LUPA & PDGM

    HIPPS Grouper

    CMS software that analyzes patient assessment data and diagnosis codes to assign.

    Definition

    The HIPPS Grouper is CMS software that analyzes patient assessment data and diagnosis codes to assign the appropriate HIPPS code and PDGM payment group.

    Why it matters

    The grouper determines reimbursement and the applicable LUPA threshold for each 30-day payment period.

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    What Should I Document? 100 OASIS Situations Home Health Nurses Face Every Day

    100 real OASIS scenarios, worked end to end — clinical situation, common mistake, better approach, and key takeaway. Built around OASIS-E2 (effective April 1, 2026) to turn what you assess into accurate, defensible documentation.

    Download Free eBook226 pages · 15 chapters · PDF

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    Conversations on lupa & pdgm

    Episodes from Inside Home Health that put HIPPS Grouper in operational context.

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