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

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 requirements
• Develop meaningful goals and interventions
• Avoid common plan of care audit risks
• Individualize care plans for better outcomes
• Apply real-world POC examples

The 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

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 Report

https://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 jan.milliman@decisionhealth.com