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Home Health & Hospice Week

Regulations:

CASE MIX CODING GETS A NEW LOOK

Published on Tue Apr 24, 2007

The Centers for Medicare & Medicaid Services wants to drastically expand the list of case mix diagnoses and break them out into these 20 new groups, the prospective payment system refinements rule says:

• Blindness and low vision,
• Blood disorders,
• Cancer and selected benign neoplasms,
• Diabetes,
• Dysphagia,
• Gait abnormality,
• Gastrointestinal disorders,
• Heart disease,
• Hypertension,
• Neuro 1--brain disorders and paralysis,
• Neuro 2--peripheral neurological disorders,
• Neuro 3--stroke,
• Neuro 4--multiple sclerosis,
• Ortho 1--leg disorders,
• Ortho 2--other orthopedic disorders,
• Psych 1--affective and other psychoses, depression,
• Psych 2--degenerative and other organic psychiatric disorders,
• Pulmonary disorders,
• Skin 1--traumatic wounds, burns and post-operative complications, and
• Skin 2--ulcers and other skin conditions.
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