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  1. PDGM ICD Lookup. In the new PDGM (Patient Driven Groupings Model) payment model effective 2020, the Primary Dx will be very important in order to determine what payment group your claim will fall under. There are over 43,000+ primary Dx codes. Your primary diagnosis code MUST be on this list.

  2. ICD-10-CM Search - Fast, Free, and Current. Designed for healthcare professionals and patients, our tool provides quick access to the current list of American ICD-10-CM diagnosis codes. Search features include: Detailed Code Exploration: Search by code name, descriptions, and clinical terms.

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    • Admission source (two subgroups): community or institutional admission source.
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    • Clinical grouping (twelve subgroups): musculoskeletal rehabilitation; neuro/strokerehabilitation; wounds; Medication Management, Teaching, and Assessment (MMTA)
    • Functional impairment level (three subgroups): low, medium, or high.
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  4. The PDGM, or Home Health PPS Grouper Software (HHGS), relies more heavily on clinical characteristics and other patient information to place home health periods of care into meaningful payment categories and eliminates the use of therapy service thresholds.

  5. Nov 25, 2019 · This article provides information on the implementation of the new Home Health Prospective Payment System (HH PPS) case-mix adjustment methodology named the Patient-Driven Groupings Model (PDGM). The PDGM will be implemented for home health periods of care starting on and after January 1, 2020.

  6. May 1, 2024 · A handy calculator to guide you step-by-step through gathering the data necessary to determine a HIPPS code and estimated payment based on the Home Health PDGM (Patient-Driven Grouping Model). Access to this feature is available in the following products: PDGM Home Health Calculator.

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