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How to Effectively Manage Challenging Coding Scenarios In PDGM

Presenter Sharon Litwin RN, BSHS, MHA, HCS-D
Broadcast Date 10/14/2020
Time 10:00am PT / 11:00am MT / 12:00pm CT / 1:00pm ET
Presentation Length 90 minutes
Price $65 (Non-members $85)
How to Effectively Manage Challenging Coding Scenarios In PDGM Webinar

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With the implementation of the Patient Driven Groupings Model, Home Health has moved into a new era of reimbursement. Two of the five PDGM categories are directly linked to coding: Clinical Grouping and Comorbidity Adjustment.  PDGM requires Home Health Agencies to ensure that a patient is appropriate to be admitted to Home Health by having an acceptable primary diagnosis. What happens when the only diagnosis you have from the physician is an unaccepted diagnosis? What if the clinical record doesn’t align with the primary diagnosis? What about comorbidities? During this session, we will explore in depth the issues that can arise with ICD-10-CM coding under PDGM, primarily through case study analyses.  We will present detailed analyses of these issues and discuss action plans and best practices home health agencies can implement in order to effectively manage challenging coding scenarios in PDGM. 

Sharon Litwin RN, BSHS, MHA, HCS-D

About The Author

Sharon Litwin RN, BSHS, MHA, HCS-D

Sharon has had an extensive career in home health, starting as a field nurse in 1985. Over the ensuing years, she held positions in California and Missouri as Director of Patient Services, Administrator, Regional Director, and Executive Director of a large hospital-based home services division.

In 2003, Sharon left the corporate world to create 5 Star Consultants, to utilize her knowledge in partnership with agencies in providing assistance and education to those in need. Since then, she has also been a CHAP and ACHC surveyor, performing Medicare deemed accreditation surveys for 10 years. 

In 2020, she sold the company to Healthcare Provider Solutions, and is now offering her expertise and knowledge to a limited number of clients in the industry. Sharon now lives in sunny Cape Coral, Florida, and is pleased to offer services through her new consulting agency, Litwin Home Health Consulting, LLC.

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