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Insight 2021 – Session Spotlight 💡

In Home Health, Hospice, ICD-10, OASIS, PDGM by Sarah BaconLeave a Comment

Stay ahead of the latest industry updates and changes at Insight 2021, Aug. 8-11. Led by Lisa Selman-Holman and our industry’s top experts, Insight 2021 will cover: The impact of COVID on the industry In-depth ICD-10 diagnosis coding with scenarios, tips & more OASIS-D1  guidance and challenges + OASIS-E intro 2022 updates including new codes, guidance & guidelines PDGM, RAP, …

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NEW: Free PDGM grouper tool from Selman-Holman & SimpleLTC

In ICD-10, News, PDGM by Lisa Selman-Holman1 Comment

Our new PDGM grouper allows you to project Health Insurance Prospective Payment System (HIPPS) codes for expected revenue. Now you can easily project a HIPPS code based on the data at the beginning of the billing period, allowing for faster RAP submissions. The dollar amounts will be calculated based on the patient’s zip code. There is an indicator warning when …

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Update at the 30-Day Time Point

In News, PDGM by Sarah Bacon2 Comments

Do we have to make changes at the 30-Day time point?  Yes!  The Claims Processing Manual states that “each claim must represent the actual utilization over the period.”  So if the focus of care for the first 30 days is resolved by day 28, you must update the diagnosis list for the second 30 day payment period to reflect the …

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PDGM and My Diagnosis List

In News, OASIS, Online Training, PDGM by Sarah Bacon8 Comments

A question that we all have pondered at some time over the last few months…How are those diagnoses going to get on that claim? What do they mean when they say the diagnoses don’t come from the OASIS? What if a new diagnosis is communicated to us in the middle of a 30-day period and a new OASIS is not …