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ICD-10 Coding in PDGM: Critical Concepts for Clinician/Coder Alignment (Recorded Webinar)

presented by Diana (Dee) Kornetti, PT, MA, HCS-D, HCS-C and Cindy Krafft, PT, MS, HCS-O

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Financial: Dee Kornetti and Cindy Krafft are co-owners of the consulting business, Kornetti & Krafft Health Care Solutions. They receive compensation from MedBridge for this course.

Dee Kornetti is a chapter contributor to the  Handbook of Home Health Care Administration 6th edition, and co-authored a book, The Post-Acute Care Guide to Maintenance Therapy, for which she receives compensation.

Cindy Krafft has written two books, The How-to Guide to Therapy Documentation and An Interdisciplinary Approach to Home Care – and co-authored her third, The Post-Acute Care Guide to Maintenance Therapy, for which she receives compensation.

Non-Financial: Dee Kornetti is the president of the Home Health Section of the APTA. Additionally, Dee Kornetti serves as the president of the Association of Homecare Coding and Compliance, and is a member of the Association of Home Care Coders Advisory Board and Panel of Experts.

Cindy Krafft has been involved at the senior leadership level of the Home Health Section of the American Physical Therapy Association. She has worked with CMS to clarify regulatory expectations and address proposed payment methodologies.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

Accreditation Check:

This course is a recording of a previously hosted live webinar event. Polling and question submission features are not available for this recording. Format and structure may differ from standard MedBridge courses. This course will provide the post-acute (home health) clinician with basic information regarding the ICD-10 Code Set, its purpose, and the importance of clinical documentation in the Patient-Driven Groupings Model (PDGM) taking effect January 1, 2020. Currently home health nurses, physical and occupational therapists, and speech-language pathologists commonly focus their documentation on those clinical findings that will receive skilled intervention to stabilize (maintain) or restore (improve) client functioning, leaving the underlying disease, disorder or condition relegated solely to medical history status. The PDGM will require clinicians to link foci of care to causative etiology(s) to ensure proper payment through primary grouping assignment and capture of available comorbidity adjustments.

Meet Your Instructors

Diana (Dee) Kornetti, PT, MA, HCS-D, HCS-C

Diana (Dee) Kornetti, a physical therapist for 30 years, is a past administrator and co-owner of a Medicare-certified home health agency. Dee now provides training and education to home health industry providers through a consulting business, Kornetti & Krafft Health Care Solutions. She serves as chief operations officer with her business partners Cindy Krafft and…

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Cindy Krafft, PT, MS, HCS-O

Cindy Krafft brings more than 20 years of home health expertise that ranges from direct patient care to operational and management issues. Years spent in the homes of patients confirmed that she was in the best setting to focus on functionality and the specific challenges faced by each patient. Cindy recognizes that providing care in…

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Chapters & Learning Objectives

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1. Introduction to ICD-10 Coding

This chapter will provide clinicians with information about the World Health Organization’s (WHO) International Classification of Disease (ICD), 10th edition, overview of requirements for code selection, and application in the home health post-acute setting. Importance of proper ICD10 coding in the home health post-acute setting will be discussed in relationship to regulatory requirements, payment and assumed behavioral adjustments from the industry, with the movement to the PDGM January 1, 2020.

2. Primary and Secondary Diagnosis Selection

This chapter will provide clinicians with recommendations, guidance and examples of both sufficient and insufficient documentation of care in the home health setting related to diagnosis coding in the PDGM. The role of admission and clinical evaluation in the process of accurate diagnosis coding will be outlined specific to conditions commonly treated in the home health setting.

3. Question & Answer Session

Cindy and Dee answer questions submitted by audience members during the live broadcast.

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