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Challenging PDGM Coding Scenarios

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

Category: Home Care

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

Challenging PDGM Coding Scenarios Jun 04
11:00 am - 12:30 pm
Hosted by
Healthcare Provider Solutions, Inc.

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.