CHALLENGING PDGM CODING SCENARIOS
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Start Date: 5/19/2021 10:30 AM
End Date: 5/19/2021 12:00 PM
Challenging PDGM Coding Scenarios
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.
Sharon Litwin is currently Senior Manager a=of Coding & Clinical Consulting at Healthcare Provider Solutions, Inc. Sharon is the founder and was the senior managing partner of 5 Star Consulting, a national consulting and coding firm specializing in homecare and hospice services since 2003. Sharon was an ACHC and CHAP surveyor, performing Medicare deemed surveys for ten years. She is a current ACHC Certified Consultant.
Sharon assists homecare and hospice agencies in providing quality, meeting regulation, ICD-10 coding, OASIS, increasing outcomes and Star Ratings, and having continued survey readiness. Sharon and HPS staff perform ICD-10 coding and OASIS reviews, OAPI, clinical record reviews, mock surveys and help agencies across the country stay in compliance. Sharon is a regular speaker for education companies, state and national associations and publications.
HCLA Members - $95