Blog Series: Part 3 – Medical Necessity Under PDPM
In this 3-part blog series, we will focus on issues that were identified in the recent OIG audit of PDPM records and MDS. The first area discussed the lack of documentation to support technical requirements. The second area discussed the requirements for coding diagnoses that meet the active diagnosis requirements. The third and final blog of this series will focus on the requirements to demonstrate medical necessity. Billing and coding for medical services provided under the Centers…
