About Case Mix Changes for CY2022

In collaboration with the Connecticut Association for Healthcare at Home

Final Rule CY 2022 made significant changes to the PDGM Comorbidity Adjustment Subgroups.  The increase of subgroups under the low adjustment has increased from 13 to 30 subgroups (57% increase) and the high comorbidity adjustment interactions increased from 31 to 87 subgroups (64% increase).   What does this mean for coding?  It means that many more codes could yield payment adjustments and coding needs to be accurate to receive appropriate reimbursement and avoid upcoding. 

Be there to listen to practical advice and exercise your coding skills with Test Your Knowledge cases highlighting the changes.

Program Objectives:

• Understand the coding changes for the low comorbidity subgroups
       * Changing from 13 to 20 subgroups
       * Learn what ICD-10-CM codes are now part of the low comorbidity
         adjustment: Additional Circulatory, Musculoskeletal, Neoplasms, Neuro 
         & Respiratory subgroups included
• Understand the high comorbidity adjustment interactions for 2022
       * Changing from 31 to 87 code group interactions
       * Review of common interactions which increase payment
       * Increased options for interactions with sequelae of cerebral infarction;
         behavioral health with neuro or skin; circulatory diagnoses with skin,
         neuro musculoskeletal; more interactions endocrine diagnoses: New
         subgroups interactions including Infectious, Musculoskeletal, Respiratory,
         Alzheimer’s disease
• Learn which codes were reassigned to a different comorbidity group for 2022
       * Some changes include diabetic autonomic polyneuropathy, delirium,
         specific types of polyneuropathies
• Test Your Knowledge cases utilized

Audience:

This is a necessary topic for Coders, QAPI Reviewers, Compliance, Revenue Cycle Team.

Presenters:

Joan Usher, BS, RHIA, HCS-D, ACE, President, JLU Health Record Systems is a nationally recognized AHIMA Approved ICD-10-CM trainer and certified Home Care Coding Specialist – Diagnosis coder from the Association of Home Care Coding and Compliance (AHCC).   Joan has a degree in Health Information Management and has been a home health consultant for over 30 years. She has educated more than 25,000 people in nationwide on coding.  Joan is past president of the Massachusetts Health Information Management Association (MaHIMA) and active member of the American Health Information Management Association (AHIMA).  Usher is a Board of Director of Hospice & Palliative Care of MA and a past Board of Director Home Care Alliance of MA.  Joan's webinars consistently earn outstanding reviews from participants.

Cost:

$125// MNCHA member
$150// Non-members