Home Health CM

Home Health: Understanding Case Mix and PDGM

Joan L. Usher, BS, RHIA, HCS-D, ACE


In order to ensure accurate and complete coding of Home Health services, coders must understand the components of the patient driven groupings model (PDGM) first implemented in 2020.  Home Health: Understanding Case Mix and PDGM will provide the essential information coders need.

CEUs:  1    1 AHIMA    1 AAPC
Included in eLearning Library. Price per person. Group rates available.

In order to ensure accurate and complete coding of Home Health services while maintaining productivity goals, coders must understand the components of the patient driven groupings model (PDGM) first implemented in 2020.  Home Health: Understanding Case Mix and PDGM, by nationally-recognized Home Health coding expert Joan L. Usher, BS, RHIA, HCS-D, ACE, will provide the essential information coders need.

This sixty-minute, on-demand webinar covers:

  • Understand Case Mix, the Patient Driven Groupings Model (PDGM) payment system, and the relationship of each to accurate coding
  • Clinical groupings, morbidities and other items that may affect payment
  • Review the five variables for case mix index
  • Utilize Test Your Knowledge cases for practical coding experience

Home Health: Understanding Case Mix and PDGM is appropriate for coders, intake staff, clinicians, and any other Home Health Agency staff who require detailed knowledge of these topics.

The level of effort to complete this course, start to finish, is equivalent to 1 CEUs and should take you approximately 1-3 hours to complete. Remember: You have access to the course materials for the full 4-week enrollment period and we encourage you to re-review any materials that are helpful to you.

This course has been approved for continuing education units (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.

This program has the prior approval of AAPC for continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

  • Online course promotes engagement with challenging materials while offering independent self-study.
  • Final assessment ensures mastery of material.
  • Online Flexibility! Materials available via secure Learning Management System (LMS). Work at your own pace — save time and travel costs.
  • Earn Libman Education Certificate of Completion and CEUs.
  • To receive CEU credit, students must achieve a passing rate on the course assessment(s).
  • Course is self-paced. For planning purposes, assume 1-3 hours required for each CEU.
  • Unlimited course access during enrollment period. For courses offering greater than one CEU, enrollment period is 16 weeks. For courses offering one or fewer CEUs, enrollment period is 4 weeks. Courses purchased as a bundle or package may have a longer enrollment period.
  • Extensions to the enrollment period are available. Contact Libman Education for pricing.
  • Price listed is per person/per course. Group rates available upon request.

Special pricing available for groups. Train your entire team!

How Many In Your Group? Group Discount %
1 Retail Price
2-4 5% Discount
5-20 10% Discount
21+ Contact Us for Your Custom Price Quote:
[email protected]

Joan L. Usher, BS, RHIA, HCS-D, ACE
AHIMA Approved ICD-10-CM Trainer

Joan is President of JLU Health Record Systems, a leader in Health Information Management and coding solutions. A nationally recognized expert in the field of health information management, Joan has taught coding for over 25 years and has educated over 20,000 people nationwide. She is author of the JLU Rapid Reference Coding Guide, an easy-to-use coding guide in ICD-10 for common home health diagnoses, and author or editor of numerous courses, books and articles on coding, reimbursement methods, clinical documentation improvement, and health record requirements.

“The quality of the courses that Libman presents is excellent” — Pamela S., RN, BSN, MSN, CCDS, Director, Clinical Documentation Improvement, Sharp Healthcare

“Libman has actually made education fun.” — Charlotte Bumgarner

“I wanted to extend my sincere gratitude for working with us on the training sessions and assessments. You have been very accommodating, patient, and very accessible with us as we worked together on providing our coding team with the materials needed to make our team stronger with E/M guidelines and leveling.” — Diane Torres, CPC, Manager, Professional Coding, Southcoast Health

“I tell everyone about Libman. I find that you have a very wide variety of choices in education that is actually needed and not so many things that aren’t really needed and can be mind boggling just trying to sift through it. Your website is well organized and everything offered is so well laid out and very informative as far as what you are getting, what I need and a very thorough write-up on everything offered. I’m so thrilled to have found your site!” — Sharon T

“I truly thank you Libman Group for your wonderful courses that have contributed to my success.” — Leslie Jay Corn, CCS, CPC, CCA/ER Coding Analyst/Boston Medical Center OR LogixHealth

“I’m pleasantly surprised at your response … really didn’t think I would receive anything at all, so, thank you! I believe that alone says a lot for Libman Education. I would recommend you to other coding professionals.” — Jennifer Jones, CPC

“LOVEEE Libman! Very happy with the classes I’ve taken.” — Linda C.

