OASIS Tip for October 2014: Conquering Cognitive, Behavioral, and Psychiatric symptoms in M1740

Determining whether to make a change to M1740: cognitive, behavioral, and psychiatric symptoms that are demonstrated at least once a week, can be a challenge to any OASIS user, but knowing item intent and response specific instructions can help you conquer making unnecessary mistakes. M1740 identifies specific behaviors associated with significant neurological, developmental, behavioral or psychiatric... Continue Reading →

170 codes no longer case-mix-What do we do?

Much of my day is spent perusing Medicare regulations and Q&As, OASIS regulations and Q&As, ICD coding regulations, home health listservs, home health blogs and other social media outlets pertaining to home health care. Several months ago, there was some buzz about the Home Health PPS changes that would go in to effect on January... Continue Reading →

The New CMS OASIS-C Questions and Answers have been published!

The new CMS OASIS-C Questions and Answers for the second quarter 2013 have been published on the OASIS Answers website. Once again, there is great information and clarifications. Some of the topics include:         Late ROCs and responses to certain process measure items         Patients with extended hospital holds         Timeframes for certain items        ... Continue Reading →

The OASIS-C1 Draft has been released!

The Centers for Medicare and Medicaid Services (CMS) has announced the proposed version of the OASIS-C1 in the Federal Register dated June 21, 2013. The OASIS-C1 Draft reflects changes necessary to accommodate the use of the ICD-10-CM coding set required beginning October 1, 2014. There are also changes addressing issues raised by stakeholders, including updating clinical... Continue Reading →

A new version of the OASIS assessment is on its way!

On March 18, 2013 during the National Association for Home Care & Hospice’s March on Washington/Private Duty Home Care Integrated Conference & Exposition in Washington, D.C., a representative from CMS announced that there will be some significant releases in the next several months-including a draft of OASIS-C1, guidance on how new survey sanctions will be... Continue Reading →

Is it a Pressure Ulcer or a Surgical Wound?

During a recent OASIS training class, I was asked “If a pressure ulcer is treated with a skin graft does the wound become a surgical wound?” The answer is “NO.” According to guidance, “Applying a skin graft to a pressure ulcer or burn does not change the wound to a surgical wound. The pressure ulcer... Continue Reading →

The New CMS OASIS-C Questions and Answers have been published!

The new CMS OASIS-C Questions and Answers for the fourth quarter 2012 have been released and published on the OASIS Answers website. Once again, there is great information and clarifications. These Q&As can be accessed under the OASIS links and resource section of the OASIS Answers website. Until next time,M

Are you ready for Home Care in 2013?

Now that we have finished celebrating the New Year, it is crucial that home health agencies are prepared for all the changes that have come with 2013. 1. The OASIS-C guidance manual was updated in December to include changes and clarifications.  The manual can be accessed at OASIS-C guidance manual. 2. The Home Health PPS... Continue Reading →

OASIS mistakes that sink claims

This past September, I had the opportunity to attend the National Quality Outcomes and OASIS-C conference presented by Decision Health. It was my first time attending this conference and I was very impressed with the speakers and the presentations. The presenters were from various home health agencies and consulting groups throughout the country. The topics... Continue Reading →

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