OASIS-Central

Q: If you admit a patient to home health services and patient is subsequently referred to outpatient therapy, can you continue any part of the plan of care?

Q: If you admit a patient to home health services and patient is subsequently referred to outpatient therapy, can you continue any part of the plan of care? A: Trips outside the home for outpatient therapy, since they are made to receive medical treatment that cannot be provided in the home, do not affect the [...]

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When answering M2250 (a), is it acceptable to answer “Yes” if you are utilizing a pain management tool, pain diary, or if the plan of care states that the “MD will be notified if the wound does not show signs of healing within three weeks” ?

Q: When answering M2250 (a), is it acceptable to answer “Yes” if you are utilizing a pain management tool, pain diary, or if the plan of care states that the “MD will be notified if the wound does not show signs of healing within three weeks” ? A: Based on the OASIS-C Guidance Manual, for [...]

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In reference to M2250, if the patient has an antidepressant medication on the medication profile, but no symptoms per the standarized tool, can the clinician choose “No”?

Q: In reference to M2250, if the patient has an antidepressant medication on the medication profile, but no symptoms per the standardized tool, can the clinician choose “No”? A: M2250, Plan of Care Synopsis reports whether the physician-ordered plan of care includes depression interventions (including medications). The presence of an existing antidepressant medication is considered [...]

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What do we do if our software program does not ask for onset or exacerbation?

Q: OASIS-C does not require dates of onset or exacerbation of diagnosis. However in the CMS-485, the dates of onset or exacerbation are indicated. What do we do if the software program does not ask for onset or exacerbation? A: The original instructions for completing the CMS-485 plan of care included reporting the date of [...]

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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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What if the physician won’t respond to our request for confirmation?

Q: Do we need to get a verbal confirmation from the doctor’s office after start of care or can we leave a message on their voicemail that we have started with the patient and what our plan is? If it has to be a verbal confirmation, what should we do when we can’t get the [...]

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