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Menu Bar - Regulations & Guidance

On the Diagnosis Coding Pro tab Menu Bar, click the drop down arrow on the Regulations & Guidance button to access the following official and DecisionHealth PDFs:

Guidelines & Appendices

  • Full official Guidelines for both code sets
  • Appendices A, C, D & E for ICD-9
  • 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

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

  • Home health introduction to ICD-10
  • ICD-10 preparation timeline
  • Index, table and tabular code files
  • Crosswalks for common conditions

Chapter Introductions

  • 19 ICD-9 chapter summaries including multiple coding & sequencing and special coding issues
  • 21 ICD-9 chapter summaries including multiple coding & sequencing and special coding issues

Hospice Guidance

  • Chapter 11 of the Medicare Claims Processing Manual
  • Hospice manual update for diagnosis reporting
  • FY2015 hospice wage index final rule
  • Hospice scenarios
  • Hospice LCDs
  • ... and more

OASIS Guidance

  • OASIS-C guidance manual
  • OASIS-C guidance manual errata
  • OASIS-C all time point
  • OASIS-C diagnosis coding guidance

HIPAA

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