Arlynn Hansell, PT, HCS-D, HCS-H, HCS-O, COS-C

Owner, Therapy and More, LLC

Hansell has been a physical therapist in the home health setting since October 1998, holding positions of field therapist, rehab manager, and quality/compliance assurance. As owner of Therapy and More, LLC, she assists agencies in achieving therapy documentation and practice excellence in order to better position themselves against auditors. Consulting services further consist of OASIS auditing and coding practice. She has been a member of the American Physical Therapy Association since 1995, where she recently served as the Vice President of the Home Health Section.

  • Ultimate Coding & OASIS Training Virtual Series

    • Learn how to properly answer the new OASIS items while reinforcing your core OASIS competencies—without sacrificing productivity.

      Course Overview

      OASIS accuracy is your key to becoming a five-star agency, achieving value-based bonuses, and getting full and proper reimbursement. This virtual seminar provides intermediate-level OASIS training on the most challenging items and confusing questions that put your agency at risk when answered incorrectly.

      This virtual seminar is divided into four sessions for ease of use. Expert instructor Arlynn Hansell includes opportunities to pause the recording to work through scenarios, which she discusses in depth to ensure retention and comprehension.

      BONUS: Receive our HCS-O study session materials with purchase of this training!

      At the conclusion of this program, you will be able to:

      • Learn the specific OASIS-D1 items and updated guidance effective January 2020
      • Avoid CMS surveyor scrutiny with best practices for answering the OASIS SOC/ROC in a timely fashion
      • Correctly apply OASIS conventions to item-specific scenarios, while also learning how to apply OASIS-specific definitions for terms such as active treatment, care episode, same day, minimal assistance, and more
      • Master the complicated wound items, including how to report pressure ulcers, stasis ulcers, surgical wounds, and trauma wounds
      • Ensure accuracy in the reporting of neuro/emotional/behavioral items
      • Work through ADL items to ensure you're accurately reporting the patient's functional status
      • Walk away with best practices to ensure your documentation matches the OASIS, which matches the plan of care
      • B3Understand the interaction of certain OASIS items and the new Patient-Driven Grouping Model (PDGM) payment system

    • Agenda

      Learn how to:

      • Hammer home the most challenging OASIS items and guidance, including Section GG, J1800 and J1900 (falls).
      • Avoid CMS surveyor scrutiny with best practices for answering the OASIS SOC/ROC in a timely fashion. - Learn how to answer M0102 (date of physician ordered SOC) and M0104 (date of referral) in challenging situations.
      • Correctly apply OASIS conventions to item-specific scenarios while also learning how to apply OASIS-specific definitions for terms such as active treatment, care episode, same day, minimal assistance, and more.
      • Master the complicated wound items, including how to report pressure ulcers, stasis ulcers, surgical wounds, and trauma wounds, and how to report their healing status.
      • Ensure accuracy in the reporting of neuro/emotional/behavioral items (M1700–M1745) to ensure appropriate POC development and risk adjustment of outcomes.
      • Work through the ADL items (M1800–M1860) to ensure you're accurately reporting the patient's functional status, lest you risk PDGM functional impairment level points and inaccurate outcome scores.
      • Walk away with best practices to ensure your documentation matches the OASIS, which matches the plan of care.

    • Learn how to sequence the most common home health diagnoses in ICD-10, and understand the new FY2020 code and guideline changes.

      Course Overview

      This virtual seminar is intended for intermediate-level coders who have been coding in home health for at least one year and are planning to sit for their HCS-D credential or who became credentialed in the past year.

      The virtual seminar is divided into eight sessions for ease of use. Expert speaker Arlynn Hansell includes opportunities to pause the recording to work through scenarios, which she discusses in depth to ensure retention and comprehension.

      BONUS: Receive our HCS-D study session materials with purchase of this training!

