OPPS Proposed Rule CY2021

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

On August 4, 2020, the CMS proposed policies that aim to increase choice, lower patients’ out-of-pocket costs, empower patients, and protect taxpayer dollars. These proposed changes would build on existing efforts to increase patient choice by making Medicare payment available for more services in different sites of service and adopting policy changes under the Medicare […]

Breathing Easy: Coding Respiratory Tests and Treatments in CPT

Radiology Reporting (Part 1, Technical Review of Outpatient Radiology Services)

The 2-Midnight Rule FAQs

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

CMS has provided an FAQ document to address concerns regarding the 2 Midnight Inpatient Admission Guidance which begins October 1, 2013. Click to read the document on the CMS site. Q: Will CMS direct the Medicare review contractors to apply the 2-midnight presumption-that is, contractors should not select inpatient claims for review if the inpatient […]

RAC Focus: Claims Review Targets

RAC Focus: Coding & Documentation of UTI

RAC Focus: Secondary Diagnosis (Historical)

RAC Focus: Principal Diagnosis

RAC Focus: Drugs & Biologicals