The Function Behind the Funding: OASIS Functional Items & CMW

This is the third session in SimiTree’s OASIS Optimization Month series, which runs through October. It is designed to help home health leaders strengthen compliance, reimbursement, and quality outcomes.

Explore how OASIS functional items impact episodic payment, upcoming CY 2026 changes, and documentation strategies to support accuracy.

Emily Hobbs, RN, MHA, BSN, HCS-C, HCS-D, HCS-H, HCS-O presents a detailed webinar on OASIS items and their impact on case mix weights and functional levels. She explains how case mix weights are determined by ICD-10 coding and OASIS scoring, and discusses the proposed changes for 2026. Emily highlights the importance of accurate OASIS scoring for proper reimbursement and value-based purchasing. She provides scenarios and tips for scoring ADL items, emphasizing the need to consider clinical groupings and post-operative considerations. The webinar concludes with a review of documentation tips and the significance of therapy evaluations in OASIS scoring.