AHCC Talk

In this episode of AHCC Talk, host Jan Milliman, HCS-D, is joined by J’non Griffin, RN, MHA, HCS-D, HCS-H, HCS-C, COS-C, Director at SimiTree Healthcare Consulting, for a timely discussion on survey readiness for home health agencies.Jan and J’non break down the most common deficiencies identified by CMS, CHAP, ACHC, and TJC, including recurring issues around individualized plans of care, patient communication, documentation reliability, medication regimen review, infection control, and aide supervision.Listeners will learn why the same standards continue to appear year after year, how agencies can identify workflow gaps before surveyors arrive, and what a practical 90-day survey readiness plan can look like.✅ Jan Milliman, HCS-D, Director, AHCC✅ J'non Griffin, RN, MHA, HCS-D, HCS-H, HCS-C,COS-C, Director, SimiTree Healthcare ConsultingLinks Mentioned in the EpisodeReserve your spot at the Home Care Leadership Summit: decisionhealth.com/hcls2026 ⬇️ Downloadable slides from this discussion: https://ahcc.decisionhealth.com/media/1785/ahcc-talk-episode-91-handouts.pdf📧Have a question, episode request, or suggestionsfor a future panel guest? Email Jan at [email protected]

In this episode of AHCC Talk, host Jan Milliman is joined by coding experts Celeste Miller and Apryl Swafford to walk through real-world coding challenges that home health professionals face every day.From respiratory conditions and sepsis to trauma and complex post-surgical infections, this episode breaks down how to approach difficult scenarios with confidence—while staying aligned with official coding guidance.What you’ll learn:How to code COPD with exacerbation and concurrent conditionsKey considerations for sepsis with resolved acute conditionsDocumentation pitfalls in fracture codingHow to approach post-procedural infections and osteomyelitisClarifications on Face-to-Face requirementsWhat to do when a recertification OASIS is completed outside the allowed windowEach scenario is designed to sharpen your coding accuracy and help you apply guidelines to complex patient cases. ✅ Jan Milliman, HCS-D, Director, AHCC✅ Celeste Miller, RN, BS, HCS-D, HCS-O, Executive Director of Quality Assurance, Aegis Healthcare✅ Apryl Swafford, RN, BSN, COS-C, HCS-D, HCS-H, HCS-O, QA Manager, SimiTree Healthcare ConsultingLinked Mentioned in the EpisodeDownloadable slides from this discussion: https://ahcc.decisionhealth.com/media/1783/ahcc-talk-episode-90-handouts.pdfLearn more about AHCC: https://ahcc.decisionhealth.com/?utm_source=spotify&utm_medium=podcast&utm_campaign=dhbmscahcc&utm_content=ahcc_talk_spotifyHome Care Leadership Summit (May 19–21, Orlando): https://store.decisionhealth.com/home-care-leadership-summit?utm_source=spotify&utm_medium=podcast&utm_campaign=hcls_2026&utm_content=ahcc_talk_spotify

In this episode of AHCC Talk, we break down the face-to-face (F2F) requirement for home health—a critical condition of payment tied to compliance and reimbursement.Learn what qualifies as a valid encounter, who can perform it, and how to avoid the most common documentation mistakes that lead to denials.We also cover timing rules, telehealth updates through 2027, and practical strategies to ensure your agency stays compliant and audit-ready.Perfect for coders, clinicians, and compliance professionals navigating home health regulations.This episode's panel includes:✅ Jan Milliman, HCS-D, Director, AHCC✅ Lisa Selman-Holman, JD, BSN, RN, HCS-D, HCS-H,HCS-O, COS-C, Vice President of Clinical Services, McBee✅ Lisa McClammy, BSN, RN, COS-C, HCS-D,HCS-O, Senior Clinical Education Consultant, MAC LegacyLinks Mentioned in the Episode 🔗 § 424.22 Requirements for home health services. https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-424/subpart-B/section-424.22 🔗 A Rule by the Centers for Medicare & Medicaid Services on 12/02/2025: https://www.federalregister.gov/documents/2025/12/02/2025-21767/medicare-and-medicaid-programs-calendar-year-2026-home-health-prospective-payment-system-hh-pps-rate🔗 Palmetto GBO: Home Health Face to Face Checklist: https://dominoapps.palmettogba.com/palmetto/providers.nsf/files/Home_Health_Face_to_Face_Checklist.pdf/$FILE/Home_Health_Face_to_Face_Checklist.pdf 🔗 Join us May 19-21 at the Home Care Leadership Summit in Orlando, FL: decisionhealth.com/hcls2026 🔗 Join us for the next live airing of AHCC Talk: https://attendee.gotowebinar.com/register/2224811617290518541?source=yt🔗 Learn more about AHCC and how to become a member:store.decisionhealth.com/join-ahcc🔗 NEW BOOK: Home Health Guide to Crafting a Compliant Plan of Care, 1st Edition: ⁠https://store.decisionhealth.com/2026-plan-of-care-guide⁠⬇️ Downloadable slides from this discussion: https://ahcc.decisionhealth.com/media/1774/ahcc-talk-episode-89-handouts.pdf📧Have a question, episode request, or suggestions for a future panel guest? Email Jan at [email protected]

