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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Q: What is causing us to be reflected so poorly on our process measure reports in regard to something we have always done right?

Q: I accessed our quality measures report and found that we are only 22% effective on the timely initiation of care measure. All of our patients are admitted within 24 hours of referral or resumption of care.  What is causing us to be reflected  so poorly on something we have always done right? A: The [...]

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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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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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