The focus of the webinar will be ICD-10-CM and PDPM.
Topics addressed will include:
- Overview of PDPM
- Impact of ICD-10-CM on PDPM and the MDS.
- Definitions of type of diagnoses, i.e. admitting, primary, principal, secondary
- Documentation needs
- PDPM implementation considerations
- LTC Coding Guidance
- Coding Scenarios
Effective October 1, 2019 the Patient Driven Payment Model (PDPM) will be the reimbursement model for Traditional Part A Skilled Admissions in all facilities who are receiving PPS reimbursement. It will not apply to skilled stays in Critical Access Hospitals (CAHs). It will not apply to Medicare Advantage Plans unless the Plan chooses to use the PDPM as their reimbursement approach. However, the information presented in this webinar will be beneficial for skilled and non-skilled admissions as the importance of accurate code assignment, sequencing and quality of documentation is the same no matter what setting or payment. No specific financial information will be presented.
At the conclusion of the webinar, participants will be able to:
- Discuss the Patient Driven Payment Model (PDPM).
- Discuss how ICD-10-CM will impact PDPM and the MDS.
- Distinguish between admitting, primary, principal, and secondary diagnoses.
- Identify documentation needs for accurate assignment of ICD-10-CM Codes
- Identify steps to take prior to PDPM being implemented.
- Understand and apply LTC coding guidance.
- Apply coding guidelines to skilled care scenarios and identify how the ICD-10 coding could impact the PDPM payment.
This program has been approved for 2 continuing education units under the clinical data management domain for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).
September 5, 2019
CEU: 2.0 – Clinical Data Management
Barbara S. Michaelis, RHIA
An independent Health Information Management Consultant specializing in the training on ICD-10-CM and PDPM in the Long-Term Care (LTC) setting, with 45+ years of experience in the Health Information field in both the acute and LTC setting. She was an AHIMA ICD-10 approved trainer from 2012 through 2016 and was member of the KHIMA ICD-10 Task Force in preparation for and at the time of ICD-10 implementation.