OASIS-Central

Depression Intervention and Monitoring

Guidelines for Clinicians OASIS-C has several new items to measure processes of care. Care processes refer to the use of assessment tools (included in a comprehensive assessment) or the planning and delivery of specific clinical interventions. The question we are discussing here is M1730, which relates to screening for depression. This OASIS-C question is designed [...]

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Is there a rule on grace days concerning M0090?

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

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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In regards to M2000 and M2010, if a non-nursing clinician PT or ST opens a case, is it acceptable to answer “no” to these questions?

Q: In regards to M2000 and M2010, if a non-nursing clinician PT or ST opens a case, is it acceptable to answer “no” to these questions? A: §484.55 (c) of the Home Health Conditions of Participation (CoPs) requires that the comprehensive assessment include a drug regimen review. For this reason, answering “0 – No” to [...]

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Facts about OASIS-C Process Measures Restore Common Sense

When the Centers for Medicare and Medicaid Services (CMS) released the first version of the revised OASIS, Beacon Health feared the incorporation of process data elements would create problems. It looks as though our fears have come to fruition. The very presence of these questions is driving agencies to change processes, which, in too many [...]

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OASIS-C Start of Care Questions May Cause Survey Issues

There are two new data elements in OASIS-C that ask about the start of care date: • M0102, date of physician-ordered start of care (resumption of care), and • M0104, date of referral (date the agency received the written or verbal referral for initiation of care). According to the Conditions of Participation, §455(a), the start [...]

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