tci Medicare Compliance & Reimbursement - 2009 Issue 7
DIAGNOSIS CODING : CMS Dismisses Attachment D Concerns
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Article Overview
This article covers CMS clarification around Attachment D in the OASIS User’s Manual and how home health agencies should understand the revised diagnosis coding guidance. It is aimed at home health coders, compliance staff, and revenue cycle professionals who track OASIS reporting, PPS-related diagnosis coding, and risk adjustment implications. The article discusses the general context of the change, the concerns raised by providers, and CMS’s explanation of how the guidance fits with existing sequencing principles.
Why This Topic Matters
It helps home health organizations interpret CMS guidance on diagnosis coding without overreacting to perceived changes in reporting requirements. Understanding the scope of the update is important for accurate OASIS documentation, consistent secondary diagnosis reporting, and awareness of potential payment and risk adjustment effects.
What You Will Learn
- What CMS said about revised OASIS diagnosis coding guidance
- How home health agencies interpreted the concerns around Attachment D
- The general relationship between sequencing guidance and secondary diagnosis reporting
- Why the guidance was discussed in the context of PPS and risk adjustment
- Which operational questions home health coders were raising about OASIS items
Who Should Read This
- Home health coders
- OASIS reviewers
- Compliance staff
- Revenue cycle professionals
- Home health administrators
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