      REQUIRED MATERIAL: All attendees of our ICD-10 Intermediate Coding and Advanced Coding classes must have a 2020/2021 ICD-10-CM coding manual. You must also have a coding manual to take the HCS-D exam. We recommend DecisionHealth’s Complete Home Health ICD-10-CM Diagnosis Coding Manual, 2021.

      At the conclusion of this virtual training, you will:

      • Learn the specific OASIS-D1 items and updated guidance effective January 2020
      • Avoid CMS surveyor scrutiny with best practices for answering the OASIS SOC/ROC in a timely fashion
      • Correctly apply OASIS conventions to item-specific scenarios, while also learning how to apply OASIS-specific definitions for terms such as active treatment, care episode, same day, minimal assistance, and more
      • Master the complicated wound items, including how to report pressure ulcers, stasis ulcers, surgical wounds, and trauma wounds
      • Ensure accuracy in the reporting of neuro/emotional/behavioral items
      • Work through ADL items to ensure you're accurately reporting the patient's functional status
      • Walk away with best practices to ensure your documentation matches the OASIS, which matches the plan of care
      • Understand the interaction of certain OASIS items and the new Patient-Driven Grouping Model (PDGM) payment system
      • Focus on the assumptions within the coding conventions and guidelines
      • Describe how documentation, OASIS, and coding all work together to affect payment in the PDGM payment system and create a compliant record
      • Discuss scenarios for assigning Z codes versus a complication code
      • State the difference between sepsis, SIRS, and septic shock, and identify correct infection verbiage for accurate coding
      • Identify when surgical aftercare is needed for neoplasms versus the diagnosis itself
      • Demonstrate how to choose the right code when dealing with all the possible manifestations of diabetes
      • Identify the complexities of combination coding of hypertension, heart failure, CKD, and COPD versus emphysema
      • Learn to choose the right code to identify sequelae of a CVA
      • Identify the difference between poisoning and adverse effects, and how to code these diagnoses in ICD-10

    • Agenda

      In the ICD-10 Intermediate Coding seminar you will cover:

      • Coding conventions and guidelines: Delve into the assumptions that can and cannot be made in ICD-10
      • Fractures, including traumatic and pathological fractures and their relation to joint replacements Z codes: Learn when to assign aftercare codes in home health
      • Wounds, including pressure ulcers, infected and non-healing surgical wounds, stasis ulcers, and trauma wounds
      • Diabetes: Learn how to choose the right code from among five code categories and review the differences in coding diabetic manifestations in ICD-10
      • Cardiopulmonary, including hypertension, heart failure, and COPD versus asthma with COPD exacerbation versus emphysema
      • CVA and late effects: Learn how to apply the 7th character to indicate sequelae, as well as how to code dominant vs. non-dominant
      • Neoplasms and anemia, including surgical aftercare for neoplasms, and the key differences in coding anemia associated with malignancy, and anemia resulting from chemotherapy, immunotherapy, and radiation therapy
      • GI/GU, including how to report kidney disease (CKD) and obstructions
      • The difference between coding for poisoning and coding for adverse effects
      • How PDGM clinical groups and comorbidity adjustments apply, presented through interactive scenarios

      REQUIRED MATERIAL: All attendees of our ICD-10 Intermediate Coding and Advanced Coding classes must have a 2020 ICD-10-CM coding manual. You must also have a coding manual to take the HCS-D exam. We recommend DecisionHealth’s Complete Home Health ICD-10-CM Diagnosis Coding Manual, 2021.

    • This seminar package gives you both popular courses from the Ultimate Training Series: OASIS and ICD-10 Coding Basics!

      Course Overview

      OASIS program:

      Learn how to properly answer the new OASIS items while reinforcing your core OASIS competencies—without sacrificing productivity. OASIS accuracy is your key to becoming a five-star agency, achieving value-based bonuses, and getting full and proper reimbursement. This virtual seminar provides intermediate-level OASIS training on the most challenging items and confusing questions that put your agency at risk when answered incorrectly.

