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 would [...]

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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 a patient [...]

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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 year. The source [...]

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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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If at start of care the answer to M1610 is 1- Patient is incontinent and then at discharge it’s 2- Patient requires a urinary catheter, what does our OBQI score show?

Q: If at start of care the answer to M1610 is 1- Patient is incontinent and then at discharge the answer is 2- Patient requires a urinary catheter, does our OBQI score show improvement, decline, or no change? A: The patient would show a decline in urinary incontinence. Although improvement in urinary incontinence remains an OBQI [...]

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