Archive for ‘OASIS’

September 25, 2012

OASIS training in Dallas!

Looking for OASIS-C training? Look no further ….. I’m coming to Texas.

OASISC in Grapevine

September 5, 2012

OASIS training comes to Grapevine!

I’m bringing my one-day OASIS training to Grapevine, Texas, on Oct. 12!!

Achieve OASIS-C accuracy, improve case-mix and outcomes scores, and receive full and prompt reimbursement by attending this full-day intermediate-level OASIS-C training course.

Work through interactive patient scenarios updated with the latest from CMS
including new wound guidance.

Learn to:

  • Receive full reimbursement with tips for answering key case-mix items
  • Improve outcome scores with clues for navigating the nuances of related items
  • Get assessment and intervention strategies for answering OASIS-C process items
  • Avoid ADRs and denials
  • Bonus: Use this class to prepare for the HCS-O certification exam.

Learn more and register!

August 31, 2012

Medicare cares whether a visit was billable

Question: We have a patient that did not get a face-to-face until after the 30-day mark after SOC.  I know I can go 30 days prior to when the face-to-face took place. When I count back, the patient was seen by a therapist that day but was not seen by a skilled nurse until several days later.  Do I have to have the clinician do an OASIS/485 for the date she saw? The specifics:

HH original SOC 6/29
Face to Face encounter 8/9
Possible new SOC 7/11 (30 days prior to 8/9)
SN saw 7/9, therapy saw 7/11, SN saw 7/20

Do all consent forms need to be redated to new SOC date as well?  New 485, new OASIS?

Lisa says: Your new SOC should be generated based on a date of 7/11 (30 days back from F2F was 7/11). 7/11 is chosen because it is the first eligible date and the first billable visit was made. Medicare doesn’t care who made the visit as long as it was billable.
 
To generate a new SOC assessment, any qualified clinician can sit down with the old SOC and complete the new one based on the same answers with updates to M0110 and M2200. A new 485 will need to completed with updated orders to reflect the 60 days beginning with 7/11 as the “from” date. M0090 will be the actual date that the new SOC is generated so you will receive late warnings.
 
Medicare does not speak to new consents, but I suggest you at least have some kind of communication with the patient in the interest of patient rights. This could get signed at the next visit. For example:

Dear {Patient},

A visit with your physician within a certain time frame when beginning care with a home health agency is a condition of payment for the home health agency. Because you did not see your physician until {date}, we have a new start of care date for you and the care previous to the date is non-covered by Medicare. (You are not responsible for payment.)

We will continue to provide you care under the previous consent forms signed by you or your representative. Please sign this letter to indicate your receipt of this information.

Regards.

Administrator Signature                                                              Patient Signature

August 30, 2012

OASIS expired? No!

The OASIS-C instrument has not expired even though the form contains a July 31, 2012, expiration date. The renewal for the OASIS-C instrument is currently at the Office of Management and Budget. An OASIS-C with a new expiration date will be released once cleared through the renewal process.

We expect M1012 (Procedures) to be deleted as well as changes to the coding data items to allow for ICD-10-CM codes. It is puzzling how CMS intends to re-word the M1020/M1022 item when the codes are no longer V and E codes. Perhaps they will delay that change like they delayed ICD-10!

Want to learn more about OASIS-C? Come to my classes!
Sept 26-27 Oregon Association for Home Care Salem, OR
October 4-5 Home Care Association of Colorado  Denver, CO
November 7-8 Ohio Council for Home Care and Hospice  Columbus, OH

June 15, 2012

Get all your OASIS answers with SHA!

Dallas, we’re already coming for coding education, but we’re also bringing OASIS education.

We’ll go beyond the basics in Dallas on June 28  to teach you about OASIS. Learn:

  • What OASIS is used for, and why accurate and consistent assessment really matters
  • How to score OASIS items on a Start of Care assessment
  • Techniques to improve assessment accuracy and speed
  • How responses to individual OASIS items impact your agency’s reimbursement, OBQI outcome scores, and OBQM avoidable events
  • How the new risk adjustment model works, and how your clinicians’ OASIS responses shape your agency’s case mix profile and outcomes
  • How to put all the pieces together to improve care delivery and quality outcomes