In this episode of AHCC Talk, our expert panel discusses how to create and implement a compliant and individualized plan of care (POC).Learn how to:Meet Conditions of Participation requirementsDevelop meaningful goals and interventionsAvoid common plan of care audit risksIndividualize care plans for better outcomesApply real-world POC examplesThe discussion includes practical scenarios and guidance to help clinicians and agencies strengthen documentation and compliance.✅ Jan Milliman, HCS-D, Director, AHCC✅ Sherri Parson, RN,. HCS-D, HCS-O, COS-C, CEO,Infusion Health✅J'non Griffin, RN, MHA, HCS-D, HCS-H,COS-C, Direction, SimiTree Healthcare ConsultingLinks Mentioned in the Episode  🔗 NEW BOOK: Home Health Guide to Crafting a Compliant Plan of Care, 1stEdition: https://store.decisionhealth.com/2026-plan-of-care-guide🔗Home Health J1800/J1900 Errata: https://www.cms.gov/files/document/oasis-e1-guidance-manual-errata-fmi-items.pdf🔗October 2025 CMS Quarterly OASIS Q&As: https://qtso.cms.gov/system/files/qtso/CMS_OAI_Qtr_4_2025_QAs_October_2025_508c.pdf🔗Join us May 19-21 at the Home Care Leadership Summit in Orlando, FL: decisionhealth.com/hcls2026 🔗Join us for the next live airing of AHCC Talk on March 16 at 1pm EST: https://register.gotowebinar.com/#register/2224811617290518541?source=podcast🔗 Learn more about AHCC and how to become a member:store.decisionhealth.com/join-ahcc ⬇️ Downloadable slides from this discussion: https://ahcc.decisionhealth.com/media/1773/ahcc-talk-episode-88-handouts.pdf 📧Have a question, episode request, or suggestionsfor a future panel guest? Email Jan at [email protected]

Falls are receiving greater scrutiny than ever before—and with the introduction of the new Falls with Major Injury (FMI) Outcome, accurate assessment, scoring, and documentation matter more than ever. In this episode, our expert panel breaks down what’s changed, why it matters, and how clinicians and agencies should respond. From OIG findings and CMS definition updates to practical scoring tips for OASIS items J1800 and J1900, this discussion connects regulatory guidance to real-world clinical scenarios.You’ll also learn how the FMI outcome is calculated, how risk adjustment works, and why the new methodology tells a different story about falls data—plus how agencies can focus on prevention without over- or under-reporting.✅ Jan Milliman, HCS-D, Director, AHCC✅ Lisa Selman-Holman, JD, BSN, RN, HCS-D✅ Kelly Kavanaugh, RN, HCS-D, HCS-O, HCS-H Links Mentioned inthe Episode  🔗 OASIS E1 Manual: https://www.cms.gov/files/document/draft-oasis-e1-manual-04-28-2024.pdf🔗OASIS Quarterly Q&As October 2025:https://qtso.cms.gov/reference-and-manuals/oasis-quarterly-q🔗OASIS Static Q&As: https://qtso.cms.gov/providers/home-health-agency-hha-providers/reference-manuals🔗All OASIS materials can be found at: https://qtso.cms.gov/providers/home-health-agency-hha-providers/reference-manuals🔗Home Health - Falls with Major InjuryRespecification: Technical Specification Reporthttps://www.cms.gov/files/document/fmi-technical-specification-report-hh.pdf-0List of codes found in Appendix B and Appendix C🔗Home Health J1800/J1900 Errata: https://www.cms.gov/files/document/oasis-e1-guidance-manual-errata-fmi-items.pdf🔗Join us for the next live airing of AHCC Talk on February 23 at 1pm EST: https://register.gotowebinar.com/#register/2224811617290518541?source=podcast🔗 Learn more about AHCC and how to become a member:store.decisionhealth.com/join-ahcc ⬇️ Downloadable slides from this discussion: https://ahcc.decisionhealth.com/ahcc-talk-episode-87-updates-for-classifying-falls-in-home-health/ 📧Have a question, episode request, or suggestionsfor a future panel guest? Email Jan at [email protected]

