This coding series will prepare the coder for what to expect under Patient Driven Groupings Model. Discussed will be coding areas where it is essential that diagnostic coding is performed accurately to maximize appropriate reimbursement under the new model. PDGM allows for 1 primary diagnosis and 24 co-morbid conditions. There are a total of 432 possible case-mix adjusted payment groups. (An increase of 279 case mix categories (64% increase) as compared to HHRG) Coder and Clinical Managers need to begin thinking about how the changes in the PDGM will effect agency operations. Don’t wait to 2020 to learn the nuances of PDGM coding- begin now with the necessary details.
The second half of the series provides the coder with a look at two of the twelve clinical sub-groupings under PDGM: Wounds and Neuro Rehab.
Participants should have an ICD-10-CM manual available during the coding series for reference.
- Session 1: PDGM - How Should the Coder Prepare?
Thursday, May 2
Review of the twelve clinical subgroups and how comorbidities are impacting case mix in the PDGM. Discussion on how coders can best prepare for the new model. Overview.
1. Recognize the twelve clinical sub-groups
2. Identify common home health codes under each sub-group
3. Describe the steps to prepare coders for PDGM coding
- Session 3: Understanding the Complexities of Wound Coding
Thursday, May 16
Review of different types of wounds and how to code effectively to be reimbursed appropriately. Discussed will be updates to coding post-operative wound infections. Understanding Wounds-Post-Op Wound Aftercare & Skin/Non-Surgical Skin Wound Care are an essential component of the new PDGM model.
1. Understand the proper code assignment for different types of wounds, lesions, and ulcers
2. Discuss case studies including pressure and stasis ulcers, surgical and trauma wounds
a. Including: how to code an evolving pressure ulcers and How to code non-pressure ulcer with necrosis
3. Discuss complex cases including wound vac, wounds healing through secondary intention, post-operative wound infections, skin grafts, and PICC lines
4. Test Your Knowledge Cases to review your coding skills
Audience: This series is a necessary topic for Coders; Administrators; Compliance; Clinical Management
Presenter: Joan Usher, BS, RHIA, HCS-D, ACE, President, JLU Health Record Systems is a nationally recognized expert in home health & hospice coding. She is an AHIMA approved ICD-10-CM trainer and is a Home Health Care Coding Specialist (HCS-D). She has a degree in Health Information Management and has been a home health consultant for over 30 years. Joan is past president of the Massachusetts Health Information Management Association (MaHIMA) and has served as a delegate for American Health Information Management Association (AHIMA). She received the Distinguished Member award from MaHIMA in 2017 and the Professional Achievement Award in 2008. Joan is a published author with book topics such as ICD-10-CM Coding, Billing, Clinical Documentation Improvement and contributing author to the Massachusetts Medico legal Guide. Usher is a past member of the Board of Director of the Home Care Alliance of MA . Joan's webinars consistently earn outstanding reviews from participants.
$79/ Line per webinar OR $279/ Line for full series
$149/ Line per webinar OR $499 for full series
To register click the link above. For any questions, please contact Megan Fournier at email@example.com or at 617-482-8830
This series is presented by:
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