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: When a patient stays 24 hours or less at the hospital do we have to discharge and readmit?
Q: When a patient stays 24 hours or less at the hospital do we have to discharge and readmit? A: There is no federal regulation that requires a patient to be discharged and readmitted if the patient is admitted to the hospital regardless of length. Agency policy might set specific criteria. If a patient is [...]
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Q: In regards to M1860, if the patient is homebound, and is able to independently walk, needs no human assistance or assistive device, can I mark “0″?
Mon, Apr 11, 2011
Q: In regard to M1860, if the patient is homebound and is able to independently walk, needs no human assistance or assistive device, can I mark “0″? I have read that M1860 on the start of care can’t be “0″ and could be considered a red flag. What should be my best answer? A: Indicating [...]
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Q: For (M1730) Depression Screening, for what situation would a response of “NA” be used as opposed to a response of “0″?
Thu, Feb 24, 2011
Q: For (M1730) Depression Screening, for what situation would a response of “NA” be used as opposed to a response of “0″? A: For (M1730) Depression Screening, a response of “NA” to the PHQ-2 scale would be used in patients who are unable to respond to the assessment, as in patients who are unresponsive. A [...]
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Q: Is there any written guidance regarding resumption of care (ROC) orders. If the discipline visit frequency after the ROC does not change from the frequency that was on the CMS-485, is a ROC order for visit frequency needed?
Mon, Feb 7, 2011
Q: Is there any written guidance regarding resumption of care (ROC) orders. If the discipline visit frequency after the ROC does not change from the frequency that was on the CMS-485, is a ROC order for visit frequency needed? A: There is no requirement to generate a new plan of care upon resumption of services [...]
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Q: If patient uses walls and furniture as support because he/she doesn’t have an assistive device, what is the best answer for M1860?
Fri, Feb 4, 2011
Q: If patient uses walls and furniture as support because he/she doesn’t have an assistive device, what is the best answer for M1860? A: For (M1860) Ambulation/Locomotion, if a patient does not have an assistive device but is clearly not safe walking alone, Response 3, able to walk only with the supervision or assistance should [...]
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Q: If you admit a patient to home health services and the patient is subsequently referred to outpatient therapy, can you continue any part of the plan of care?
Fri, Jan 28, 2011
Q: If you admit a patient to home health services and the patient is subsequently referred to outpatient therapy, can you continue any part of the plan of care? A: Trips outside the home for outpatient therapy, since they are made to receive medical treatment that cannot be provided in the home, do not affect [...]
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Thu, May 5, 2011
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