Coding & Billing Tools
Bright Art ConceptsDigital download
Coding & Billing Tools
PDPM HIPPS Code Calculator for Excel | 2026 Skilled Nursing MDS Workbook and Per Diem
$19.99 · In stockProduct details updated September 12, 2026. Taxes, if applicable, are calculated at Etsy checkout.
Turn coded MDS and claim facts into a transparent candidate FY 2026 PDPM classification—with the reasoning preserved.
FY 2026Five-character HIPPSExcel + Sheets
Built for MDS coordinators, reimbursement teams, auditors, consultants, and educators who need the reasoning behind each candidate PDPM component preserved.
Educational workflow support only. Produces a candidate result; professional review, current-source verification, and CMS validation remain required.
View on EtsySee current price, files, and availabilityCheckout and order support are completed on Etsy.
Product details
Turn coded MDS and claim facts into a transparent candidate FY 2026 PDPM classification—with the reasoning preserved.
This professional workflow workbook helps skilled-nursing teams calculate and review:
• Default and surgery-adjusted clinical category • Separate therapy and nursing Section GG scores • PT, OT, SLP, nursing and NTA classifications • Candidate five-character HIPPS code • Component case-mix indexes and variable per-diem factors • Optional educational federal per-diem estimate • Plain-language audit trail for every HIPPS character
YOU RECEIVE
• Polished 14-tab Microsoft Excel reference workbook • Version-matched Google Sheets compatibility edition • PDF user guide and QA/source/update notes • 15 fictional worked resident scenarios • Embedded checks and annual-update framework
Built from final FY 2026 CMS materials for Medicare Part A SNF PPS 5-Day and IPA workflows. FY 2027 information is intentionally excluded from the calculation ruleset. Automated regression matched 1,590 of 1,590 official CMS Grouper v2.4000 component sample cases; expanded release testing passed 401 of 401 mapping, boundary and schedule checks.
Excel is the reference edition. No macros, VBA, Power Query or external links are required. Do not enter protected health information.
UPDATES & LICENSE
Free updates: re-download the latest files anytime from your Etsy Purchases page. I will message buyers about major changes. License is for personal use only; resale or redistribution is not permitted.
IMPORTANT: This independent product is educational workflow support only. It is not affiliated with or approved by CMS or HHS and is not billing, coding, legal, clinical, reimbursement or compliance advice. It produces a candidate result; professional review, current-source verification and CMS validation remain required.
CPT is a registered trademark of the American Medical Association. This product is independent and is not affiliated with, endorsed by, or certified by the AMA or CMS.
Digital product—no physical item will be shipped.
Product preview
See it in motion
A silent product demonstration of the FY 2026 PDPM workflow, candidate HIPPS result, component classifications, and audit rationale.
Playback starts only when you choose it. No autoplay and no Etsy request is made.
