AHCC Talk

Association of Home Care Coding and Compliance

Join advisory board members from the Association of Home Care Coding & Compliance for a monthly update on diagnosis coding, OASIS and HOPE assessment data collection, and the documentation issues that matter most in home health and hospice. https://ahcc.decisionhealth.com/

  1. Oct 27

    AI in Home Health: Where Technology Meets Clinical Judgment

    How can home health agencies use artificial intelligence to improve efficiency without sacrificing clinical judgment, OASIS accuracy, or patient privacy? On this episode of AHCC Talk, Sherri Parson leads a roundtable discussion with fellow Advisory Board members J'non Griffin, Lisa McClammy, Celeste Miller, and Christina Crumbley about the growing role of AI in home health care. The panel explores how AI can assist with clinical documentation, individualized care plans, OASIS assessments, and ICD-10 coding while examining where automation must give way to human oversight. Learn about the risks of accepting AI-generated recommendations without verification, what agencies should consider when evaluating AI vendors, and how clinicians and agency leadership remain accountable for the accuracy of patient information. The discussion also addresses HIPAA safeguards, the use of AI by accrediting organizations, and the potential impact of AI on CMS audits and survey targeting. Then, AHCC Advisory Board member Lisa McClammy reviews the answer and rationale for September's OASIS scenario, explaining how a pathological fracture due to osteoporosis affects the reporting of a fall with injury under M1033 (Risk for Hospitalization). Lisa Selman-Holman, JD, BSN, RN, HCS-D, Vice President of Clinical Services with McBee, introduces a new scenario testing your knowledge of M1860 (Ambulation/Locomotion). This episode's panel: ✅ Marci Geipe, Director, AHCC, DecisionHealth ✅ J'non Griffin, RN, MHA, HCS-D, HCS0H, HCS-C, COS-C, Director, SimiTree, Healthcare Consulting ✅ Lisa McClammy, BSN, RN, COS-C, HCS-D, HCS-O, Sr. Clinical Education Consultant, MAC Legacy ✅ Sherri Parson, RN, HCS-D, HCS-O, HCS-H, COS-C, Owner, Parson Coding/Consulting LLC, and Regulatory Advisor, LSHERA ✅ Celeste Miller, RN, BS, HCS-D, HCS-O, HCS-H, Home Health Quality and Care Delivery Leader, Optum ✅ Christina Crumbley, RN, MSN, HCS-D, HCS-O, Healthcare Consultant, Tidal Healthcare Consulting Links Mentioned in the Episode 🔗 CMS OASIS-E Guidance Manual 🔗 CMS October 2026 OASIS Q&As 🔗 2026 Home Health Payment and Compliance Summit - On-Demand 🔗 2026 Annual Home Health Coder Salary Survey ⬇️ Downloadable slides from this discussion: https://ahcc.decisionhealth.com/media/1808/ahcc-talk-episode-96.pdf 📧Have a question, episode request, or suggestions for a future panel guest? Email Marci at marci.geipe@decisionhealth.com Music licensed through Soundstripe. Code: K8KSXIOT01GEYISV

  2. Oct 7

    How an ICD-10-CM Code Proposal Becomes a Code

    How does a new ICD-10-CM diagnosis code make its way into the code set? On this episode of AHCC Talk, AHCC Advisory Board member Sherri Parson, RN, HCS-D, HCS-O, HCS-H, COS-C, and Sue Bowman, MJ, RHIA, CCS, FAHIMA, Senior Director, Coding Policy and Compliance with AHIMA, join the discussion to explain the ICD-10-CM code proposal and approval process. Learn what makes a strong proposal, what evidence submitters should provide, how proposals move through the ICD-10 Coordination and Maintenance Committee process, and why public comments can have a meaningful impact on the final outcome. The presentation emphasizes clinical validity, documentation, statistical and public health needs, and technical considerations when evaluating a proposed code or revision. Then, AHCC Advisory Board member Lisa Selman-Holman, JD, BSN, RN, HCS-D, Vice President of Clinical Services with McBee, walks through the answer and rationale to the latest coding and OASIS scenario, including how code sequencing can change a patient's PDGM clinical grouping, functional category, and payment. ✅ Jan Milliman, HCS-D, Director, AHCC ✅ Sue Bowman, MJ, RHIA, CCS, FAHIMA, Senior Director, Coding Policy and Compliance AHIMA® ✅ Sherri Parson, RN, HCS-D, HCS-O,HCS-H, COS-C, Owner, Parson Coding/Consulting LLC, and Regulatory Advisor, LSHERA ✅ Lisa Selman-Holman, JD, BSN, RN, HCS-D, HCS-H, HCS-O, COS-C, Vice President of Clinical Services, McBee Links Mentioned In The Episode 🔗 ICD-10-CM Coordination & Maintenance Committee 🔗 ICD-10-CM code files, addenda, and guidelines 🔗 CMS ICD-10 website 🔗 AHA Coding Clinic 🔗Federal Register 🔗⁠Send completed proposal template by the submission deadline to nchsicd10cm@cdc.gov ⬇️ Downloadable slides from this discussion: https://ahcc.decisionhealth.com/media/1807/ahcc-talk-episode-95-handouts.pdf 📧Have a question, episode request, or suggestions for a future panel guest? Email Jan at jan.milliman@decisionhealth.com