“I love the courses at Libman Education.” — Joanne S., CCS

“Libman has exceeded my expectations so far in every way, with the content of courses, but the hands on with the instructors is one of the best and most genius things to offer! All other companies I’ve seen in my 12 years in this field do not offer this invaluable service with their education. Answers to questions on education content is something that was desperately needed, but to my knowledge, it was/is not offered anywhere else and this is what sets Libman apart from the rest. Also, your high quality education and very knowledgeable instructors.” — coding student

“Any of Libman Education’s courses are worth time and cost. Always walk away with a useable, clarity or reinforcement of subject matter.”

“I greatly appreciate this support and outstanding customer service!” — former student

“Thanks again – you really make this easy and I appreciate how accommodating and understanding you are to meet our needs.” — Winnona V., MHA, RHIA, CDIP, CCS, CCS-P

“Thank you for all your help. Your team has always been open and dependable for clear advice and guidance. … [Y]our group has always shown they care about the student.” — former student

“I really appreciate your excellent resources and have benefited from them.” — Joette C., CCA


There are no reviews yet.

Be the first to review “Home Health: Understanding Case Mix and PDGM”

Your email address will not be published. Required fields are marked *

You might also find this helpful…

  • Home Health CM

    Home Health: Comprehensive Home Health Coding


    Accurate coding under patient driven groupings model (PDGM) requires an increased skill set and knowledge of ICD-10 coding guidelines and conventions. With a change in the no-pay Request for Anticipated Payment (RAP) requirements, the timing and accuracy of coding plays an increasingly important role.

    Home Health: Comprehensive Home Health Coding, by nationally-recognized Home Health coding expert Joan L. Usher, BS, RHIA, HCS-D, ACE, provides a comprehensive overview of home health coding.

    This four‐part webinar series, each webinar is 90 minutes in length, covers:

    • Overview of ICD-10- CM code structure and Coding Conventions
    • Mastery of Coding Guidelines necessary for proper code assignment and sequencing
    • Comprehensive review of Chapter Specific Guidance for coding of primary and secondary diagnoses
    • Focused attention on coding challenges coders face
    • Test Your Knowledge cases to demonstrate practical learning
  • CEUs

    ICD-10-CM: Selected Guidelines for Coding and Reporting


    Correct understanding and application of ICD-10-CM guidelines are essential to anyone concerned with accurate, complete, and defensible coding of diagnoses. Great for coders, Clinical Documentation Improvement Specialists, or anyone interested in knowing more about the guidelines that guide diagnosis code selection.

    “ICD-10-CM Official Guidelines for Coding and Reporting” is a set of rules developed to accompany and complement the official conventions and instructions provided within ICD-10-CM.  Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA).

    Libman Education’s ICD-10-CM: Selected Guidelines for Coding and Reporting provides detailed instruction on application of conventions and general guidelines as well as selected guidelines most often misunderstood.

    • Conventions for the ICD-10-CM
    • General Coding Guidelines
    • Chapter 1: Certain Infectious and Parasitic Diseases
    • Chapter 2: Neoplasms
    • Chapter 9: Diseases of the Circulatory System
    • Chapter 15: Pregnancy, Childbirth, and the Puerperium
    • Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes; External Causes of Morbidity and Factors Influencing Health Status

    Libman Education’s ICD-10-CM: Selected Guidelines for Coding and Reporting provides a comprehensive review and explanation of select guideline topics to improve understanding and accuracy in application:

    • Review of all the guidelines that pertain to the section or chapter
    • Commentary explaining application of the guidelines and challenges presented
    • Examples from both the Alphabetic Index and Tabular List
    • Practice examples demonstrating application of the guidelines
    • 5- or 10-question assessment following the lesson to ensure content is being mastered