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Is Your HIPPS Coding Leaving Money on the Table?
Under Medicare’s Patient-Driven Groupings Model (PDGM), the clinical characteristics of each Home Health patient help determine reimbursement for each 30-day period of care. Those characteristics are summarized through the HIPPS code, which places each period into a case-mix group and ultimately helps determine the Medicare payment. Understanding the HIPPS Code Under PDGM, each 30-day period is classified based on five key components reflected in the HIPPS code: • Position 1
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