In this episode of AHCC Talk, we break down what Medicare expects when it comes to medical necessity at recertification — and where agencies most often fall short. Host Jan Milliman, HCS-D is joined by Lisa McClammy, BSN, RN, COS-C, HCS-D, HCS-O, Senior Clinical Education Consultant at MAC Legacy, to discuss:What documentation must show to justify continued skilled careKey elements that support recertification and homebound statusCommon documentation gaps that put agencies at riskPractical examples of when skilled services are — and are not — reasonable and necessaryHow progress to goals, functional status, and risk factors support complianceThis episode also features a Scenario Spotlight focused on OASIS M1033.1 - History of Falls, helping listeners apply guidance to real-world documentation decisions.Links Mentioned in the Episode 🔗 AHCC certification study guides: decisionhealth.com/studyguides 🔗 If you're an AHCC member, register for the AHCC Member's Call on January 28 at 1pm EST: https://register.gotowebinar.com/register/8915984221266150240🔗 Learn more about AHCC and how to become a member:store.decisionhealth.com/join-ahcc⬇️ Downloadable slides from this discussion: https://ahcc.decisionhealth.com/ahcc-talk-episode-86-medical-necessity-at-recert/  📧Have a question, episode request, or suggestionsfor a future panel guest? Email Jan at [email protected]

On this episode of AHCC Talk, our panel dives into diagnosis coding for hospice and how to accurately complete the Hospice Outcomes & Patient Evaluation (HOPE) tool, with a focus on Section I: Active Diagnoses. You’ll hear discussion of real-world charts, CMS guidance, and HOPE scenarios so you can feel more confident about aligning your claims, assessments, and documentation.Our Panel✅ Jan Milliman, HCS-D, Director, AHCC✅ Kelly Kavanaugh, RN, HCS-D, HCS-H,HCS-O, BCHH-C, Independent Home Health and Hospice Consultant owner of The OTBGroup✅ Lisa Selman-Holman, JD, BSN, RN, VP Education andQuality, McBeeLinks Mentioned in the Episode 🔗 HOPE Assessment Tool: All About Active Diagnoses(CHAP): https://chapinc.org/blog-news/hope-assessment-tool-active-diagnoses/🔗 Register now for the Home Care Leadership Summit happening in Orlando, FL from May 19-21, 2026decisionhealth.com/hcls2026 🔗 Free Webinar: HOPE Tool Training for Easy, Compliant Rollout https://web.hcpro.com/hope-training-tool 🔗 Learn more about AHCC and how to become a member:store.decisionhealth.com/join-ahcc ⬇️ Downloadable slides from this discussion: https://ahcc.decisionhealth.com/ahcc-talk-episode-85-diagnosis-coding-and-the-hospice-hope-tool/ 📧Have a question, episode request, or suggestions for a future panel guest? Email Jan at [email protected]

What truly defines a skilled service in home health—and why does it matter so much for compliance, reimbursement, and patient outcomes?In this episode, host Jan Milliman, HCS-D, is joined by J'non Griffin, RN, MHA, HCS-D, HCS-H, HCS-C, COS-C and Apryl Swafford, RN, BSN, COS-C, HCS-D, HCS-H, HCS-O, both from SimiTree Healthcare Consulting, to break down how Medicare defines skilled service and what agencies need to document to defend it. From medical necessity to top denial drivers, this conversation covers the fundamentals every home health professional must master.Whether you're a new clinician or a seasoned leader, this practical discussion will help you avoid pitfalls, strengthen documentation, and ensure services meet key requirements.Links Mentioned in the Episode 🔗Medicare Benefit Policy Manual, Ch. 7 - Home Health Services: https://www.cms.gov/regulations-and-guidance/guidance/manuals/downloads/bp102c07.pdf 🔗Learn More About AHCC credentials: decisionhealth.com/credentials 🔗 If you're an AHCC Member, please take the Member Survey!: https://www.surveymonkey.com/r/7SKBX2J⬇️ Downloadable slides from this discussion: https://ahcc.decisionhealth.com/ahcc-talk-episode-84-defining-skilled-need/ 📧Have a question, episode request, or suggestionsfor a future panel guest? Email Jan at [email protected]

