Who chooses the primary diagnosis at your place?
We are preparing for PDGM and one of the first things we did was work on not having any primary diagnoses that will not be acceptable. Management is now pushing the coders to choose the primary diagnosis ourselves if the clinician chooses one that won't work under PDGM. They also have figured out the diagnoses that pay the most. Our coding manager works at the hospital and wants us to start coding like inpatient coders, where they choose the order of diagnoses in order to optimize reimbursement. So, anyone else having this problem?