OASIS-Central

November ODF Features OASIS-C Guidance

The Centers for Medicare and Medicaid Services (CMS) held an open door forum (ODF) for home health care, hospice, and durable medical equipment (DME) on Wednesday, Nov. 2. When discussing the face-to-face physician encounter requirement, CMS stated that it is a statutory requirement. Because it is law, only Congress can change the law and CMS [...]

Continue reading...

Q: Can an occupational therapist open a case if there are other disciplines such as physical therapy and skilled nursing that will see the patient the next day?

Q: Can an occupational therapist open a case if there are other disciplines such as physical therapy and skilled nursing that will see the patient the next day? A: Because occupational therapy is considered an “ongoing service” by Medicare, an OT may not complete the initial assessment visit or perform the Start of Care assessment [...]

Continue reading...

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 [...]

Continue reading...

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 [...]

Continue reading...

If a registered nurse opens the case and the patient was referred to PT, but the PT wasn’t able to do the evaluation within the 5-day assessment period, can the RN indicate “006″ on M2200?

Q: If a registered nurse opens the case and the patient was referred to physical therapy, but the therapist wasn’t able to do the evaluation within the 5-day assessment period, can the RN indicate “006″ on M2200? Or should they leave “000″? A: If a registered nurse completes the start of care assessment, it would [...]

Continue reading...

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 [...]

Continue reading...