The aging baby boom generation is fueling a 75% increase in the number of adults age 65 and older. By 2034, for the first time in U.S. history, seniors will outnumber children. Additionally, upwards of 90% of seniors are choosing to “age in place," in their homes. With this trend, the demand for home health coders is expected to grow by another 36% over the next ten years.
Coding and reimbursement for home health agencies (HHAs) changed dramatically in January 2020 with the implementation of the Patient-Driven Groupings Model (PDGM) — the case-mix classification system used to place care into payment categories. ICD-10-CM diagnosis coding now factors heavily into the case-mix system that sets HHAs payment level per patient.
The Home Health Coding Course will teach you the ins and outs of PDGM, including clinical episode management, OASIS, and ICD-10-CM coding for home health.
Education and experience requirements
Completion of a professional coding course or 1 year of ProFee coding experience is recommended.
Continuing education units (CEUs)
Approval for 8 CEUs upon successful course completion (one-time use only).
Course syllabus
Required books
CPT® Professional Edition (current year), AMA publisher
ICD-10-CM (current year), any publisher
Course format
This is an online self-paced instruction course. You get the flexibility to complete the course on your own time, at your own pace with on-demand training. Get the help you need from the certified coaching team at any point in your training via email.
Certificate of completion
Certificate issued upon completion with a 70% passing score.
Our Home Health Coding Course is recommended for medical coders interested in specializing in home health or any HH coding veterans adjusting to PDGM’s replacement of therapy service thresholds.
Learn billing and regulatory concepts relevant to home health
Review ICD-10-CM guidelines and common diagnoses for home health
Explore the PDGM and its impact on coding and OASIS-D