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PDGM: Coding/Documentation Review/Revenue Cycle

Speaker(s): Melinda A. Gaboury, CEO

Category: Speaking Engagement

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PDGM: Coding/Documentation Review/Revenue Cycle Jun 06
1:00 pm - 2:30 pm CST
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About the Event

Join us for the HHFMA PDGM webinar focused on the impact to Documentation, ICD-10 Coding and Revenue Cycle. All three areas will be significantly impacted – documentation requirements have not changed, however there will need to be an urgency in getting the orders/documentation signed. Coding will become the ONLY means of classifying your patient clinically under PDGM and the Revenue cycle has been completely upended regarding billing and collections as billing volume will double for patients that are on service for greater than 30 days. This webinar will do a deep dive into these three critical areas to a providers Clinical and Financial operations.

• Documentation Management
Discuss the need for improved efficiencies in obtaining physician orders timely
Outline the process of PDGM emphasizing documentation standards.

• ICD-10 Coding
Detail the Coding requirements under PDGM
Review the list of codes that will be allowed as primary diagnoses of the patients
Outline the process of calculating a comorbidity adjustment and the categories defining low and high adjustments

• Revenue Cycle
Detail the timelines for billing RAPs and Finals under PDGM
Review the calculation of the HIPPS code and how that will happen based on claims data vs. OASIS
Outline Cash Flow implications of PDGM