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What's on the Menu? Top Diagnoses for Each Clinical Grouping

With PDGM less than 8 weeks away, it is imperative that we begin finalizing the details. One of the most important components under the new payment model is to receive an accurate primary diagnosis that falls into one of the 12 clinical groupings. We understand how critical it is to your revenue cycle to get it right the first time. And though the home health industry and our referral sources are clear that questionable encounters can no longer be used, they are tired of hearing what they CANNOT order. They are hungry to find out what IS available on the menu from which to choose, so HealthPRO® Heritage at Home developed resources for your referral sources to easily identify the top diagnoses per clinical grouping [download below].

PDGM Blog Top Diagnosese Menu

To download the top diagnoses per specific clinical grouping, see below:

Top 20 DX by Clinical Grouping: Musculoskeletal Rehabilitation

Top 20 DX by Clinical Grouping: Neuro/Stroke Rehabilitation

Top 20 DX by Clinical Grouping: Wounds

Top 20 DX by Clinical Grouping: Complex Nursing Interventions

Top 20 DX by Clinical Grouping: Behavioral Health Care

Top 20 DX by Clinical Grouping: MMTA – Surgical Aftercare

Top 20 DX by Clinical Grouping: MMTA – Cardiac/Circulatory

Top 20 DX by Clinical Grouping: MMTA – Endocrine

Top 20 DX by Clinical Grouping: MMTA – Gastrointestinal/Genitourinary (GI/GU)

Top 20 DX by Clinical Grouping: MMTA – Infections Disease/Neoplasms/Blood-forming Diseases

Top 20 DX by Clinical Grouping: MMTA – Respiratory

Top 20 DX by Clinical Grouping: MMTA – Other

Top 20 DX by Clinical Grouping: Questionable Encounter

We also offer a resource that contains all of the clinical groupings:

Top 20 DX by Clinical Grouping: ALL Clinical Groupings

HealthPRO® Heritage at Home is prepared to help you execute and succeed in this transition! We understand the changes required for success and have the ability to support agencies in assessing related risk, making necessary changes, and developing collaborative care management processes aligned with the success drivers of PDGM. In addition, as a trusted therapy partner, we can help develop processes to appropriately assess care needs and assure timely documentation in support of revenue cycle objectives.

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Tags: Home Health, PDGM