OASIS-Central

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 a patient [...]

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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. OASIS should not [...]

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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 the [...]

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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 hours [...]

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Can a subcontractor physical therapist complete the OASIS or recertification?

Q: Can a subcontractor physical therapist do a therapy start of care OASIS if they are the only modality in? Can a subcontractor physical therapist do the OASIS or recertification? A: §484.14 (a) of the Home Health Conditions of Participation allow an agency to provide skilled, qualifying services under arrangement (contract) as long as the agency [...]

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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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