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Physician Verification of Diagnoses Is Important
Diagnoses play an important role in supporting reasonable and necessary services. The diagnoses must correlate with the services the agency provides. The primary support for the patient’s plan of care comes from the principal diagnosis. The pertinent diagnoses listed first can also support the plan. Other diagnoses identify relevant comorbidities. Any of the six reported [...]
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Agency Competence: Clinical Records, Part II
Fri, Jul 9, 2010
Homecare episodes can be tracked by “events”—admission, resumption, new orders, recertification, discharge. Clinical record evaluation should address each one. Admission and recertification Ensure that all required documentation is present, whether via hard copy or as indicated by electronic processing of the admission. Conduct reviews related to OASIS in conjunction with review of other record documents. [...]
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Refine Referral Process for Start of Care Data Elements
Tue, Jun 15, 2010
Two new data elements in OASIS-C have been responsible for many questions submitted to Ask an Expert. Those data elements are: M0102, date of physician-ordered start of care (resumption of care) M0104, date of referral Here are some important facts about these data elements: Enter all dates in eight-digit fashion—two-digit date and month, and four-digit [...]
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Is there a rule on grace days concerning M0090?
Mon, Jun 14, 2010
Q: Is there a rule on grace days concerning M0090? For example, I have a SN SOC on 6/1 and a PT eval on 6/7. Can I add PT to the admission plan of care? A: The assessing clinician has up to five (5) days after the start of care date to complete the assessment. [...]
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Survey Trap: Referral and Start of Care Dates
Fri, Jun 4, 2010
An agency can be cited if the date in either M0102 or M0104 combined with the date of the agency’s visit to start or resume care (date in M0090) does not demonstrate compliance with the Conditions of Participation. Compliance Tips: Designate the last day of information gathering as the date of referral and document that [...]
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Reality Check: Comprehensive Assessment and Initial Visit
Tue, Apr 13, 2010
“Solutions” to some of the special issues associated with the initial visit and comprehensive assessment may actually be misconceptions. That’s because those putting forth these solutions may not have read the rules. Here are two common ones with the facts to set them straight. Misconception: If an initial visit can be done prior to start [...]
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Mon, Jul 26, 2010
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