Centers for Medicare & Medicaid Services (CMS) is advancing the Medicare Advantage Qualifying Payment Arrangement Incentive (MAQI) Demonstration, which, when approved and adopted, would waive Merit-Based Incentive Payment System (MIPS) requirements for clinicians who participate sufficiently in certain Medicare Advantage plans that involve taking on risk. CMS seeks public comment on the information […]

CWTC [Episode 24] POS13, IRF Focus of Care Changes, Cervical Myelopathy, and NTSC

On , in CWTC, by AQ-IQ LLC

Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions for Health Information Management professionals. You are invited to listen in for ten minutes every other Monday and to submit your favorite questions or comments for Coffee with the Coder® In today’s episode Paula Digby […]

Notice of Final Payment Error Calculation Methodology for Part C Medicare Advantage Risk Adjustment Data Validation (RADV) Contract-Level Audits (2012)

On , in Archives, by AQ-IQ LLC

On February 24, 2012, CMS released a Notice of Final Payment Error Calculation Methodology for Part C Medicare Advantage Risk Adjustment Data Validation (RADV) Contract-Level Audits.  The notice advises that:   ·         CMS will perform its next round of Medicare Advantage (MA) contract-level audits on payment year 2011. ·         Payment year 2011 is the first […]