HHGM Insights Diagnosis and Questionable Encounters Chris Attaya - - PowerPoint PPT Presentation

hhgm insights diagnosis and questionable encounters
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HHGM Insights Diagnosis and Questionable Encounters Chris Attaya - - PowerPoint PPT Presentation

HHGM Insights Diagnosis and Questionable Encounters Chris Attaya VP of Product Strategy, SHP HHFMA Call with the Experts March 20th, 2018 1 Primary Diagnosis maps to Clinical Group Percent of HHGM 30-day periods by CMS Region 2


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Chris Attaya

VP of Product Strategy, SHP HHFMA Call with the Experts – March 20th, 2018

HHGM Insights – Diagnosis and Questionable Encounters

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▸ Percent of HHGM 30-day periods by CMS Region

Primary Diagnosis maps to Clinical Group

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Top 25 ICD-10 Primary Diagnosis Codes

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Top 25 ICD-10 Primary Dx Codes

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▸ SHP National Average was 19.0%

Questionable Encounters (QE)

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▸ Begin to address diagnostic codes that would be questionable

Top 20 QEs by ICD-10 Code