IPPS: FY 2026 Updates: Final Rule

IPPS: FY 2026 Updates: Final Rule

Kathy Fennick, RHIA, CCS, CDIP

$99.00

IPPS: FY 2026 Updates: Final Rule covers the significant changes in the Final Rule for the Inpatient Prospective Payment System (IPPS) for discharges October 1, 2025 or later.  This online, on-demand course covers both DRG and coding changes and provides insight into the underlying issues driving the changes.

CEUs:  1    1 AHIMA    1 AAPC
Included in eLearning Library. Price per person. Group rates available.
SKU: 1002 Categories: , , , , ,
Subscription Duration: 16 weeks
Product Description: LEI Online Training Materials

Overview

IPPS: FY 2026 Updates: Final Rule covers the significant changes in the Final Rule for the Inpatient Prospective Payment System (IPPS) for discharges October 1, 2025 or later.  Both DRG and coding changes are covered and provides insight into the underlying issues driving the changes.

MS-DRGs Changes

  • Changes to DRG classifications by Major Diagnostic Category (MDCs
  • Recalibration of MS-DRG weights
  • FY 2026 New Technology Add-on Payments

ICD-10-CM and ICD-10-PCS Changes

  • New codes, revised codes, and deleted codes
  • Major Complications and Comorbidities (MCCs)
  • Complications and Comorbidities (CCs)
  • MCC/CC exclusions
  • Surgical hierarchy

Other Changes

  • FY 2026 New Technology Add-on Payments
  • Wage Index revisions and market basket updates
  • Post-acute care transfer and special payment policies
  • Hospital readmission reduction measures
  • Transforming Episode Accountability Model (TEAM)
  • Shift toward Pay-For-Performance and Value-Based Care
  • Conditions included in the TEAM model

IPPS: FY 2026 Updates: Final Rule covers the significant changes in the Final Rule for the Inpatient Prospective Payment System (IPPS) for discharges starting October 1, 2025

MS-DRGs

  • Changes to DRG classifications by Major Diagnostic Category (MDCs)
  • MDC 01 – Diseases and Disorders of the Nervous System
    • MS-DRGs 23-27
    • MS-DRGs 20-22
    • Other MDC 01 updates
  • MDC 05 – Diseases & Disorders of the Circulatory System
    • MS-DRG 213
    • MS-DRG 359-360
    • MS-DRG 209
  • MDC 08 – Diseases & Disorders of the Musculoskeletal System
  • Recalibration of MS-DRG weights

ICD-10-CM and ICD-10-PCS Changes

  • New codes, revised codes, and deleted codes
  • Proposed MCC and CC changes

Other Changes

  • FY 2026 New Technology Add-on Payments
  • Wage Index revisions and market basket updates
  • Post-acute care transfer and special payment policies
  • Hospital readmission reduction measures
  • Transforming Episode Accountability Model (TEAM)
  • Shift toward Pay-For-Performance and Value-Based Care
  • Conditions included in the TEAM model

 

The level of effort to complete this course, start to finish, is equivalent to 1 CEU and should take you approximately 1-3 hours to complete. Remember: You have access to the course materials for an extended 16-week enrollment period and we encourage you to re-review any materials that are helpful to you.

Certificate of Completion
Upon successful completion of the course work, student will be able to download a Libman Education Certificate of Completion. The Certificate of Completion will list the course as awarding 1 CEU.

AHIMA: 1 CEU
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.

AAPC: 1 CEU
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.

  • WebinarPlus™ multimedia and interactive online training format promotes engagement with challenging materials while offering independent self-study.
  • Knowledge checks and/or final assessment ensure 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 16-week enrollment period. Purchase two or more Code Update courses and receive full-year enrollment.
  • Extensions to the enrollment period are available.
  • Price listed is per person/per course. Group rates available upon request.

Kathy Fennick, RHIA, CCS, CDIP

Kathy Fennick is a seasoned healthcare executive with over 30 years of experience in coding operations and revenue management. Most recently serving as the Associate Vice President of Coding Operations at Geisinger Health System in Danville, PA, Kathy was instrumental in developing and executing strategic plans to support revenue management and clinical enterprises. She oversaw coding operations for both professional and hospital settings, leading a team of 195 employees across seven hospitals.

Kathy’s leadership extended to chairing the Quality & Documentation Executive Steering Committee and the System Middle Revenue Cycle team, focusing on charge capture processes. She was a key member of the Denial Reduction Task Force and the EPIC Optimization team. Her efforts in provider education and quality assurance significantly improved documentation and coding accuracy, earning her team a Gold Star classification from EPIC.

Prior to her role at Geisinger, Kathy was the Director of Coding at Stanford Hospital and Clinics in Palo Alto, CA. There, she developed and implemented the ICD-10-CM/PCS coder training plan and created a pre-bill coding quality program. Her collaboration with clinical documentation teams led to substantial improvements in patient care and documentation, particularly in areas such as CHF and sepsis.

Kathy holds credentials as a Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), and Certified Documentation Improvement Practitioner (CDIP). Her extensive experience and dedication to excellence make her a valuable asset in the healthcare industry.

Kathy can be reached at kfennick@gmail.com or via LinkedIn at https://www.linkedin.com/in/kathyfennickrhiaccs

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