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Challenging PDGM Coding Scenarios

Speaker(s): Sharon Litwin, Senior Manager of Coding & Clinical Consulting

Category: Speaking Engagement

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Challenging PDGM Coding Scenarios May 19
10:30 am - 1:00 pm CST
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About the Event

Two of the five PDGM categories are directly linked to coding: Clinical Grouping and Comorbidity Adjustment. PDGM requires Home Health Agencies to ensure that a patient is appropriate to be admitted to Home Health by having an acceptable primary diagnosis. What happens when the only diagnosis you have from the physician is an unaccepted diagnosis? What if the clinical record doesn’t align with the primary diagnosis? What about comorbidities? During this session, through case study analyses, we will explore some of the issues that can arise with ICD-10 CM coding under PDGM. We will discuss action plans agencies can implement to manage these challenging coding issues.


1. Discuss common coding challenges
2. Identify strategies for obtaining accurate diagnosis information
3. Understand key elements of Clinical Grouping and Comorbidity Adjustment