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ICD-10 to Survive PDPM: Get Serious About Active Diagnoses

By Caralyn Davis, Staff Writer - October 30, 2018

Active diagnoses and ICD-10-CM diagnosis codes will be a significant payment driver in the Patient-Driven Payment Model (PDPM) that goes into effect on Oct. 1, 2019, under the skilled nursing facility prospective payment system (SNF PPS) for traditional Medicare Part A residents. Diagnoses will impact all five of the case-mix-adjusted payment categories: physical therapy (PT), occupational therapy (OT), speech-language pathology (SLP), nontherapy ancillary (NTA), and nursing, notes Judy Wilhide Brandt, RN, BA, QCP, CPC, RAC-MT, DNS-CT, principal of Wilhide Consulting in in Virginia Beach, VA.