      This virtual seminar is divided into four sessions for ease of use. Expert instructor Arlynn Hansell includes opportunities to pause the recording to work through scenarios, which she discusses in depth to ensure retention and comprehension.

      BONUS: Receive our HCS-O study session materials with purchase of this training!

      ICD-10 Coding Basics program:

      Understand the core coding competencies that dictate accurate code assignment. This virtual seminar is intended for new and less experienced home health coders. It starts you off with coding fundamentals, guidelines, and conventions while you learn how your code choices impact your agency’s reimbursement and patient outcomes.

      The seminar is divided into three sessions for ease of use. Expert speaker J’non Griffin includes opportunities to pause the recording to work through scenarios, which she discusses in depth to ensure retention and comprehension.

      At the conclusion of this virtual training, you will:

      • Learn the specific OASIS-D1 items and updated guidance effective January 2020
      • Avoid CMS surveyor scrutiny with best practices for answering the OASIS SOC/ROC in a timely fashion
      • Correctly apply OASIS conventions to item-specific scenarios, while also learning how to apply OASIS-specific definitions for terms such as active treatment, care episode, same day, minimal assistance, and more
      • Master the complicated wound items, including how to report pressure ulcers, stasis ulcers, surgical wounds, and trauma wounds
      • Ensure accuracy in the reporting of neuro/emotional/behavioral items
      • Work through ADL items to ensure you're accurately reporting the patient's functional status
      • Walk away with best practices to ensure your documentation matches the OASIS, which matches the plan of care
      • Understand the interaction of certain OASIS items and the new Patient-Driven Grouping Model (PDGM) payment system
      • Discuss the legal and ethical standards of care and clinician collaboration
      • Discuss code structure, conventions and guidelines, and the coding manual
      • Review general guidance in each chapter
      • Discuss how to look up codes in the coding manual

    • Agenda

      In the OASIS seminar you will:

      • Hammer home the most challenging OASIS items and guidance, including Section GG, J1800 and J1900 (falls).
      • Avoid CMS surveyor scrutiny with best practices for answering the OASIS SOC/ROC in a timely fashion. - Learn how to answer M0102 (date of physician ordered SOC) and M0104 (date of referral) in challenging situations.
      • Correctly apply OASIS conventions to item-specific scenarios while also learning how to apply OASIS-specific definitions for terms such as active treatment, care episode, same day, minimal assistance, and more.
      • Master the complicated wound items, including how to report pressure ulcers, stasis ulcers, surgical wounds, and trauma wounds, and how to report their healing status.
      • Ensure accuracy in the reporting of neuro/emotional/behavioral items (M1700–M1745) to ensure appropriate POC development and risk adjustment of outcomes.
      • Work through the ADL items (M1800–M1860) to ensure you're accurately reporting the patient's functional status, lest you risk PDGM functional impairment level points and inaccurate outcome scores.
      • Walk away with best practices to ensure your documentation matches the OASIS, which matches the plan of care.

      In the ICD-10 Coding Basics seminar you will learn how to:

      • Navigate the ICD-10 conventions & guidelines, including the use of laterality, Excludes notes, unspecified codes, sequelae, 7th character assignment, and key sequencing guidelines
      • Use the Alphabetic Index, Tabular List, and neoplasm table to correctly find codes
      • Apply critical thinking in understanding the sequencing of common diagnoses
      • Appropriately assign codes for signs and symptoms
      • Understand how to assign codes in M1021 (primary) and M1023 (other)
      • Recognize key coding and OASIS interactions
      • Apply and reinforce what you’ve learned by working through common home health scenarios

    • This seminar package gives you both popular courses from the Ultimate Training Series: OASIS & ICD-10 Intermediate Coding!

      Course Overview

      OASIS program:

      Learn how to properly answer the new OASIS items while reinforcing your core OASIS competencies—without sacrificing productivity. OASIS accuracy is your key to becoming a five-star agency, achieving value-based bonuses, and getting full and proper reimbursement. This virtual seminar provides intermediate-level OASIS training on the most challenging items and confusing questions that put your agency at risk when answered incorrectly.

