ICD-10: The “Coding Imperative”

Patient-specific conditions – not arbitrary therapy volume – determine clinical eligibility and reimbursement under PDPM. This concept is both mundane and novel (it’s been there all along but lacked reimbursement-sensitivity) and demands improved accuracy of primary and tertiary diagnoses upon admission and throughout the benefit period. This program will highlight best-practices to capture, coordinate, report and defend accurate ICD-10 coding that serves as the foundation for the PDPM Composite rate specific to every resident in our care.