OASIS, Coding and PPS
First thing, you’ll clear the decks with a rundown of OASIS, PPS and the billing forms (UB-92). Get tips to steer clear of common pitfalls in billing with RAP, EOE or SCIC. Build a strong foundation for assigning case-mix diagnoses and the proper use of M0245a and b. Inaccurate coding can result in upcoding and denial of your claims! Sort out these areas, and you’re halfway to your goal of speeding claims to payment and reducing denials!

The Official Coding Guidelines
The coding guidelines and conventions that dictate your code choices can be maddeningly complex. You’ll break them down in practical lessons to determine primary and secondary diagnoses; understand the V code changes to some of the most prevalent codes; and when to use V codes, aftercare codes and E codes. Tackle the rules for underlying conditions and their integral role in pinpointing a main condition.

Critical Thinking for Code Selection
To really take your coding “beyond the basics,” you need to exercise your critical thinking skills to speed your code selections, fine-tune your sequencing skill and boost accuracy. The majority of the program will focus on hands-on coding practice, including:

• When should you report the new pain codes? Are they case-mix codes? Always? Put them in context with real-life scenarios.
  
  
• How to determine if heart failure is systolic or diastolic or has a relationship with hypertension — and how it informs your code choices. Practice on a range of clinical scenarios you see every day in your agency claims.
  
  
• Manifestation code missteps can cost your agency big $$. Does “code first” mean “code primary”? Do you always code manifestations after the diabetes code? Clear up the mandatory coding and mandatory sequencing rules in this category once and for all.
  
  
• Hypertensive chronic kidney disease has undergone some coding changes ... learn about these new guidelines.
  
  
• Late effects of CVA are their own category, an exception unto themselves. Learn how to unravel the exceptions and code them accurately.

You’ll walk away from this day able to sequence and code complex scenarios with more ease and confidence. Our home care coding experts will step you through the coding and billing process, and show you how to implement the tools and best practices to get every dollar your agency deserves... then you will reap the professional benefits!