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Home Health & Hospice Week

OASIS:

Know The M1024 Ropes Or Risk Your PPS Payment

Published on Wed Apr 13, 2011

Here's when to fill in M1024 -- and when not to. Since the home health prospective payment system adopted the four equation case mix model, figuring case mix payment has grown complicated. And even though M1024 has been around for over a year, knowing when to report a code in this OASIS payment slot still causes confusion. Under scrutiny: In the HH PPS 2011 final rule, the Centers for Medicare & Medicaid said it's studying use of M1024 (Payment diagnoses) for further modification. Certain diagnoses currently encoded in M1024 should not be reported as primary or secondary diagnoses and cannot be reported on the bill, CMS noted. CMS went on to say that it is in the process of analyzing options to map diagnoses currently reported in M1024 to diagnoses that are reportable under ICD-9-CM guidelines as primary and secondary diagnoses in the home health setting. "We have been encouraged with [...]
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