Presented by Michael Tidd
Thursday, June 11, 2020
Overview:
PDGM Coding Examples
PDGM has put a major emphasis on proper coding to develop the most profitable case-mix. Many agencies have people that have coded for them for years. In many cases these coders did not attend educational events or read the PDGM rules to ensure they are coding properly and thus many agencies are not receiving the highest possible reimbursement.
Objectives:
Learn how a resource that allows the agency to know their expected revenue based on their PPS claims
Develop an understanding of different coding scenarios and learn how the case-mix can change simply based on sequencing
Learn the highest paying PDGM diagnosis clinical groupings
Speaker Biography:
Michael Tidd has over 19 years of experience in the Home Care Industry and is a frequent speaker at HealthCare Synergy Workshops and Webinars. He is a Software Developer, LVN and Certified in ICD-9/10 Coding and OASIS (COS-C, HCS-D). As the Clinical Manager for HealthCare Synergy, he directs the Outsourced Management Services, assists in directing the development of the Healthcare Assistant Web Edition, oversees the Clinical Documentation Auditing provided to clients and directs the Clinical Form Development for the Healthcare Assistant Web Edition. Michael continues to educate agencies in the ongoing regulations that CMS produces, the proper application of the Medicare Conditions of Participation and completing timely, accurate and defendable clinical documentation to survive in the current Medicare Reimbursement Model.