Join host Jan Milliman, HCS-D (Director, AHCC) with AHCC Advisory Board members Lisa Selman-Holman, JD, BSN, RN, HCS-D, COS-C and Sherri Parson, RN, HCS-D, HCS-O, HCS-H, COS-C as we break down what’s new for FY2026—what changed, what matters, and how to apply it correctly in home health and beyond.In this episode:Code transition implications for billing and documentationSpecialty impacts (including hospice)Tabular/Index updates and notable new concepts (e.g., E11.A T2DM in remission)Obesity guidance (April 2025) + Coding Clinic Q1 2025 notesHigh-impact condition areas: hypercholesterolemia, multiple sclerosis, muscular dystrophyHypertensive heart disease changes + new guideline and examplesWound and skin updates (L98.4 and related ulcer coding)COPD + other chronic bronchitis clarificationsAnatomy/site updates (e.g., flank), pelvis reclassification to M80.0BMedication and risk concepts (fluoroquinolones, genetic susceptibility)Real-world scenario spotlights and an AHCC product/member updateCHAPTERS1:29 Code Transition2:15 What This Means for Billing3:15 What About Hospice?3:46 Inflammatory Breast Carcinoma4:36 Tabular and Index Updates5:29 E11.A – T2DM without complications in remission7:10 E11.A Guideline7:29 Diabetes Mellitus with Venous Insufficiency8:40 Obesity – new guideline (Apr 2025), Coding Clinic Q1 20259:32 Hypercholesterolemia10:08 Multiple Sclerosis12:12 Muscular Dystrophy13:24 Big Changes to Hypertensive Heart Disease14:39 New Guideline – Hypertension with Heart Disease16:16 HTN Examples17:21 L98.4 – Non-pressure chronic ulcer of skin, NEC18:22 Related to Ulcer Codes20:10 COPD with Other Chronic Bronchitis21:16 Flank added as a new anatomic site22:13 Pelvic parts moved to M80.0B Pelvis23:06 Fluoroquinolones24:05 Genetic Susceptibility25:47 Scenario Spotlight26:06 August Scenario27:52 August Scenario Answer28:40 September Scenario29:30 Product Spotlight: Home Health Pro30:00 What’s New with AHCC: Advisory Board Update; Member SurveyRESOURCES & LINKSCMS ICD-10-CM code files: https://www.cms.gov/medicare/coding-billing/icd-10-codesLearn more about Home Health Pro: decisionhealth.com/homehealthproAHCC Member Survey: https://www.surveymonkey.com/r/7SKBX2JDownload the slides from this episode: https://ahcc.decisionhealth.com/ahcc-talk-episode-83-fy2026-coding-update/Questions, topic requests, or guest suggestions? Email Jan Milliman: [email protected]🎧 If you found this episode helpful, follow AHCC Talk and share it with your team!

Get clarity on the latest CMS OASIS updates—straight from the experts.In this episode of AHCC Talk, Jan Milliman and Lisa McClemmy break down the July 2025 CMS OASIS Quarterly Q&As, offering practical guidance on comprehensive assessment, OASIS data set items, and documentation for skilled services. You’ll also hear scenario discussions, a product spotlight, and the latest updates from AHCC.Resources Mentioned:📄 July 2025 CMS Quarterly Q&As🎓 Start your 14-day free trial of Home Health Coding Center👥 Learn more about AHCC membership⬇️ Download slides from this episode

Big changes are coming to hospice quality reporting. In this episode of AHCC Talk, host Jan Milliman is joined by expert panelist Nanette Minton to break down CMS’ new HOPE tool, which will fully replace HIS starting October 1, 2025. You’ll learn what’s required for each HOPE visit, how it impacts compliance and QAPI, and how to navigate new quality measures like pain reassessment. The episode also includes real-world coding and OASIS scoring scenarios to help you prepare.Our panel includes:✅ Jan Milliman, HCS-D, Director, AHCC✅ Nanette Minton, RN, HCS-D, HCS-H, HCS-O, Senior Clinical Coding Manager, MAC Legacy Links Mentioned in the Episode 🔗 Learn more about the Payment & Compliance Virtual Summit: decisionhealth.com/pcvirtual🔗New ways to earn CEUs: https://ahcc.decisionhealth.com/ahcc-blog/more-ways-to-earn-ahcc-ceus🔗 Learn more about AHCC and how to become a member:store.decisionhealth.com/join-ahcc

