OASIS-Central

Inpatient or Outpatient? The Difference Is Huge

A topic for discussion at Beacon Health’s Mastering Medicare seminars this year was inpatient observation stays. CMS Publication 100-02, Chapter 6, §20.6, defines an observation stay as “a well-defined set of specific, clinically appropriate services, which include ongoing short term treatment, assessment, and reassessment, that are furnished while a decision is being made regarding whether [...]

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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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Is CMS’ Mistake Coming Back to Haunt Homecare Providers?

You know that feeling. You just hit “send” on an e-mail and then realized it’s going to the wrong person. You try to recall it but once it’s out in cyberspace, it’s there forever. In February 2009, the Centers for Medicare and Medicaid Services (CMS) released some erroneous guidance. It posted a correction on its [...]

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Why isn’t wound care included in M1810 and M1820?

Q: Why isn’t wound care included in M1810 and M1820? The ability to change a wound dressing is relevant to the patients ability to dress him/herself. The dressing applied to the wound is part of the patients current everyday wear during the time the wound is healing. So it is current normal wear. Please advise. [...]

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CMS Releases OASIS-C Guidance Manual Errata

The Centers for Medicare and Medicaid Services (CMS) has posted an errata sheet that lists revisions to the OASIS-C Guidance Manual since December 2009. Find the document here.

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What would be the correct response for M1610, urinary incontinence or urinary catheter present, for the patient who has nephrostomy tubes?

Q: What would be the correct response for M1610, urinary incontinence or urinary catheter present, for the patient who has nephrostomy tubes? A: The OASIS-C Guidance Manual provides part of the answer.  It says if the patient has anuria or an ostomy for urinary drainage or a urinary drainage diversion that is pouched (ileal conduit, [...]

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