OASIS-Central

Confusion Prevails Over M0102 and M0104

Over the last few weeks, many providers have expressed confusion over data elements M0102 and M0104 on the OASIS-C assessment. Let’s clarify each of these data elements. The first data element, M0102, reads “Date of Physician-Ordered Start of Care (Resumption of Care): If the physician indicated a specific start of care (resumption of care) date [...]

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Can we add the items in M2250 to our referral and then the physician can give us additional orders at time of referral?

Q: My position consists of auditing, coding, and teaching new employees about OASIS-C.  I recently met with one of our committees and their concern is regarding M2250. We know that physicians can be difficult to reach to get orders in order to answer “Yes” to M2250 items. Can we add the items in M2250 to [...]

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Refine Referral Process for Start of Care Data Elements

Two new data elements in OASIS-C have been responsible for many questions submitted to Ask an Expert. Those data elements are: M0102, date of physician-ordered start of care (resumption of care) M0104, date of referral Here are some important facts about these data elements: Enter all dates in eight-digit fashion—two-digit date and month, and four-digit [...]

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Survey Trap: Referral and Start of Care Dates

An agency can be cited if the date in either M0102 or M0104 combined with the date of the agency’s visit to start or resume care (date in M0090) does not demonstrate compliance with the Conditions of Participation. Compliance Tips: Designate the last day of information gathering as the date of referral and document that [...]

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I received a doctor’s referral on 02/17/2010 and the patient refused to be seen on the 19th. They instead requested to be seen on the 20th. The MD was notified and was OK with the change of date. Can I answer M0102 with 20th?

Q: I received a doctor’s referral on 02/17/2010 and the patient refused to be seen on the 19th. They instead requested to be seen on the 20th. The MD was notified and was OK with the change of date. Can I answer M0102 with 20th? A: Yes, in this situation, the physician-ordered start of care [...]

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Can our verbal orders still be considered a referral?

Q: In reference to M2250, we have always considered our referral to be our verbal order for care, since it contains orders for care from the doctor and we get it prior to providing services. We wouldn’t make a visit without having this referral. This has always been okay with our surveyor. We then send [...]

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