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1:19
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Qsource
CMS Data Analytics Increasing Scrutiny of MDS Coding Patterns
Long-term care reimbursement experts are warning providers that CMS is intensifying its use of data analytics to identify unusual MDS coding trends and potential PDPM upcoding. Red flags include repeated use of the same primary diagnoses, unusually high numbers of residents remaining on Medicare for the full 100-day benefit period, and frequent ...
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1 month ago
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