      This virtual seminar is divided into four sessions for ease of use. Expert instructor Arlynn Hansell includes opportunities to pause the recording to work through scenarios, which she discusses in depth to ensure retention and comprehension.

      BONUS: Receive our HCS-O study session materials with purchase of this training!

      ICD-10 Intermediate Coding program:

      Learn how to sequence the most common home health diagnoses in ICD-10, and understand the new FY2020 code and guideline changes. This virtual seminar is intended for intermediate-level coders who have been coding in home health for at least one year and are planning to sit for their HCS-D credential or who became credentialed in the past year.

      The virtual seminar is divided into eight sessions for ease of use. Expert speaker Arlynn Hansell includes opportunities to pause the recording to work through scenarios, which she discusses in depth to ensure retention and comprehension.

      BONUS: Receive our HCS-D study session materials with purchase of this training!

      REQUIRED MATERIAL: All attendees of our ICD-10 Intermediate Coding and Advanced Coding classes must have a 2020/2021 ICD-10-CM coding manual. You must also have a coding manual to take the HCS-D exam. We recommend DecisionHealth’s Complete Home Health ICD-10-CM Diagnosis Coding Manual, 2021.

      At the conclusion of this virtual training, you will:

      • Learn the specific OASIS-D1 items and updated guidance effective January 2020
      • Avoid CMS surveyor scrutiny with best practices for answering the OASIS SOC/ROC in a timely fashion
      • Correctly apply OASIS conventions to item-specific scenarios, while also learning how to apply OASIS-specific definitions for terms such as active treatment, care episode, same day, minimal assistance, and more
      • Master the complicated wound items, including how to report pressure ulcers, stasis ulcers, surgical wounds, and trauma wounds
      • Ensure accuracy in the reporting of neuro/emotional/behavioral items
      • Work through ADL items to ensure you're accurately reporting the patient's functional status
      • Walk away with best practices to ensure your documentation matches the OASIS, which matches the plan of care
      • Understand the interaction of certain OASIS items and the new Patient-Driven Grouping Model (PDGM) payment system
      • Focus on the assumptions within the coding conventions and guidelines
      • Describe how documentation, OASIS, and coding all work together to affect payment in the PDGM payment system and create a compliant record
      • Discuss scenarios for assigning Z codes versus a complication code
      • State the difference between sepsis, SIRS, and septic shock, and identify correct infection verbiage for accurate coding
      • Identify when surgical aftercare is needed for neoplasms versus the diagnosis itself
      • Demonstrate how to choose the right code when dealing with all the possible manifestations of diabetes
      • Identify the complexities of combination coding of hypertension, heart failure, CKD, and COPD versus emphysema
      • Learn to choose the right code to identify sequelae of a CVA
      • Identify the difference between poisoning and adverse effects, and how to code these diagnoses in ICD-10

    • Agenda

      In the OASIS seminar you will:

      • Hammer home the most challenging OASIS items and guidance, including Section GG, J1800 and J1900 (falls).
      • Avoid CMS surveyor scrutiny with best practices for answering the OASIS SOC/ROC in a timely fashion. - Learn how to answer M0102 (date of physician ordered SOC) and M0104 (date of referral) in challenging situations.
      • Correctly apply OASIS conventions to item-specific scenarios while also learning how to apply OASIS-specific definitions for terms such as active treatment, care episode, same day, minimal assistance, and more.
      • Master the complicated wound items, including how to report pressure ulcers, stasis ulcers, surgical wounds, and trauma wounds, and how to report their healing status.
      • Ensure accuracy in the reporting of neuro/emotional/behavioral items (M1700–M1745) to ensure appropriate POC development and risk adjustment of outcomes.
      • Work through the ADL items (M1800–M1860) to ensure you're accurately reporting the patient's functional status, lest you risk PDGM functional impairment level points and inaccurate outcome scores.
      • Walk away with best practices to ensure your documentation matches the OASIS, which matches the plan of care.

