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Home Health & Hospice Week

Patient-Driven Groupings Model:

Cope With Your Boomerang Codes Before You Get PDGM Denials

Published on Fri Jun 14, 2019

Now’s the time to start examining your coding practices. Most home health agencies’ chief concern under the coming Patient-Driven Groupings Model is going to be claims returned because the primary diagnosis code isn’t in one of PDGM’s 12 clinical categories. When that happens, the claim will Return to Provider. Don’t wait until the new payment model hits to figure out [...]
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