Understand the Impact of PDGM on Coding and Case-Mix Calculations

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Understand the Impact of PDGM on Coding and Case-Mix Calculations

Product Code: YPADA082819

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Understand the Impact of PDGM on Coding and Case-Mix Calculations

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Presented on: Wednesday, August 28, 2019 | 1:00–2:30 p.m. EST

Presented by: Sherri Parson, RN, HCS-D, HCS-O, COS-C, BCHH-C, HSC-H, director of staff development for coding outsourcer Quality in Real Time of Floral Park, N.Y.

The Patient-Driven Groupings Model (PDGM), the new payment system for the home health industry beginning January 1, 2020, comes with heighted specificity requirements and a need to document all the relevant diagnoses for a patient. Coding expert Sherri Parson, RN, HCS-D, HCS-O, COS-C, BCHH-C, HSC-H, will explain how this payment system will affect coding and what agencies and coders should do to prepare.

In this 90-minute webinar, Parsonwill cover which diagnosis codes will no longer be acceptable under PDGM, how comorbidity adjustments will work, and why it’s vital to have a sound query process when further specificity in documentation is needed.

At the conclusion of this program, participants will be able to:

  • Describe how PDGM will affect coding in the home health industry beginning in 2020
  • Detail changes under PDGM, including acceptable codes and questionable encounter codes
  • Explain how case-mix calculations will work under PDGM


Agenda

  • The impact of PDGM and how agencies and coders can start preparing
  • Query process improvements for further specificity regarding primary diagnoses
  • How comorbidities will work under PDGM
  • Questionable encounter codes that will no longer work under PDGM
  • Where to find acceptable codes
  • Analysis of changes detailed in the 2020 proposed payment rule
  • Live Q&A


Tools

  • High and low comorbidity charts

Who Should Listen?

  • Administrators/owners
  • Coders
  • Quality managers

Meet the Speaker

Sherri ParsonSherri Parson, RN, HCS-D, HCS-O, COS-C, BCHH-C, HSC-H, brings more than 25 years of healthcare experience to her role as vice president of education and control standards with Quality in Real Time (QIRT) in Floral Park, New York. Earning her RN license in 1994, Parson started her career providing direct care in hospital settings, including medical surgical, ICU, and interventional radiology, before transitioning to home health. She has been an in-home provider of skilled nursing services, as well as developing expertise in quality assurance, diagnosis coding, OASIS review, and regulatory compliance. She has also served as a therapy manager and staff education and development expert. At QIRT, Parson hires, trains, and monitors coding and OASIS review staff and managers, as well as establishes the metrics for key performance indicators to ensure continuous staff improvement in coding and OASIS accuracy.

Continuing Education

Board of Medical Specialty Coding & Compliance (BMSC)
(Live + On-Demand) This program is preapproved by the Board of Medical Specialty Coding & Compliance (BMSC) for CEU(s).

Instructions

Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: 56K or faster Internet connection (high-speed connection recommended) 
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

CAN'T LISTEN LIVE? 
No problem. The On-Demand version will be available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $249 value! 

PLEASE NOTE 
Participation in the webinar is just $249 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email customerservice@hcpro.com if you have questions.