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PDGM EXPOSED - A Live Open Forum
Every Tuesday, 1:30pm to 2:30pm, Eastern Time
Starting January 14th, 2020 Gateway will be hosting 3 months of weekly INTERACTIVE calls with YOUR colleagues from multiple States and MACs to discuss issues that arise from PDGM. As a Home Health provider, you may experience problems that other agencies or industry experts have the solutions for. We will also have rotating expert panelists that specialize in Billing, OASIS, Coding, Compliance, Etc..
• Weekly updates related to what is going on with PDGM
• Holds on payments
• RCD issues related to PDGM
• Return to Provider issues
• Coding problems-Primary diagnoses not working; issues with co-morbidities
60 days into the PDGM episodes for home health and many agencies are reporting issues with choosing primary diagnoses codes that are both accurate for the patient condition and the agency’s finances. This session will discuss the ICD-10 that are not acceptable for use as a primary diagnosis and which codes to use instead. We will also give you tips for getting referral information you need to make this task easier.
1.Attendees will understand the guidelines governing the selection of primary diagnoses codes in PDGM
2.Attendees will be able to identify the most common ICD-10 codes that are not acceptable as a primary diagnosis.
3.Attendees will be able to describe the information needed on referrals to facilitate the accurate selection of valid ICD-10 codes.
Avoiding the Pitfalls of Multiple Coding and Incorrect Sequencing in ICD-10 codes
March 13th, 1:30pm to 2:00pm, Eastern Time
Errors made in ICD-10 multiple coding situations and incorrect sequencing problems can cause an OASIS to be Returned to Provider (RTP) this will affect reimbursement. We will use these official guidelines to code practice scenarios involving manifestation codes and sequencing.
1.Attendees will understand the guidelines for sequencing and mandatory multiple coding scenarios.
2.Attendees will be able to identify etiology/manifestation pairs and how to sequence them correctly
3.Attendees will be able to distinguish between the conventions of “code first”, “code also” and “use additional code”.