Patient-Driven Groupings Model:
Focus On Occurrence Codes For PDGM Reimbursement Success
Published on Fri Aug 23, 2019
Be prepared to back up your code usage in medical review. You’ll be at risk of losing your rightful reimbursement under PDGM if you count on the Medicare claims system to automatically adjust your claims for institutional stays. Why it matters: Under the new Patient-Driven Groupings Model taking effect Jan. 1, 30-day periods will receive a big payment increase when [...]