CMS Drug Dashboards

On , in Documents, by AQ-IQ LLC

Today, the Centers for Medicare & Medicaid Services (CMS) released a redesigned version of the Drug Spending Dashboards. For the first time, the dashboards include year-over-year information on drug pricing and highlight which manufactures have been increasing their prices. The dashboards are interactive online tools that allow patients, clinicians, researchers, and the public to understand […]

Incident To Guidelines

On , in Documents, by AQ-IQ LLC

A Medicare Learning Matters article dated August 23, 2016 clarifies “Incident To” services. See also this eCourse 

CMS Moratoria and Demonstration Project

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

CMS announced an extension and statewide expansion of fraud-fighting temporary provider enrollment moratoria efforts in six states, along with a new related demonstration project to allow for certain exceptions to the moratoria and heightened screening requirements for new providers.  CMS also announced it is immediately lifting the current temporary moratoria on all Medicare Part B, […]

Proposed Rule: Part B Payable in Hospital Claims

On , in Industry News, 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 […]