Compliant queries in home health don’t have to be complicated. In this episode, our expert panel covers best practices, guidelines, and real-world scenarios to help you query smarter and stay compliant. Hear from Jan Milliman, Sherri Parson, and Christine Mickel as they share insights and answer practical questions.🔗 Resources MentionedGuidelines for achieving a compliant query practice (ACDIS): https://acdis.org/resources/guidelines-achieving-compliant-query-practice%E2%80%942022-updatePayment & Compliance Virtual Summit: decisionhealth.com/PCVirtualLearn more about AHCC membership: store.decisionhealth.com/join-ahcc 📄 Download episode slides: https://hcpro-catalog.s3.dualstack.us-east-1.amazonaws.com/DecisionHealth/AHCC/AHCC_Talk_Slides/2025/ahcc-talk-episode-80-handouts.pdf📧 Questions or suggestions?Email Jan Milliman: [email protected] Mentioned in the Episode🔗Guidelines for achieving a compliant query practice: https://acdis.org/resources/guidelines-achieving-compliant-query-practice%E2%80%942022-update🔗Payment & Compliance Virtual Summit registration: decisionhealth.com/PCVirtual🔗 Learn more about AHCC and how to become a member: store.decisionhealth.com/join-ahcc⬇️ Downloadable slides from this discussion: https://hcpro-catalog.s3.dualstack.us-east-1.amazonaws.com/DecisionHealth/AHCC/AHCC_Talk_Slides/2025/ahcc-talk-episode-80-handouts.pdf📧Have a question, episode request, or suggestions for a future panel guest? Email Jan at [email protected]

On this episode, the panel discusses functional statis versus self-care by comparing and contrasting M1800 function items versus GG0130 self-care items. This month's panel includes:Jan Milliman, HCS-D, Director, AHCCApryl Swafford, RN, BSN, COS-C, HCS-D, HCS-H, HCS-O, QA Manager, SimiTree Healthcare ConsultingNanette Minton, RN, HCS-D, HCS-H, HCS-O, Senior Clinical Coding Manager, MAC LegacyLinks Mentioned in the EpisodePrintout of slides (including April and May scenarios) Chapters1:31 Functional status vs. self-care: comparing and contrasting M1800 functional items versus GG0130 self-care items1:40 Basics of guidance4:32 Conventions for M1800 items5:31 Conventions for GG self-care and mobility items7:53 Grooming (M1800 grooming, GG0130B oral hygiene)9:24 Scenario11:28 Upper body dressing (M1810 upper body dressing, GG0130F upper body dressing)12:40 Scenario14:45 Lower body dressing (M1820 lower body dressing, GG0130G lower body dressing)16:17 Lower body dressing (M1820 lower body dressing, GG0130H footwear)17:01 Scenario19:33 Bathing (M1830 bathing, GG0130E bathing)20:54 Scenario22:58 Toileting hygiene (M1845 toileting hygiene, GG0130C toileting hygiene)24:51 Scenario27:17 Eating (M1870 eating, GG0130A eating)28:51 Scenario30:33 Scenario Spotlight: April coding practice scenario answer34:26 May practice scenario35:10 Product spotlight: Home Health Payment and Compliance Virtual Summit (Sept. 9-10, 2025)35:51 What's new with AHCC?

On this episode, the panel gives a coding update, including hospice invalid principal diagnosis codes list update, a CMS update to Medicare claims, and the answer to the March coding scenario.This month's panel includes:Jan Milliman, HCS-D, Director, AHCCNanette Minton, RN, HCS-D, HCS-H, HCS-O, Senior Clinical Coding Manager, MAC LegacyLinks Mentioned in the EpisodePrincipal Diagnosis Code Reporting Update for Hospice and Manual Updates to Sections 30.3, 40.2, and 50 of Chapter 11 of the Claims Processing Manual: Processing Hospice ClaimsChapters1:15 Hospice invalid principal diagnosis codes list updated6:32 CMS pointed out hospice agencies must also follow ICD-10-CM coding conventions in the ICD-10-CM, Tabular List, Alphabetic Index, and official coding guidelines9:19 CMS updated Medicare Claims, Processing Manual, Chapter 1111:22 Processing hospice claims - principal diagnosis code reporting update: Medicare claims processing manual, chapter 11, sections 30.3, 40.2 and 5011:48 Coordination and maintenance committee14:58 Proposed new codes for 202618:50 March OASIS practice scenario answer20:59 March OASIS practice scenario rationale22:37 April coding practice scenario24:00 What’s new with AHCC: AHCC Member's Webinar on May 15, 2025

