Harmony Healthcare Blog

PDPM - Where are We Now Q&A: Part 2

Posted by The Harmony Team on Mon, Feb 10, 2020

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency


Question 2 of 9: If the main reason for intensive rehab is because the resident is debilitated from being ill can I use the rehab treatment code that maps from CMS as the primary in I0020B?

The Harmony HealthCARE Specialist recommends that the Rehabilitation treatment codes should not be coded in 10020B if they are symptoms codes, return to provider codes and do not represent the primary reason for the SNF stay.  However, they do support the need for therapy and should be reported in other areas of the MDS.

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Topics: PDPM, 10020B

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