DxLogic

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DxLogic PAC

Logic that moves decisions forward

build 2026-05-13 · HH-gated PDGM

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Select a code from the list to see PDGM context, HCC mapping, and your notes.

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Home Health PDGM Calculator · CY 2026

Calculates HIPPS/HHRG, case-mix weight, wage-adjusted standard payment, HHVBP adjustment, sequestration, and LUPA estimate from the embedded 2026 HHRG workbook.

Episode Inputs

Clinical Group + Functional Level

Timing + Admission Source

Comorbidity Adjustment

FIPS / County

Quality Data Payment Reduction?

HHVBP Adjustment %

Standard LUPA Add-On Discipline

Sequestration

Tip: If you do not know the functional level, start with the level shown by the grouper or OASIS scrubber. The calculator also accepts a county name or 5-digit FIPS for wage index lookup.