“But it still groups.” That may be true. It also doesn’t make the diagnosis code correct. One trend I’ve seen in home health coding is the tendency to become comfortable with an inaccurate or poorly supported diagnosis because the end result still lands the patient in a “satisfactory” clinical group. But a favorable grouping is not a substitute for accurate coding. ICD-10-CM coding conventions and guidelines still apply. Diagnoses should be supported by the documentation, seq

The Medicare Targeted Probe and Educate (TPE) program was intended to be a supportive process—an opportunity for agencies to improve...

By Melanie Cobb PT, DPT, CSCS, COQS, BCHH-C Home Health Consultant & Compliance Advocate The Medicare Targeted Probe and Educate (TPE)...

The Patient-Driven Groupings Model (PDGM) has brought significant changes to the landscape of home health care since its implementation....