Author Archives | LPost
LPost has written 94 posts on OASIS-Central.
Lu Post, RN, MN, COS-C, is president of Home Care Institute, LLC, a technology-based company with a focus on the development of home care and hospice educational resources. She is certified as a clinical OASIS Specialist from the OASIS Certificate and Competency Board, Inc. Lu earned her bachelor’s degree in nursing from Georgia State University and her master’s degree as a clinical nurse specialist from Emory University in Atlanta. She has served in a variety of senior leadership and educational roles in some of the largest home care and hospice organizations in the country for over 20 years.
Q: Do we use a transfer assessment if patient goes to an inpatient hospice or a home health hospice?
Q: Do we use a transfer assessment if patient goes to an inpatient hospice or a home health hospice? A: If the patient is transferred from home health to an inpatient hospice, the transfer assessment with OASIS must be completed (RFA 7). Response “4 – Hospice” would be selected for “(M2410) To which Inpatient Facility [...]
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Q: Is a discharge OASIS required if the patient was only seen at start of care (SOC) and the patient was no longer available for a follow-up or second visit by an SN (only an SN is in the case)?
Tue, Aug 16, 2011
Q: Is a discharge OASIS required if the patient was only seen at start of care (SOC) and the patient was no longer available for a follow-up or second visit by an SN (only an SN is in the case)? A: If only one billable visit was made in a quality episode (SOC/ROC to Transfer/Discharge), [...]
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Q: Can an occupational therapist open a case if there are other disciplines such as physical therapy and skilled nursing that will see the patient the next day?
Mon, Aug 8, 2011
Q: Can an occupational therapist open a case if there are other disciplines such as physical therapy and skilled nursing that will see the patient the next day? A: Because occupational therapy is considered an “ongoing service” by Medicare, an OT may not complete the initial assessment visit or perform the Start of Care assessment [...]
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Q: How do you determine the percent of granulation on a surgical wound with staples?
Wed, Aug 3, 2011
Q: How do you determine the percent of granulation on a surgical wound with staples? A: Surgical wounds closed with staples are considered to be healing by primary intention unless a portion of the wound opens or develops disruptions. Wounds that heal by primary intention do not granulate; therefore, these wounds can only have a [...]
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Q: Could M01850 (transfer) be the data element that determines the homebound status of a patient? After a payment denial, someone said that because this data element was answered as “0″, the patient is considered not a homebound patient.
Mon, May 16, 2011
Q: Could M01850 (transfer) be the data element that determines the homebound status of a patient? After a payment denial, someone said that because this data element was answered as “0″, the patient is considered not a homebound patient. A: Homebound status is determined by the overall picture painted of the patient within the documentation. [...]
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For patients receiving emergent care for altered mental status of unknown cause, what is the correct response for M2310?
Mon, May 9, 2011
Q: For patients receiving emergent care for altered mental status of unknown cause, what is the correct response for M2310? A: M2310, Reason for Emergent Care, reports the reason the patient sought emergent care. Without having a complete picture of the patient’s condition, response 17 – Acute mental/behavioral health problem may be an acceptable response.
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Tue, Sep 13, 2011
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