OASIS-Central

If you are doing a ROC assessment in the middle of the episode, should you answer M0110 “NA”- No Medicare case mix group to be defined by this assessment?

Q: If you are doing a ROC assessment in the middle of the episode, should you answer M0110 “NA”- No Medicare case mix group to be defined by this assessment? I believe this is the correct answer since there are no SCIC adjustments, but have not been able to get a clear answer.  We do [...]

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When the patient returns to the agency during the last five days of an episode, when should the resumption of care assessment and recertification assessment be completed?

Q: When the patient returns to the agency during the last five days of an episode, when should the resumption of care assessment and recertification assessment be completed? A: If the patient returns to the agency during the last five days of the episode after a qualifying inpatient facility admission, a resumption of care assessment [...]

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Follow-up and Other Follow-Up Assessments

The follow-up/recertification (FU) assessment must be completed when a patient is being recertified to continue care for additional episodes. The regulations require that a comprehensive assessment be completed at least every 60 days, and this must occur in the five-day window (days 56–60) before the end of the current episode. Example The start-of-care date of [...]

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Agency Competence: Clinical Records, Part II

Homecare episodes can be tracked by “events”—admission, resumption, new orders, recertification, discharge. Clinical record evaluation should address each one. Admission and recertification Ensure that all required documentation is present, whether via hard copy or as indicated by electronic processing of the admission. Conduct reviews related to OASIS in conjunction with review of other record documents. [...]

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A patient is recertified two days before the end of the certification period. One day before the end of the certification period the patient is admitted to acute care for three days. When discharged from acute care, should we do a resumption of care or a start of care?

Q:  A patient is recertified two days before the end of the certification period. One day before the end of the certification period the patient is admitted to acute care for three days. When discharged from acute care, should we do a resumption of care or a start of care? A: You didn’t mention when [...]

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Is a transfer/discharge assessment required if the follow-up was completed in the five-day window?

Q: Is a transfer/discharge assessment required if the follow-up was completed in the five-day window and the patient goes into the hospital, following the completion of the recertification, also within the same five-day window? A: A transfer assessment would be required if the patient was admitted to an inpatient facility for a period of 24 [...]

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