Revenue Cycle

    PDGM Grouper

    The PDGM Grouper is Medicare software that analyzes OASIS responses, diagnosis codes, and patient characteristics to assign the correct HIPPS code.

    Definition

    The PDGM Grouper is Medicare software that analyzes OASIS responses, diagnosis codes, and patient characteristics to assign the correct HIPPS code.

    Why it matters

    PDGM Grouper is part of the Revenue Cycle vocabulary used across home health operations, documentation, and revenue cycle. Understanding it helps clinicians, QA leads, and administrators stay aligned on care quality and compliance.

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    Texas Home Health Payer Contracting Playbook

    When a Texas payer says “our network is closed,” it doesn’t mean every door is shut. This playbook explores three paths to pursue payer contracts, access referral networks, and secure out-of-network payments. Learn which three numbers payers check first, and how to build a stronger case for your agency.

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    Conversations on revenue cycle

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

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