On this episode, the panel discusses social determinants of health (SDoH), including its history, when to use different codes, and some sample coding scenarios.This month's panel includes:Jan Milliman, HCS-D, Director, AHCCSherri Parson, RN, HCS-D, HCS-O, HCS-H, COS-C, CEO, Infusion HealthKelly Kavanaugh, RN, HCS-D, HCS-H, HCS-O, BCHH-C, Home health and hospice consultant, owner of The OTB Group, Inc.You can download the show notes for this episode here: https://ahcc.decisionhealth.com/media/1735/ahcc-talk-episode-77-handouts.pdfLinks Mentioned in EpisodeOutcome and Assessment Information Set OASIS-E Manual: https://www.cms.gov/files/document/oasis-e-guidance-manual51622.pdf?gclid=1000Healthy People 2030: https://odphp.health.gov/healthypeopleAHCC Credential Holders Survey: https://www.surveymonkey.com/r/S6R8QYKChapters:(1:30) Intro on social determinants of health(1:55) Coding and SDoH - what do you need to know to assign SDoH codes?(2:28) Z55-Z65 socioeconomic and psychosocial circumstances(4:50) Scenario from February AHCC Talk(5:35) Answer to scenario(7:05) When to use Z60.2?(8:04) What is a social determinant of health (SDoH)?(8:53) The history of social determinants of care(10:45) Assistant Secretary reports to Congress(12:09) Watch out for personal bias!(14:36) OASIS-E SDoH items(15:37) Standardization of guidance(16:27) A1005 Ethnicity(17:59) Race(18:37) A1100 Language(19:32) Coding literacy SDoH codes(21:13) Health literacy(22:27) Impact of health literacy(24:08) Transportation(26:17) Assigning Z59.82 Transportation Insecurity(27:45) Social Isolation D0700(28:59) Coding Social Isolation(29:57) Next Steps(32:34) Scenario Spotlight: OASIS Practice Scenario (tune in next month for the answer!)(34:45) Resources(35:26) AHCC Member Discount: Save 20% on the ICD-10-CM Coding Companion(36:08) What's new with AHCC: AHCC Credential Holders Survey

On this special guest episode, DecisionHealth interviews two Home Health Coding Center super users to learn their thoughts about this online coding tool.This episode's panel includes: Steven Brust, Product Manager, eSolutionsTina Bursey, RN, HCS-O, HCS-D, Manager of Clinical Operations, HealthRev PartnersStephanie Donato, RN, HCS-O, HCS-D Manager of Clinical Operations, HealthRev PartnersExperience the Home Health Coding Center firsthand. Register for a Free Trial here: https://web.hcpro.com/hhcc-ft?utm_source=Web&utm_medium=Podcast&utm_campaign=DHHHCC&utm_content=FreeTrialLearn more about the benefits of Home Health Coding Center here: https://store.decisionhealth.com/application-tools?utm_source=Web&utm_medium=Podcast&utm_campaign=DHHHCC&utm

On this episode, the panel discusses face-to-face encounters, including three scenarios and F2F basics, as well as a review of the January 2025 OASIS Q&As and a scenario involving COPD.This month's panel includes:Jan Milliman, HCS-D, Director, AHCCNanette Minton, RN, HCS-D, HCS-H, HCS-O, Senior Clinical Coding Manager, MAC LegacyLisa McClammy, BSN, RN, COS-C, HCS-D, HCS-O, Senior Clinical Education Consultant, MAC LegacyYou can download the show notes for this episode here: https://ahcc.decisionhealth.com/ahcc-talk-episode-76-face-to-face-questions/

On this episode, the panel discusses potentially preventable hospitalization (PPH) and the questions and concerns they've heard related to PPH and value based purchasing. This episode's panel includes: Jan Milliman, HCS-D, Director, AHCC Sherri Parson, RN, HCS-D, HCS-O, HCS-H, COS-C, CEO, Infusion Health Kelly Kavanaugh, RN, HCS-D, HCS-H, HCS-O, BCHH-C, Independent Home Health and Hospice Consultant, owner of the OTB Group Reference links provided on 26:47 Home Health Within-Stay Potentially Preventable Hospitalization (PPH) https://www.superiorhealthqa.org/wp-content/uploads/Home_Health_PPH_508-1.pdf Specifications for the Home Health Within-Stay Potentially Preventable Hospitalization Measure for the Home Health Quality Reporting Program - July 2023 https://www.cms.gov/files/document/hh-qrp-specificationspotentiallypreventablehospitalizations.pdf Specifications for the Home Health Within-Stay Potentially Preventable Hospitalization Measure for the Home Health Quality Reporting Program - June 2021 https://www.cms.gov/files/document/proposed-pph-measure-specifications-cy22-hh-qrp-nprm.pdf Technical Expert Panel Summary Report: Development of Home Health Within-Stay Potentially Preventable Hospitalization Measures for Home Health Agencies (HHAs) https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/Downloads/PPH-TEP-Summary-Report-Final-101019.pdf Tool: COPD Zones for Management https://www.va.gov/files/2022-12/44457%20COPD%20Management%20Flyer%201-12-17%20Final.pdf Tool: Self-Check Plan for HF Management https://www.heart.org/-/media/files/health-topics/heart-failure/hf-symptom-tracker.pdf Health Quality Innovation Network https://hqin.org/resources/

