OASIS-Central

Can a subcontractor physical therapist complete the OASIS or recertification?

Q: Can a subcontractor physical therapist do a therapy start of care OASIS if they are the only modality in? Can a subcontractor physical therapist do the OASIS or recertification? A: §484.14 (a) of the Home Health Conditions of Participation allow an agency to provide skilled, qualifying services under arrangement (contract) as long as the [...]

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How do we know if the visit is considered billable?

Q: A patient was discharged from the hospital Monday and was scheduled for a Tuesday morning home health agency admission. Monday night he experienced a problem that required a skilled nursing visit from the on-call nurse who was not able to do an initial start of care OASIS assessment at that visit. Is that visit [...]

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2010 Clinical and Financial OASIS-C Perspectives

Homecare agencies are entering 2010 with an immediate need to implement the new version of the Outcome and Assessment Information Set, known as OASIS-C. Although there were many months available in 2009 for preparation, OASIS-C will have a significant effect on agency operations, most notably due to an expanded focus on agency processes. Implementation will [...]

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Could there be confusion over our referral dates?

Q: This is a question about OASIS-C and referral dates. Currently we are requesting our hospital liaisons put the referral in our computer system as soon as the patient has made their choice. This could be three to four days before they leave the hospital. This gives the impression we do not see the patient [...]

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A Survey Trap to Avoid

Survey Trap: Referral and Start of Care Dates This a quality measure 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 [...]

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Standardized Protocols, Not Standing Orders

Homecare providers are exploring ways to implement the evidence-based practices (EBP) in OASIS-C. One idea: standing orders. According to the medical dictionary, a standing order is a written document that contains rules, policies, procedures, and orders for conduct of patient care in stipulated situations. Standing orders identify the actions to be taken, including the dose [...]

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