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The Patient Driven Pay Model (PDPM) will change the Skilled Nursing Facility (SNF) Prospective Payment System’s (PPS) method of classifying SNF patients in a Medicare-covered Part A stay Oct. 1. The Centers for Medicare & Medicaid Services (CMS) provide a number of resources on their web site. Patient Driven Pay Model According to the Centers […]
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Now, here’s the kicker…in the assessment, the doctor mentions NOTHING about any URI or sinus infection or anything. Just exacerbation of COPD. Literally the ONLY diagnosis listed.
Would you give him the -25 modifier on the 99213 for the nebulizer since the diagnosis is only for COPD, which is a chronic and ongoing condition?
Let me hear some thoughts!
Thanks!