      In the ICD-10 Intermediate Coding seminar you will cover:

      • Coding conventions and guidelines: Delve into the assumptions that can and cannot be made in ICD-10
      • Fractures, including traumatic and pathological fractures and their relation to joint replacements Z codes: Learn when to assign aftercare codes in home health
      • Wounds, including pressure ulcers, infected and non-healing surgical wounds, stasis ulcers, and trauma wounds
      • Diabetes: Learn how to choose the right code from among five code categories and review the differences in coding diabetic manifestations in ICD-10
      • Cardiopulmonary, including hypertension, heart failure, and COPD versus asthma with COPD exacerbation versus emphysema
      • CVA and late effects: Learn how to apply the 7th character to indicate sequelae, as well as how to code dominant vs. non-dominant
      • Neoplasms and anemia, including surgical aftercare for neoplasms, and the key differences in coding anemia associated with malignancy, and anemia resulting from chemotherapy, immunotherapy, and radiation therapy
      • GI/GU, including how to report kidney disease (CKD) and obstructions
      • The difference between coding for poisoning and coding for adverse effects
      • How PDGM clinical groups and comorbidity adjustments apply, presented through interactive scenarios

      REQUIRED MATERIAL: All attendees of our ICD-10 Intermediate Coding and Advanced Coding classes must have a 2020/2021 ICD-10-CM coding manual. You must also have a coding manual to take the HCS-D exam. We recommend DecisionHealth’s Complete Home Health ICD-10-CM Diagnosis Coding Manual, 2021.

    • This seminar package gives you both popular courses from the Ultimate Training Series: OASIS & ICD-10 Intermediate Coding!

      Course Overview

      Learn how to properly answer the new OASIS items while reinforcing your core OASIS competencies—without sacrificing productivity. OASIS accuracy is your key to becoming a five-star agency, achieving value-based bonuses, and getting full and proper reimbursement. This virtual seminar provides intermediate-level OASIS training on the most challenging items and confusing questions that put your agency at risk when answered incorrectly.

      This virtual seminar is divided into four sessions for ease of use. Expert instructor Arlynn Hansell includes opportunities to pause the recording to work through scenarios, which she discusses in depth to ensure retention and comprehension.

      BONUS: Receive our HCS-O study session materials with purchase of this training!

      ICD-10 Advanced Coding program:

      This class is intended for experienced, HCS-D certified coders with three or more years in home health coding who consider themselves experts in ICD-10 code assignment. This virtual seminar will expand your experience as you work through practice scenarios to sequence a variety of the most challenging home health situations, including multiple complications, fractures, ostomies, and trauma wounds.

      You’ll examine actual patient cases and learn how to accurately and efficiently find the focus of care and what other conditions may need to be coded.

      The virtual seminar is divided into three sessions for ease of use. Expert speaker J’non Griffin includes opportunities to pause the recording to work through scenarios, which she discusses in depth to ensure retention and comprehension.

      REQUIRED MATERIAL: All attendees of our ICD-10 Intermediate Coding and Advanced Coding classes must have a 2020/2021 ICD-10-CM coding manual. You must also have a coding manual to take the HCS-D exam. We recommend DecisionHealth’s Complete Home Health ICD-10-CM Diagnosis Coding Manual, 2021.

      At the conclusion of this virtual training, the you will:

      • Learn the specific OASIS-D1 items and updated guidance effective January 2020.
      • Avoid CMS surveyor scrutiny with best practices for answering the OASIS SOC/ROC in a timely fashion.
      • Correctly apply OASIS conventions to item-specific scenarios, while also learning how to apply OASIS-specific definitions for terms such as active treatment, care episode, same day, minimal assistance, and more.
      • Master the complicated wound items, including how to report pressure ulcers, stasis ulcers, surgical wounds, and trauma wounds.
      • Ensure accuracy in the reporting of neuro/emotional/behavioral items.
      • Work through ADL items to ensure you're accurately reporting the patient's functional status.
      • Walk away with best practices to ensure your documentation matches the OASIS, which matches the plan of care.
      • Understand the interaction of certain OASIS items and the new Patient-Driven Grouping Model (PDGM) payment system.
      • Understand the PDGM and how coding and OASIS play a key role.
      • Discuss how to proceed in cases with conflicting documentation.
      • Understand the significant coding changes for 2020.
      • Examine advanced scenarios common to home health.

