Part A - Make Your Revenue Smarter

Proposed Rule: Part B Payable in Hospital Claims

On , in Archives, by AQ-IQ LLC

The proposed rule updates hospital Part B inpatient billing policy consistent with the statute and payment regulations:   When the Medicare review contractor denies a Part A claim because a hospital inpatient admission is not reasonable and necessary, Medicare would accept new, timely filed Part B inpatient claims and provide payment for all reasonable and […]

Mandatory Payment Reductions in the Medicare Fee-for-Service (FFS) Program – “Sequestration”

On , in Industry News, by AQ-IQ LLC

The Budget Control Act of 2011 requires, among other things, mandatory across-the-board reductions in Federal spending, also known as sequestration. The American Taxpayer Relief Act of 2012 postponed sequestration for 2 months. As required by law, President Obama issued a sequestration order on March 1, 2013. The Administration continues to urge Congress to take prompt […]