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 […]

Webinar “Chart Auditing 101: E&M Services” with Heather Bryans, CPC on October 10, 2013

On , in Announcements, by AQ-IQ LLC

Although this event occurred in the past, you can view it in our Library. When it comes to coding evaluation and management services, accuracy is the key. Coding at a level of care too high for the supporting documentation can result in scrutiny from OIG, the RACs and payers alike, while under-coding results in a […]

RAC Focus: Claims Review Targets

RAC Focus: Coding & Documentation of UTI

RAC Focus: Statement of Work (Historical)

RAC Focus: Secondary Diagnosis (Historical)