    • Agenda

      In the OASIS seminar you will:

      • Hammer home the most challenging OASIS items and guidance, including Section GG, J1800 and J1900 (falls).
      • Avoid CMS surveyor scrutiny with best practices for answering the OASIS SOC/ROC in a timely fashion. - Learn how to answer M0102 (date of physician ordered SOC) and M0104 (date of referral) in challenging situations.
      • Correctly apply OASIS conventions to item-specific scenarios while also learning how to apply OASIS-specific definitions for terms such as active treatment, care episode, same day, minimal assistance, and more.
      • Master the complicated wound items, including how to report pressure ulcers, stasis ulcers, surgical wounds, and trauma wounds, and how to report their healing status.
      • Ensure accuracy in the reporting of neuro/emotional/behavioral items (M1700–M1745) to ensure appropriate POC development and risk adjustment of outcomes.
      • Work through the ADL items (M1800–M1860) to ensure you're accurately reporting the patient's functional status, lest you risk PDGM functional impairment level points and inaccurate outcome scores.
      • Walk away with best practices to ensure your documentation matches the OASIS, which matches the plan of care.

      In the ICD-10 Advanced Coding seminar you will:

      • Work through practice scenarios to learn how to properly sequence a variety of the most challenging home health situations.
      • Learn how to sequence complex scenarios, including those with multiple complications, fractures, and varied wound situations such as ostomies and trauma wounds.
      • Examine complicated and uncommon disease scenarios, including those with multiple comorbidities.

      REQUIRED MATERIAL: All attendees of our ICD-10 Intermediate Coding and Advanced Coding classes must have a 2020/2021 ICD-10-CM coding manual. You must also have a coding manual to take the HCS-D exam. We recommend DecisionHealth’s Complete Home Health ICD-10-CM Diagnosis Coding Manual, 2021.

  • Coding Professionals: Home Health Virtual Event

    • Diabetes Coding and “With” Assumptions

      1:45 p.m. – 2:45 p.m.

      The session will prepare you to tackle diabetes that is described as “poorly controlled” or “uncontrolled” and explain how to code diabetes with hyperglycemia. It will cover the rules of diabetes and “with” assumptions so you can avoid coding errors. It also include scenarios that help you understand diabetes combination codes and coding cases with multiple manifestations, plus codes for insulin use.

    • Fix it Fast: Fractures and Joint Replacements

      3:35 p.m. - 4:35 p.m.

      Learn the latest guidance for fracture and joint replacement coding.

    • It's Complicated!

      12:00 p.m. – 1:00 p.m.

      Coding for complications doesn’t have to be intimidating. This session provides guidance for coding complications such as:

      • Fractures

      • Bypass procedures/revisions

      • Coronary artery bypass grafting (CABG)

      • Moving from a 7th character to a D

      • Infectious diseases

    • What 2021 Has in Store for Coding, OASIS, and PDGM

      2:25 p.m.- 3:25 p.m.

      Understand how the interaction of OASIS responses and diagnosis codes affect PDGM payment and outcomes measures.

  • Achieving Accurate Payment:
    Home Health Virtual Event

    • The Intersection of OASIS and PDGM: Finances and Measures

      Tuesday, November 3, 2020, 1:05 p.m.–2:05 p.m.

      Don’t let your STAR ratings, HH Compare measures, and reimbursement slide. The OASIS still matters! Learn strategies for capturing the functional impairment level items and other key components of the OASIS to retain the value of your agency.