OASIS-Central

Q: Do we use a transfer assessment if patient goes to an inpatient hospice or a home health hospice?

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: When a patient stays 24 hours or less at the hospital do we have to discharge and readmit?

Q: When a patient stays 24 hours or less at the hospital do we have to discharge and readmit? A: There is no federal regulation that requires a patient to be discharged and readmitted if the patient is admitted to the hospital regardless of length. Agency policy might set specific criteria. If a patient is [...]

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How do you properly complete M0900?

Q: According to our state, the date for assessment completed is the last date of data collection by the appropriate clinician. We have always entered the last visit date in M0900, regardless of phone discharge date. My sister company believes M0090 is the date of discharge, even if a visit is not conducted on this [...]

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Can an RN complete a Discharge OASIS as a non-visit discharge if a therapist made the last home visit?

Q: Can a registered nurse complete a Discharge OASIS as a non-visit discharge if a therapist made the last home visit? A: It would be acceptable for a registered nurse to complete the Discharge OASIS comprehensive assessment as part of a non-billable visit, if a therapist made the last home visit. Assessment data would reflect [...]

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Would a 24-hour stay for observation after a surgical procedure be considered response 3, a short-stay acute hospital, for M1000?

Q: Would a 24-hour stay for observation after a surgical procedure be considered response 3, a short-stay acute hospital, for M1000? A: If the patient was in an observation unit and not admitted to the hospital, the answer to M1000, inpatient discharge facilities, would be NA, patient was not discharged from an inpatient facility. There [...]

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If the patient is discharged from Medicare and we check response 0, able to ambulate independently, in M1860, ambulation, will we set ourselves up for an audit because the patient is not homebound?

Q: If the patient is discharged from Medicare and we check response 0, able to ambulate independently, in M1860, ambulation, will we set ourselves up for an audit because the patient is not homebound? A: An agency’s goal is for patients to improve, to become as independent as possible. Given that the Centers for Medicare [...]

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