OASIS-C data element M1012, “List each Inpatient Procedure and the associated ICD-9-CM procedure code relevant to the plan of care”, is no longer required by CMS for payment, quality measure development, or risk adjustment. An accurate response to this measure does not matter, but a response must be entered. Agency policy and private vendors may [...]
Continue reading...Mon, Jun 27, 2011
Stage III and IV pressure ulcers can re-epithelialize and close, but they never completely heal. That has an impact on OASIS-C reporting. Apply these pointers in documenting closed Stage III and IV pressure ulcers: Answer “yes” to M1306. The patient will always have at least one unhealed pressure ulcer at Stage II or higher. At [...]
Continue reading...Fri, Jun 10, 2011
M2000, drug regimen review: Does a complete drug regimen review indicate potential clinically significant medication issues (e.g., drug reactions, ineffective drug therapy, side effects, drug interactions, duplicate therapy, omissions, dosage errors, or noncompliance)? This item is used to calculate process measures to capture the agency’s use of best practices related to medications The item includes [...]
Continue reading...Wed, Jun 8, 2011
Pain Aides can check the care plan for any specific pain management instructions. Other assistance an aide can provide includes: Helping the patient with good body positioning. Make certain that positions relieve pressure and rest the area where pain is located. Pacing and planning the activities the patient needs to complete. The aide may need [...]
Continue reading...Thu, Jun 2, 2011
Of all staff members, the home health aide may have the most time and intimate contact with the patients home health agencies serve. It is the home health aide’s observation and reporting of symptoms that often allows the earliest detection of changes in the patient’s health status. Because of this, home health aides play a [...]
Continue reading...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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Tue, Jul 26, 2011
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