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Unravel the complexities of diabetes coding, protect reimbursement

Product Code: YPADA041416D

Quick Overview

Palmetto Medicare Administrative Contractor (MAC) has started issuing denials on home health claims where diabetes is coded but there aren’t current HgA1c test results in the record. Think you’re the only one facing this issue? Think again. Many home health coders are struggling to make sense of the diabetes combination codes and how to assign diabetic manifestations. ICD-10 now offers various combination codes for diabetes and its related conditions, which is a big change from ICD-9.


Price: $249.00

Unravel the complexities of diabetes coding, protect reimbursement

Diagnosis Coding Pro for Home Health and DecisionHealth® present...

Unravel the complexities of diabetes coding, protect reimbursement

Recorded • Thursday, April 14, 2016 • 1:00 – 2:30 p.m. ET

On Demand access!

Master diabetes ICD-10 coding, avoid denials

Palmetto Medicare Administrative Contractor (MAC) has started issuing denials on home health claims where diabetes is coded but there aren’t current HgA1c test results in the record. Think you’re the only one facing this issue? Think again. Many home health coders are struggling to make sense of the diabetes combination codes and how to assign diabetic manifestations. ICD-10 now offers various combination codes for diabetes and its related conditions, which is a big change from ICD-9.

With diabetes being one of the most commonly-coded conditions in home health, you need to fully understand the basics and the potential pitfalls of coding diabetes. And there’s more to learn – there are 264 new diabetes codes proposed for FY2017! During this webinar, you will get valuable coding tips and a detailed overview of how to accurately code diabetes and its many manifestations in ICD-10, including:

  • Learn which ICD-9 diabetes rules and assumptions have carried over to ICD-10, and more importantly, which have not, so you can avoid coding errors.
  • Work through scenarios to understand how diabetes combination codes work and how to sequence cases involving multiple manifestations.
  • Obtain a clear explanation of how to code diabetes with hyperglycemia, or diabetes that is described as “poorly controlled” or “uncontrolled.”
  • Conquer tricky diabetes scenarios, including the coding of diabetic CKD with hypertension, diabetes 1.5, type 2 diabetes with ketoacidosis, and more.
  • Get specific examples as to when you are required to assign a code for insulin use.
  • Learn why it’s important to have a current HgA1c test on file if you’re coding diabetes in order to avoid claim denials.
  • Get an overview of the 264 new diabetes codes set to take effect Oct. 1, including new diabetic retinopathy manifestation codes now requiring a 7th character!


Bonus Tools: ICD-10 diabetic ulcer decision tree and guide to common diabetic manifestations

Master the complexities of diabetes coding and get the proper reimbursement your agency deserves. Isn’t it better to spend a little more now, instead of a lot more later?

YOUR EXPERT PRESENTER Megan Gustafson, HCS-D, junior product manager, DecisionHealth, executive editor of Diagnosis Coding Pro for Home Health newsletter

Megan Gustafson has worked for DecisionHealth since 2008 as a graduate fellow, editor and junior product manager. She has covered multiple aspects of home health care for Home Health Line, OASIS-C & Outcomes Solutions and Private Duty Insider, but has spent the majority of her time writing about home health diagnosis coding as the executive editor of Diagnosis Coding Pro for Home Health. She’s worked on many of DecisionHealth’s industry-leading coding products, including the Complete Home Health Coding Manual, the Coding & OASIS Field Guide, the Home Health Coding Companion and Documentation Trainer, and she was the developer of the new Wound Coding & OASIS Field Guide.


The Board of Medical Specialty Coding & Compliance has approved 1 continuing education unit for this webinar. (HCS-D)