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]