2026 Home Health Updates - Understand PDGM Concept, HIPPS Codes, Completing UB-04, Physician Documentation & Reimbursement Changes

December 10, 2025
01:00 PM ET | 12:00 PM CT
60 Mins
Dorothy D. Steed
$249.00
$179.00
$249.00
$249.00
$299.00
$249.00
$179.00
$249.00
$249.00
$179.00
$179.00
$249.00
$179.00
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Home Health billing has specific differences from other types of services.  There are physician certification requirements for ordering home health services.

The PDGM (Patient Driven Groupings Model)  concept was developed effective in 2020 & this arrangement drives the correct reporting & reimbursement.  HIPPS codes provide assessment of the patient’s ability to conduct certain activities (functional status) and the presence of any type of cognitive impairment to determine a payment group. HIPPS codes are required on all claims using revenue code 0023 on the UB 04.

We will review required documentation, completing the UB 04, & potential reimbursement changes for 2026

Webinar Objectives
  • Understand the requirements for Home Health Billing
  • Review required physician docmentation for ordering Home Health services.
  • Understand the purpose of HIPPS codes
  • Review how to calculate HIPPS codes
  • Understand the PDGM concept
  • Required documentation of services
Webinar Agenda
  • Introduction to PDGM concept
  • Review of Required HIPPS Codes
  • Calculating the HIPPS Code for Revenue Code 0023
  • Review of  UB04 Revenue Codes
  • Documentation Requirements
  • Possible 2026 reimbursement changes
Webinar Highlights
  • Introduction & review of HIPPS codes
  • What is meant by PDGM concrept?
  • Understanding the different categories in PDGM
  • Complete documentation will be key to correct reimbursement
  • Denial management
Who Should Attend
  • Chargemaster Maintenance Staff
  • Physicians
  • Practice managers
  • Medical assistants
  • Nurses
  • Compliance staff
  • Billers
  • Coders
  • Revenue Cycle
  • Risk Management
  • Charge entry staff
  • Home Health providers & staff

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Dorothy D. Steed

Dorothy D. Steed

Dorothy Steed is an Independent Healthcare Consultant and Educator.   She has served as a Medicare specialist and a physician audit supervisor for hospital systems with 50 years of experience in healthcare. She is an instructor at a state technical college  and provides auditing & training in both facility and physician services. She is credentialed in medical coding, medical billing, medical auditing, utilization management, healthcare management, healthcare compliance, clinical documentation improvement, revenue cycle and patient accounts.  Additionally, she has participated in multiple healthcare audits and investigations for both plaintiff and defendant …

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