effective January 1, 2020
Implemented by the
Centers for Medicare & Medicaid Services
How will PDGM affect you and your patients' care?
PDGM requires primary diagnoses to include underlying cause(s) or to be more specific.
Meeting the more detailed diagnoses requirements from CMS will help ensure expedient initiation of care for your patients.
Underlying Cause(s) example
Muscle weakness due to
acute exacerbation of heart failure
Type Specificity example
Fracture of clavicle
Fracture of clavicle, right proximal
Electronic Medical Records ensure expedient initiation of care.
Enhanced clinical quality, patient satisfaction, and operational efficiency are just one click away.