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Q: We have a bedfast, male patient who can place and remove the urinal, but cannot place/remove the bedpan. In this situation, how would we answer OASIS-C data element M1840 (Toilet Transferring)?
Q: We have a bedfast, male patient who can place and remove the urinal, but cannot place/remove the bedpan. In this situation, how would we answer OASIS-C data element M1840 (Toilet Transferring)? A: OASIS-C data element M1840 is intended to identify the patient’s ability to get to and from and transfer on and off the [...]
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Q: Do we use a transfer assessment if patient goes to an inpatient hospice or a home health hospice?
Tue, Sep 13, 2011
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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Wed, Oct 19, 2011
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