“The age of volume-driven fee-for-service medicine is gradually giving way to value-based care.” This is what Kathy Whitmire had to say about transforming healthcare leadership in order to improve revenue cycles.Read More
Reasons why most skilled nursing settings need coding assistance are abundantly clear. Even the most experienced MDS Coordinator or a staff member who has become coding certified in the last year may not understand the minutiae of the code and the magnitude of coding to reimbursement and survey outcomes. Here’s a short list of potential errors to consider:Read More
Whether you are a MDS Coordinator intensifying your knowledge of ICD-10s or a Coder training in skilled nursing services, SNFs and PPS swing bed programs are tasked with “perfection” on October 1. The Patient-Driven Payment Model (PDPM) demands discipline specific coding that captures the need to be inpatient and the care being provided each resident.Read More
The “code first” note is your hint that two codes may be needed, along with sequencing direction. The “code first” note is an instructional note.
If you see “in diseases classified elsewhere” terminology you will assign two codes, with the manifestation code being sequenced after the underlying condition. The “in diseases classified elsewhere” (manifestation) code is actually part of the code title. The code with “in diseases classified elsewhere” documented can never be used as a principal diagnosis.Read More