M1012: Use judgment on relevant procedures

We’re still feeling our way around M1012, and CMS has given some guidance on relevant inpatient procedures. In its July Q&As, CMS addressed it in this way

Question: If a patient’s inpatient diagnosis was a Hemorrhagic Bleed, should the CT Scan of Brain be considered a procedure relevant to the home health plan of care and be reported in M1012 – Inpatient Procedures?

CMS answer: A diagnostic procedure that confirmed a diagnosis that is addressed in the home health plan of care is relevant and would be reported in M1012 – Inpatient Procedures. Assessing clinicians need to use their judgment in determining if a procedure is relevant to the home health plan of care.

Looking for all of the July questions and answers?

One Comment to “M1012: Use judgment on relevant procedures”

  1. it makes it kinda of difficult to QA an OASIS when one clinician feels a procedure is relevent and another clinician with the same scenario feels it isn’t…

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