FROM MY PT SCHOOL NOTES · HEALTHCARE · UNIT 2 OF 5
Coding, Documentation & Payment Models
Learn why clinical documentation, appropriate coding and setting-specific payment models matter.
Chapters
HEALTHCARE SYSTEMS UNIT 02 · 5 CHAPTERS
06CPT, ICD and defensible codingKey concepts, practice implications and current-policy cautions07Supervision, plans of care and documentationKey concepts, practice implications and current-policy cautions08Skilled nursing: the PDPM transitionKey concepts, practice implications and current-policy cautions09Home health: eligibility, OASIS and PDGMKey concepts, practice implications and current-policy cautions10Fraud, abuse and referral integrityKey concepts, practice implications and current-policy cautionsStudy principle: Ask who sets the rule, which population and setting it covers, and whether the policy is current. Financial decisions must not override clinical necessity.
