Coding & OASIS: How Small Decisions Affect Reimbursement

<p>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.</p><p>Plus, work through the latest AHCC scenario spotlights involving hospice symptom follow-up requirements and proposed CY 2027 PDGM changes.</p><p>✅ Jan Milliman, HCS-D, Director, AHCC</p><p>✅ Christine Mickel, PTA, HCS-D, HCS-O, HCS-H, Manager, OASIS and Coding, McBee Associates</p><p><strong>Links Mentioned in the Episode</strong></p><p>2026 Home Health Payment &amp; Compliance Virtual Summit: https://store.decisionhealth.com/hh-payment-compliance</p><p>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</p><p>Learn more about AHCC credentials: https://store.decisionhealth.com/ahcc-credentials </p><p>⬇️ Downloadable slides from this discussion: https://ahcc.decisionhealth.com/media/1795/ahcc-talk-episode-93-handouts-final.pdf</p><p>📧Have a question, episode request, or suggestions for a future panel guest? Email Jan at jan.milliman@decisionhealth.com</p>