OASIS-Central

Q: Do we use a transfer assessment if patient goes to an inpatient hospice or a home health hospice?

Q: Do we use a transfer assessment if patient goes to an inpatient hospice or a home health hospice? A: If the patient is transferred from home health to an inpatient hospice, the transfer assessment with OASIS must be completed (RFA 7). Response “4 – Hospice” would be selected for  “(M2410) To which Inpatient Facility [...]

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Q: Could M01850 (transfer) be the data element that determines the homebound status of a patient? After a payment denial, someone said that because this data element was answered as “0″, the patient is considered not a homebound patient.

Q: Could M01850 (transfer) be the data element that determines the homebound status of a patient? After a payment denial, someone said that because this data element was answered as “0″, the patient is considered not a homebound patient. A: Homebound status is determined by the overall picture painted of the patient within the documentation. [...]

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How do you properly complete M0900?

Q: According to our state, the date for assessment completed is the last date of data collection by the appropriate clinician. We have always entered the last visit date in M0900, regardless of phone discharge date. My sister company believes M0090 is the date of discharge, even if a visit is not conducted on this [...]

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Inpatient or Outpatient? The Difference Is Huge

A topic for discussion at Beacon Health’s Mastering Medicare seminars this year was inpatient observation stays. CMS Publication 100-02, Chapter 6, §20.6, defines an observation stay as “a well-defined set of specific, clinically appropriate services, which include ongoing short term treatment, assessment, and reassessment, that are furnished while a decision is being made regarding whether [...]

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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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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 [...]

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