On this special episode of AHCC Talk, the panel does a year-end wrap-up of the home care industry's coding and compliance changes, including OASIS E1, COVID-19 vaccination status, coding and hospice-specific updates, GG items, and a face-to-face refresher. This episode's panel includes: Jan Milliman, HCS-D, Director, AHCC Apryl Swafford, RN, BSN, COS-C, HCS-D, HCS-H, HCS-O, QA Manager, SimiTree Healthcare Consulting Nanette Minton, RN, HCS-D, HCS-H, HCS-O, Senior Clinical Coding Manager, MAC Legacy Kelly Kavanaugh, RN, HCS-D, HCS-H, HCS-O, BCHH-C, Independent Home Health and Hospice Consultant, owner of the OTB Group Christine Mickel, PTA, HCS-D, HCS-O, HCS-H, Manager, OASIS and Coding, McBee Associates

On this episode, the panel discusses how home health value based purchasing (HHVBP) will change in 2025. This episode's panel includes: Jan Milliman, HCS-D, Director, AHCC Sherri Parson, RN, HCS-D, HCS-O, HCS-H, COS-C, CEO, Infusion Health Lisa McClammy, BSN, RN, COS-C, HCS-D, HCS-O, Senior Clinical Education Consultant, MAC Legacy You can see the slides featured during this episode on our YouTube channel via this link: https://www.youtube.com/watch?v=QLoRzTeYgyY

On this episode, the panel discusses how the hospice outcome and patient evaluation (HOPE) instrument will affect hospice coding and compliance. This episode's panel includes: Jan Milliman, HCS-D, Director, AHCC Claudia Baker, RN, MHA, HCS-D, HCS-O, Senior Manager with SimiTree Elise Christensen, RN, HCS-D, COS-C, Inpatient Coder, Hartford Healthcase

On this episode, the panel discusses the FY2025 coding updates. This episode's panel includes: Jan Milliman, HCS-D, Director of AHCC Nanette Minton, RN, HCS-D, HCS-H, HCS-O, Senior Clinical Coding Manager with MAC Legacy Apryl Swafford, RN, BSN, COS-C, HCS-D, HCS-H, HCS-O, QA Manager, SimiTree

On this episode, the panel discusses the OASIS GG items. This episode's panel includes: Jan Milliman, HCS-D, Director of AHCC Kelly Kavanaugh, RN, HCS-D, HCS-H, HCS-O, BCHH-C, OTB Group Inc.

On this episode, the panel discusses the 2025 home health PPS proposed rule. This episode's panel includes: Jan Milliman, HCS-D, Director of AHCC Sharon Harder, President of C3 Advisors, LLC

On this episode, the panel discusses coding for cardiac conditions. This episode's panel includes: Jan Milliman, HCS-D, Director of AHCC Elise Christensen, RN, HCS-D, HCS-H, HCS-O, COS-C, Coding Manager, Hartford Healthcare Kelly Kavanaugh, RN, HCS-D, HCS-H, HCS-O, BCHH-C owner, The OTB Group, Inc.

During this special Q&A from DecisionHealth, host Marci Geipe (Senior Manager of Product & Content for DecisionHealth) and Ashley Benson (RN, COQS, CHHCM, HCS-D, LSSGB, home health and hospice consultant) discuss the steps you can take to invest in quality and documentation to quickly earn financial rewards for your agency. Ashley Benson will be covering more on this topic and more at the Home Health Quality Outcomes & Documentation Conference in Charlotte, NC from September 16 - 18, 2024. You can register here.

On this episode, the panel discusses proposed changes to the ICD-10 code set and recent survey guidance updates. This episode's panel includes: Jan Milliman, HCS-D, Director of AHCC Nanette Minton, RN, HCS-D, HCS-H, HCS-O, Senior Clinical Coding Manager with MAC Legacy Sharon Harder, President of C3 Advisors, LLC CMS' Revisions to Home Health Agencies (HHA) – Appendix B of the State Operations Manual: https://www.cms.gov/files/document/qso-24-07-hha.pdf

On this episode, the panel discusses the top denials in home health and hospice coding, as well as how to prevent them at your agency. This episode's panel includes: Jan Milliman, HCS-D, Director of AHCC Robert Markette Jr., JD, CHC, HCS-C, Attorney with Hall, Render, Killian, Heath & Lyman, P.C. Claudia Baker, RN, MHA, HCS-D, HCS-O, Senior Manager with SimiTree

On this episode, the panel discusses the Department of Labor's new independent contractor rule and how is applies to the home health industry. This episode's panel includes: Jan Milliman, HCS-D, Director of AHCC Robert Markette Jr., JD, CHC, HCS-C, Attorney with Hall, Render, Killian, Heath & Lyman, P.C.

