This guide explains how each change in a grouping affects the final reimbursement, and offers strategies to successfully deliver quality care and drive growth under PDGM.
This worksheet can help you assess your potential enterprise risk as it relates to Key Performance Indicators that will be impacted by PDGM.
This reference tool lists the top 25 most commonly used questionable encounter codes.
Click to download a list of primary diagnosis that will not generate a grouping beginning October 1, 2020.
| Ungroupable Primary Diagnoses |
Click to download our guide to functional level scoring under PDGM.
The examples provided in this tool can assist agencies in guiding referral sources to provide additional information to correctly code for PDGM. These examples can also be used as a template for agencies to create diagnoses-specific queries.
Click to download a list of primary diagnoses that will generate a clinical grouping beginning October 1, 2020.
| Groupable Primary Diagnoses |
Click to download a list of primary diagnoses that are no longer groupable as of October 1, 2020.
| Formerly Groupable Primary Diagnoses |
Click to download a list of primary diagnoses that are groupable as of October 1, 2020.
| New Groupable Primary Diagnoses |
Click to download our complete PDGM Guide for Physicians.