Beyond the Basics:
Critical Issues in Home Care Coding
Take a journey through home care coding in this focused event for experienced coders. This is the time to apply critical thinking and hone your coding skills, with hands-on examples and coding opportunities laced throughout the day.
Program: The must-knows of PPS coding changes – learn why they’re important
- Review of sequencing and manifestations and the concept of M0245 – so crucial to understanding M0246
- In-depth look at M0246
- Co-morbidities and coding
- Case-mix diagnosis category explanations and applications
- Overview of the importance of therapy
Manifestation, sequencing and late effects issues
- Take a quick run through the intricacies of these major home health issues before launching into disease-related education for the remainder of the conference.
THE BIGGIES: An In-Depth Look At The Most Common (And Commonly Miscoded) Diagnoses In Home Health
Circulatory issues
- CHF/hypertension – are they connected always? What symptoms are intrinsic to the disease?
- How does HTN interplay with other diseases and multiple categories, especially ESRD
- COPD: 496 vs. 491, 496 isn’t a case-mix, but is that the code you should be using anyway? CVA, V12.54, 438 vs. 434
V Codes
- Aftercare vs. complications
- Stasis and history codes
- V codes as case-mix
Diabetes
- So common, and so miscoded!
- Look at manifestations and what codes are used in home health, and which should not be
- Amputation status
Wounds/trauma wounds
- Decubitus ulcers, pressure ulcers, stasis ulcers, surgical wounds, skin tears, and more! New guidelines make understanding how to stage these and code them critically important.
Fractures
- Case-mix codes, all! But where and how can fracture codes be used? Pay attention to aftercare codes and joint replacement codes for aftercare.
- Therapy has undergone major payment and coding changes. Walk through what this means for coding, documentation and what to think about with your therapy coding.
Neoplasms
- Primary, secondary, in situ and other terms
- Sequencing, V54.82 and V10
Adverse effects and poisoning
- PEE for E codes
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