On this episode, the panel discusses hospice coding per listener request. This episode's panel includes: Jan Milliman, HCS-D, Director of AHCC Kelly Kavanaugh, RN, HCS-D, HCS-H, HCS-O, BCHH-C, Quality Assurance Specialist for Riverside Home Health and Hospice Nanette Minton, RN, HCS-D, HCS-H, HCS-O, Senior Clinical Coding Manager with MAC Legacy

On this episode, the panel discusses the 2024 ICD-10 changes to respiratory conditions that have been confusing to coders. This episode's panel includes: Jan Milliman, HCS-D, Director of AHCC Kelly Kavanaugh, RN, HCS-D, HCS-H, HCS-O, BCHH-C, Quality Assurance Specialist for Riverside Home Health and Hospice Nanette Minton, RN, HCS-D, HCS-H, HCS-O, Senior Clinical Coding Manager with MAC Legacy

On this episode, the panel discusses workplace violence prevention and clinician safety in the home. This episode's panel includes: Elise Christensen, RN, HCS-D, COS-C, Coding Manager, Hartford Healthcare Kelly Kavanaugh, RN, HCS-D, HCS-H, HCS-O, BCHH-C, Quality Assurance Specialist for Riverside Home Health and Hospice Robert Markette, JD, CHC, HCS-C, Attorney with Hall, Render, Killian, HEath, and Lyman, P.C. Arlene Maxim, RN, HCS-C, with A.D. Maxim Holdings, LLC Nanette Minton, RN, HCS-D, HCS-H, HCS-O, Senior Clinical Coding Manager with MAC Legacy

On this episode, the panel discusses OIG's recent report concerning unreported falls among home health patients. This episode's panel includes: Jan Milliman (Host of AHCC Talk, HCS-D, Director of AHCC) Sharon Harder (President of C3 Advisors, LLC) Arlene Maxim (RM, HCS-C with A.D. Maxim Holdings, LLC) Considering earning a BMSC credential? Download the Candidate Handbook today for everything you need to know before you you sit for your exam: https://interactive.decisionhealth.com/candidate-handbook-pod Download your free copy of the DecisionHealth 2023 catalog to save 15% on all DH code books: https://interactive.decisionhealth.com/2023hhfallcatalog To learn more about AHCC and becoming and AHCC member, please visit https://ahcc.decisionhealth.com/

On this episode, two members of the AHCC Documentation Committee (Apryl Swafford and Ashley Benson) walk us through a new decision tree the committee created to help agencies with the process of determining whether a patient is appropriate to continue receiving home health or should be discharged. This episode's panel includes: Jan Milliman (HCS-D, Director, AHCC) Ashley Benson (RN, COQS, CHHCM, HCS-D, LSSGB, Home Health and Hospice Consultant) Apryl Swafford (RN, BSN, COS-C, HCS-D, HCS-H)

This week's episode is a panel discussion with the 2023 AHCC Achievement Award winners! This episode's panel includes: Jan Milliman (HCS-D, Director, AHCC) Arlynn Hansell (PT, HCS-D, HCS-H, HCS-O, COS-C, Director of Education, Retiree Extraordinaire, Coding and OASIS Division with SimiTree) Celeste Miller (RN, BS, HCS-D, COS-C, Director of Operations with Oracle - Billing, Coding, Consulting) Nanette Minton (RN, HCS-D, HCS-H, HCS-O, Senior Clinical Coding Manager, MAC Legacy)

Join us as we continue our discussion of the HH PPS Proposed Rule. We also share some highlights from this year's Home Health Coding Summit. This episode's panel includes: Jan Milliman (HCS-D, Director, AHCC) Arlene Maxim (PT, HCS-D, HCS-H, HCS-O, COS-C, Director of Education, Coding and OASIS Division, for SimiTree) Claudia Baker (RN, MHA, HCS-D, HCS-O, Senior Manager, SimiTree​) Nanette Minton (RN, HCS-D, HCS-H, HCS-O, Senior Clinical Coding Manager, MAC Legacy)