  3. Jul 21

    Coding & OASIS: How Small Decisions Affect Reimbursement

    On this episode of AHCC Talk, Christine Mickel joins Jan Milliman to examine the connection between physician documentation, clinical assessment, coding, OASIS responses, and reimbursement under PDGM. Learn how clinical grouping is established, when comorbidities may affect payment, why the same functional score can produce different results, and what to reassess at recertification. Plus, work through the latest AHCC scenario spotlights involving hospice symptom follow-up requirements and proposed CY 2027 PDGM changes. ✅ Jan Milliman, HCS-D, Director, AHCC ✅ Christine Mickel, PTA, HCS-D, HCS-O, HCS-H, Manager, OASIS and Coding, McBee Associates Links Mentioned in the Episode 2026 Home Health Payment & Compliance Virtual Summit: https://store.decisionhealth.com/hh-payment-compliance Calendar Year 2027 Home Health Prospective Payment System (HH PPS) Rate Update: https://www.federalregister.gov/documents/2026/07/06/2026-13602/calendar-year-2027-home-health-prospective-payment-system-hh-pps-rate-update-requirements-for-the-hh Learn more about AHCC credentials: https://store.decisionhealth.com/ahcc-credentials ⬇️ Downloadable slides from this discussion: https://ahcc.decisionhealth.com/media/1795/ahcc-talk-episode-93-handouts-final.pdf 📧Have a question, episode request, or suggestions for a future panel guest? Email Jan at jan.milliman@decisionhealth.com

  4. Jun 17

    HOPE After Eight Months: Workflow, Timing, and Submission Lessons

    On this episode of AHCC Talk, Jan Milliman, HCS-D, Director of AHCC, is joined by AHCC Advisory Board member Lisa Selman-Holman, JD, BSN, RN, HCS-D, HCS-H, HCS-O, COS-C, Vice President of Clinical Services with McBee, for a look back at the first eight months of using the Hospice Outcomes and Patient Evaluation — HOPE — tool. Jan and Lisa discuss how the transition from HIS to HOPE has affected hospice workflows, documentation, visit timing, symptom follow-up visits, data integrity, and compliance risk. They also review common submission issues, rejection patterns, warning vs. error distinctions, and practical ways teams can improve acceptance rates and HOPE accuracy.✅ 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 Links Mentioned in the Episode Medicare Program; FY2027 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements: https://www.federalregister.gov/documents/2026/04/06/2026-06604/medicare-program-fy-2027-hospice-wage-index-and-payment-rate-update-and-hospice-quality-reporting Hospice Outcomes and Patient Evaluation (HOPE) Guidance Manual v1.01: https://www.cms.gov/files/document/hope-guidance-manual-v1-01.pdf Hospice Quality Reporting Program: https://www.cms.gov/medicare/quality/hospice Learn more about AHCC credentials: https://store.decisionhealth.com/ahcc-credentials ⬇️ Downloadable slides from this discussion: https://ahcc.decisionhealth.com/ahcc-talk-episode-92-eight-months-of-the-hospice-hope-tool/ 📧Have a question, episode request, or suggestionsfor a future panel guest? Email Jan at jan.milliman@decisionhealth.com

  5. May 13

    Survey Readiness: Top Home Health Deficiencies to Watch in 2026

    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 Consulting Links Mentioned in the Episode Reserve 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 jan.milliman@decisionhealth.com

  6. Apr 28

    Complicated Coding Scenarios (and How to Solve Them)

    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 Consulting Linked Mentioned in the Episode Downloadable 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

  7. Mar 20

    Face-to-Face (F2F) in Home Health: Rules, Risks & Compliance Tips

    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 Legacy Links 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 jan.milliman@decisionhealth.com

  8. Feb 26

    Crafting a Compliant Plan of Care: Tips, Risks, and Examples

    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 Consulting Links 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 jan.milliman@decisionhealth.com

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About

Join advisory board members from the Association of Home Care Coding & Compliance for a monthly update on diagnosis coding, OASIS and HOPE assessment data collection, and the documentation issues that matter most in home health and hospice. https://ahcc.decisionhealth.com/

Information

  • Creator
    Association of Home Care Coding and Compliance
  • Years Active
    2023 - 2026
  • Episodes
    40
  • Rating
    Clean
  • Copyright
    © Association of Home Care Coding and Compliance
  • Show Website
    AHCC Talk