Master Class | Prominence of the Primary Diagnosis

A key component for calculating payment under PDGM is the clinical grouping assignment and comorbidity adjustment, thus making accurate primary diagnosis ICD-10 coding more important than ever. From the PDGM impacts we’ve seen within the home health industry, we know that having the most efficient and effective processes for documentation, diagnosis coding and OASIS accuracy are key for keeping operations on track and maintaining positive clinical and financial outcomes. In this virtual master class, understand the importance of the primary diagnosis for so many dimensions of PDGM. We will discuss criteria for choosing the primary diagnosis and illustrate the effect that the clinical grouper has on other calculations such as the functional impairment level.

Objectives

• Learn how to ensure a valid and accurate primary diagnosis

• Describe the 12 clinical grouping categories

• Identify diagnoses that frequently cause problems

• Discuss when and why to query for the appropriate information for code assignment of the primary diagnosis

Continuing Education