How Coding Could Change Under The Home Health Proposed Payment Rule

Home Health Care News August 23, 2022
Joyce Famakinwa

As home health providers wait for the finalized version of the proposed payment rate rule, it’s important to get familiar with the coding changes the proposal makes, and how it will directly impact Patient-Driven Groupings Model (PDGM) calculations.

When coding, the primary diagnosis of the patient should be driven by the primary focus of care for that time period.

“When you’re initially coding a brand new start of care for a patient, or a recertification of a patient, you’re obviously going to be coding the primary focus that is the intent for that 60-day episode,” Melinda Gaboury, CEO of Healthcare Provider Solutions, said during a webinar hosted by the company on Tuesday. “That, of course, is for the plan of...

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