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CWTC [Episode 215] Misconceptions Regarding Incident To Billing

On , in CWTC, by AQ-IQ LLC

  Welcome to Coffee with the Coder®, observations and questions for Health Information Management professionals, physicians, auditors, payors and students with Paula Digby and her team. Listen in for twenty minutes or so every other Monday and send in your favorite questions or comments for Coffee with the Coder® Email your text number to help@AQ-IQ.com […]

CWTC [Episode 197] Prolonged Services, Who’s Watching the Clock?

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… Please log in to view this content.

IPPS and LTCH PPS Final Rule FY 2024

On , in Industry News, by AQ-IQ LLC

On August 1, 2023, CMS issued a Final Rule for fiscal year 2024 for the Medicare Program This Rule will be published on August 28, 2023 in the Federal Register. A preliminary copy is available here. This final rule will: revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of […]

CY24 Physician Fee Schedule Proposed Rule

On , in Industry News, by AQ-IQ LLC

Proposed Payment Rate The CY 2024 PFS proposed rule includes updates to PFS payments for clinicians as required by law. Overall proposed payment amounts under the PFS would be reduced by 1.25% compared to CY 2023, in accordance with factors specified by law. CMS is also proposing increases in payment for many visit services, such as […]

ICD-10

On , in Documents, by AQ-IQ LLC

2023 ICD-10-CM (CMS) 2023 Conversion Table (ZIP) 2023 Code Descriptions in Tabular Order (ZIP) 2023 Addendum (ZIP) 2023 Code Tables, Tabular and Index (ZIP) FY 2023 ICD-10-CM Coding Guidelines (PDF) POA Exempt Codes (ZIP) 2023 ICD-10-PCS 2023 ICD-10-PCS Order File (Long and Abbreviated Titles) (ZIP) 2023 Official ICD-10-PCS Coding Guidelines (PDF) 2023 Version Update Summary […]

CWTC [Episode 139] Office Visit by Two Providers, Guillain-Barre on IRF PAI and UB, and PT Under Direction of NP

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Paula Digby tells the “Insiders” during Episode 139 about the opioid crisis, which she calls “pandemic” because of its inpacted.… Please log in to view this content.

CWTC [Episode 118] Interrupted Stay or LOA, Attention to Trach, CMGs

On , in CWTC, by AQ-IQ LLC

Today Paula shares with the “Insiders” some random auditing thoughts. During Episode 118, Ms Digby addresses a concern about the difference between a “interrupted stay” and a “leave of absence” in the IRF setting. The next questioner is concerned about the use of Z43.0 “Attention to Trach”. Finally, which payers utilize CMGs in their payment […]

CWTC [Episode 109] Venipuncture at RHC, IRF Etiologic, and Low Blood Sugar Reporting

On , in CWTC, by AQ-IQ LLC

During the “Insiders” portion, Ms Heather Bryans tells why Valentine’s Day is associated with the heart and explains how to correctly report CAD and Heart Failure. Our first question is from a Rural Health Clinic, where Sandy wonders about billing for venipuncture to commercial insurance payers. Ramona asks for clarification on selecting the Impairment Group […]

CWTC [Episode 108] Billing for “Caine” Drugs, COVID Reporting

On , in CWTC, by AQ-IQ LLC

During the “Insiders” portion, Ms Digby discusses Seasonal Affective Disorder. She recommends an article from MDAnderson.org Congratulations to Shirley for winning the “mugging” for this episode. Dial in for the next Episode on February 15th beginning at 10:10 am Eastern (7:10 am Pacific). During the “Insiders” portion, Ms Digby discusses Seasonal Affective Disorder. She recommends […]