Posts tagged ‘start of care’

December 5, 2011

OASIS Tour is up and running

It’s not too late to sign up for my OASIS: Strategies for Success seminars!

We’re touring in:

Dec. 5-6: Houston

Dec. 13-14: Dallas

Dec.15-16: McAllen

This is beyond basics. Here are some highlights of what we will focus on:


  • 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

Learn more and register!

September 28, 2011

Time for our annual date dance

As codes change Oct. 1, we need to think about which set of codes, 2011 or 2012, we need to use for our patients whose episodes cross over the code change period.

Actually, we need to look at what episodes or assessments cross the code change period. The choice of codes, and CMS confirmed this to me, is based on M0090, the completion of assessment. Soooo…

If the assessment is not complete by Oct. 1, we use 2011 codes for the RAP and EOE. If the assessment is complete by Oct. 1, use the 2012 codes.

What about payment changes over the fiscal year change? CMS has a formula that factors in payment issues. It’s not something for us to worry about.

December 17, 2010

Redo your SOC when patient returns from facility

Question: I remember that you said if you were doing a SOC on a patient and they were ill enough to go to the hospital that day the SOC was started that you didn’t want to claim the hospitalization for your agency. However, I don’t remember what you said to do and I can’t find it in my notes. Can you help?

Lisa says: The answer depends on whether the patient is admitted.
If admitted, you want to keep the assessment in a medical record and document the circumstances. No transfer is required. When the patient returns from the facility, re-do the SOC.

October 16, 2010

SOC dates, SOC for OASIS … how do they work, again?

I get timing questions all the time regarding SOC. Here is a recent one that should help other agencies tweak their processes or know that they’re on steady ground with CMS.

Question: Our staff are being assigned a “first visit” that will establish the SOC date (first visit being a billable visit), but not doing the SOC OASIS on that first visit.  The SOC OASIS will be done within five days.

Is this in accordance with guidelines? And here is a date-specific example: If “first visit” is 9/27/10, does that mean SOC OASIS must be completed by 10/01(include 9/27) or 10/2 (5 days after soc)?

Lisa says: Yes, the described practice is fine. The SOC date is the first billable visit. The OASIS can be done as late as five days after the SOC. In your example, if first billable visit (SOC) is 9/27, then OASIS has to be completed by 10/2. SOC counts as day zero.

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