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ICD-10 Coding Manual for the MDS Coordinator: A Practical Reference for Accurate Diagnoses, PDPM Rei

by Garton, Warren

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Description

Master the Intersection of Clinical Accuracy, Reimbursement, and Compliance.In the modern skilled nursing facility (SNF), the MDS Coordinator is more than an assessor-they are one of the most consequential coding professionals in the post-acute care continuum. With more than 70,000 ICD-10-CM codes to navigate and the high stakes of the Patient-Driven Payment Model (PDPM), accurate diagnosis coding is the thread that ties financial health, resident care, and regulatory safety together.
"The MDS Coordinator's ICD-10 Coding Manual" is the first practical, daily-workflow reference designed specifically for this role. Moving beyond abstract coding textbooks, this manual addresses the real-world deadlines and documentation challenges coordinators face every morning.
Inside this comprehensive guide, you will find:
  • The Three-Step Discipline: A practical framework for documentation verification, code lookup, and clinical alignment.
  • PDPM Reimbursement Mastery: Deep dives into how I0020B drives clinical categories and how to capture high-value NTA comorbidities without audit risk.
  • Common SNF Diagnoses by Body System: Specific guidance on coding fractures, pressure injuries, stroke sequelae, heart failure, and diabetes .
  • Survey Readiness & Audit Defense: How to recognize "red flags" that trigger denials and build a defensible internal audit program.
  • Essential Appendices: Including the Top 100 SNF codes, PDPM clinical category crosswalks, and sample physician query templates.
Whether you are a new coordinator learning the basics of Section I or an experienced professional looking for a fast, reliable desk reference, this manual provides the tools to ensure your facility is appropriately reimbursed and always survey-ready.

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Product Details

  • Apr 17, 2026 Pub Date:
  • 9798257819667 ISBN-10:
  • 9798257819667 ISBN-13:
  • English Language