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Regulations & Guidance

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Click the drop down arrow on the Regulations & Guidance button to access the following official and DecisionHealth PDFs:

Guidelines & Appendices

  • Full official ICD-10 Guidelines going back to FY2015
  • Deep dive into the ICD-10 Conventions and Guidelines

Home Health Regulations

  • Chapter 7 of the Medicare Benefit Policy Manual
  • Home health PPS final rules for 2011 through the present
  • OASIS-C2 Manuals for 2017 & 2018

Case-Mix Tables

  • Case-mix adjustment variables and scores
  • Diagnosis codes, "secondary-only" diagnosis codes and diagnosis groups
  • Non-routine supply diagnosis codes
  • NRS case-mix adjustment variables and point scores
  • ... and more

ICD-10 Resources

  • Steps to Accurate ICD-10-CM Coding
  • Defining ICD-10-CM & its Conventions
  • Index, Table and Tabular code files
  • FY2017 & FY2018 ICD-10-CM change files

Chapter Introductions

  • 21 ICD-10 chapter summaries including multiple coding & sequencing and special coding issues for both FY2017 & FY2018

Hospice Guidance

  • Chapter 11 of the Medicare Claims Processing Manual
  • Hospice manual update for diagnosis reporting
  • Hospice wage index final rules going back to FY2015
  • ICD-10 Coding for Hospice
  • Hospice LCDs
  • ... and more

OASIS Guidance (Expert Access Only)

  • OASIS-C2 Guidance Manual for 2017 & 2018
  • OASIS-C2 Guidance Manual errata
  • OASIS-C2 tables and tools all time point
  • OASIS-C1 to OASIS-C2 crosswalk guide

HIPAA

  • Overview & summary of HIPAA
  • Compliance & enforcement of the Privacy Rule
  • HIPAA administrative simplification
  • Protected health information (PHI)
  • ... and more
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