Doctors, Software, Training: Preparing for ‘Non-Negotiable’ PDPM Coding Pressures

nursing coding

Starting October 1, skilled nursing facility operators will have no choice but to become proficient with a specific type of medical coding that previously had no bearing on reimbursements — and leading industry voices say there are multiple paths to getting there.

ICD-10 codes, specific diagnosis identifications long used by hospitals, will play a key role in the new Patient-Driven Payment Model (PDPM), and facilities only have a few more months to get staffers up to speed.

“Correct ICD-10 coding is non-negotiable,” Caryn Adams, director in the health care senior living practice of consulting and accounting firm Wipfli LLP, said during a presentation at the American College of Health Care Administrators’ (ACHCA) annual convocation in Louisville, Ky. earlier this week.



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