Description
Diagnosis coding influences medical necessity, reimbursement under the Patient-Driven Groupings Model (PDGM), quality reporting, risk adjustment, and medical review. This course examines current International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) guidelines, recent coding changes, and common scenarios to demonstrate how greater coding accuracy can improve financial, quality, and compliance outcomes.
Speakers/Course Authors - Jennifer Osburn
Objectives
By the end of this webinar, attendees will be able to:
- The attendee will identify areas of HHA practice that are impacted by diagnosis coding by the end of the session.
- The attendee will a)relate diagnosis coding impacts to HHQRP programs such as Care Compare and HHVBP measures and B) locate diagnoses considered potentially preventable for the Home Health Within Stay Potentially Preventable Hospitalization HHVBP measure by the end of the session
- The attendee will understand the PDGM comorbidity adjustment tables, how diagnoses impact Medicare payment in the PDGM payment model, and will predict HIPPS codes based on assigned diagnoses for PDGM payment by the end of the session
- The attendee will relate Official Guidelines and Conventions to the Medicare Coverage guidelines such as face-to-face encounter, medical necessity, and CoPs by the end of the session
- The attendee will list common coding mistakes that impact payment, quality and coverage determination
Certificate
By completing/passing this course, you will attain the certificate HCAF Course Certificate
Learning credits
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