2026 ICD-10-CMS and Grouper Updates: Safeguarding Reimbursement Webinar

This 3-hour session provides a comprehensive overview of the FY 2026 ICD-10-CM code updates and the CY 2026 proposed changes to the PDGM grouper. With 487 new codes, 38 revisions, and 28 deletions, the ICD-10-CM update introduces significant changes that affect diagnosis coding, comorbidity adjustments, and clinical groupings. Participants will explore how these updates intersect with the proposed recalibration of PDGM case-mix weights, comorbidity subgroups, and functional scoring. Participants will explore changes to clinical groupings, comorbidity adjustments, and functional scoring, while working through real-world scenarios using the PDGM grouper. Designed for clinicians, coders, and administrators, this session will strengthen your ability to code accurately, optimize reimbursement, and ensure compliance in 2025 and beyond.

Session Objectives:

By the end of this session, participants will be able to:

1. 1. Describe the FY 2026 ICD-10-CM updates, including new, revised, and deleted codes, and explain their relevance to home health coding and documentation.
   2. Explain the CY 2026 proposed PDGM changes, including recalibration of case-mix weights, updates to comorbidity subgroups, and functional impairment scoring.
   3. Apply updated coding guidance using case-based examples and the PDGM grouper to determine HIPPS codes and assess the impact of comorbidity interactions on reimbursement

As the Vice President of Clinical Services at McBee, Lisa Selman-Holman brings over 35 years of unparalleled expertise in home health and hospice care. A registered nurse and home care attorney, Lisa is a specialist in regulatory compliance. Her career spans various roles, from field nurse to executive, where she has adeptly managed accreditation surveys, acquisitions, and regulatory challenges.

In 2004, Lisa founded Selman-Holman & Associates, a consulting firm providing coding and OASIS review services. Renowned for her educational prowess, Lisa has a talent for transforming challenges into achievements. Since joining McBee in 2021, she has spearheaded education initiatives at the Post-Acute Academy, delivering comprehensive courses for home health and hospice staff and executives, covering clinical, regulatory, and onboarding requirements.

In her current role, Lisa oversees the clinical aspects of consulting projects, offering expert guidance on clinical operations, quality improvement, patient care standards, and regulatory compliance. She also plays a pivotal role in business development, identifying potential clients and crafting consulting proposals tailored to their clinical needs.