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Complicated Coding Scenarios (and How to Solve Them)

Complicated Coding Scenarios (and How to Solve Them)

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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 conditions
  • Key considerations for sepsis with resolved acute conditions
  • Documentation pitfalls in fracture coding
  • How to approach post-procedural infections and osteomyelitis
  • Clarifications on Face-to-Face requirements
  • What to do when a recertification OASIS is completed outside the allowed window

Each 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.pdf
  • Learn more about AHCC: https://ahcc.decisionhealth.com/?utm_source=spotify&utm_medium=podcast&utm_campaign=dhbmscahcc&utm_content=ahcc_talk_spotify
  • Home 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
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