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Home Health & Hospice Week

Diagnosis Coding:

Pin Down These NRS Diagnoses For Fair Reimbursement

Published on Fri Feb 11, 2011

Mind your sequencing to get all the case mix points you're entitled to. Under the prospective payment system, sequencing impacts the number of nonroutine supplies points you'll earn for reporting diagnoses in the seven selected case mix categories. When a diagnosis from one of these categories is the focus of your care and reported as primary in M1020, you're eligible for more points than when the same diagnosis is reported in M1022. The difference breaks down as follows, reports coding expert Trish Twombly with Foundation Management Services in Denton, Texas: Cancer diagnoses 172.x (Malignant melanoma of skin) 173.x (Other malignant neoplasm of skin) Listed as primary: 15 NRS points Listed as secondary: 4 NRS points Diabetes diagnoses 250.8x (Diabetes with other specified manifestations) paired with manifestation 707.1x (Ulcer of lower limbs except pressure ulcer). 249.8x (Secondary diabetes mellitus with other specified manifestations) paired with manifestation 707.1x (Ulcer of lower limbs [...]
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