OASIS-Central

Is it now required that Medicare-certified agencies must complete an OASIS on all patients regardless of pay source?

Q: Is it now required that Medicare-certified agencies must complete an OASIS on all patients regardless of pay source? A: There have been no new requirements modifying Section 704 of the Medicare Prescription Drug, Improvement and Modernization Act of 2003, which temporarily suspended OASIS data collection for non-Medicare and non-Medicaid patients. While a comprehensive assessment [...]

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If the payer source changes, do we have to do a discharge?

Q: When a current patient has a payer change to Medicare, we have to discharge the old payer and do a new start of care with Medicare as the payer. Is a discharge OASIS required for the first admission? We aren’t really discharging the patient, only the payer. A: If the initial payer is Medicare, [...]

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What is the time frame for including interventions?

Q: I believe that when answering M2400, the clinician only looks at interventions since the last OASIS. This  includes the recertification OASIS. We have many long-term stable patients under Medicaid that we are seeing monthly or sometimes more often (e.g., med prefills). In these cases, many of the interventions were done months or even years [...]

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Will switching from Medicaid to Medicare affect our outcomes negatively?

Q: Medicare requires a discharge OASIS on patients who have been stable and reimbursed by Medicaid when they have an exacerbation of their condition and have to be switched to Medicare under a new episode (i.e., if they are at home when this occurs and not in a facility). This means a discharge OASIS is [...]

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