Sign up to save your podcasts
Or
Share Falls & the New FMI Outcome: What Changed and Why It Matters
Share to email
Share to Facebook
Share to X
Share to email
Share to Facebook
Share to X
Or
Falls & the New FMI Outcome: What Changed and Why It Matters
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 [email protected]
View all episodes
By Association of Home Care Coding and ComplianceFalls 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 [email protected]