Tough Topics in the FQHC: Diabetes and DSMT Services

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While the seasoned coder may be quite familiar with reporting for diabetes, rules regarding presumable relationships, risk adjustment capture, and many other considerations continue to shift. In this session, we’ll dig into Official ICD-10-CM Guidelines that impact diabetes reporting, consider EMR challenges that may prevent clinicians from accurately capturing diabetes, consider coding policies that may assist with problem list cleanup, identify associated UDS measures, and discuss the perils of overvaluing and undervaluing risk adjustment scores with improper reporting. Additionally, we’ll explore rules and guidelines related to DSMT offerings according to CPT and CMS.