Home Health & Hospice Articles by Topic: OASIS-C1
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Homecare Direction, Issue 2, February 14, 2020
When responding to M0104 (Date of referral) clinicians should enter the date the agency received a...
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Homecare Direction, Issue 2, February 14, 2020
Whether to transfer a patient with a discharge or without discharge has been causing much confusion...
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Homecare Direction, Issue 2, February 14, 2020
Regardless of whether the home health value-based purchasing model is rolled out nationwide, all...
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Homecare Direction, Issue 12, December 6, 2019
M2001 (Drug regimen review) is among the most time-consuming items currently on the OASIS...
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Homecare Direction, Issue 12, December 6, 2019
Reeducate clinicians on the definition of “clinically significant” to help improve...
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Homecare Direction, Issue 11, November 8, 2019
The latest release of CMS’s quarterly OASIS Q&As delves into issues around the...
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Homecare Q&A, Issue 10, October 28, 2019
Under PDGM, when a patient is admitted to an acute care hospital, the agency will proceed with a...
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Homecare Q&A, Issue 10, October 28, 2019
If the patient was seen between 10/1 and 3/31 then M1041 would be yes.
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Homecare Q&A, Issue 9, September 23, 2019
Agencies need to address how they will handle the “optional” items under OASIS-D1...
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Homecare Q&A, Issue 9, September 23, 2019
No additional OASIS is required. To close out your episode, your policy would dictate how to do...
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Homecare Direction, Issue 9, September 4, 2019
When responding to pressure ulcer items on the OASIS, clinicians can collaborate when only a...
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Homecare Q&A, Issue 8, August 26, 2019
If the agency doesn’t expect the patient to come back to home health, do a discharge from the...
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Homecare Q&A, Issue 8, August 26, 2019
Yes. It’s kind of complex the way billing is going to work. If the clinician conducts a SOC...
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Homecare Q&A, Issue 8, August 26, 2019
It depends on the agency’s policy but if the patient’s change is really significant...
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Homecare Direction, Issue 8, August 7, 2019
With OASIS-D firmly in place and OASIS-D1 updates on the horizon for 2020, CMS already is floating...
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Homecare Q&A, Issue 7, July 29, 2019
As far as paperwork for your agency, you will need to see if the next qualifying clinician would...
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Homecare Direction, Issue 7, July 8, 2019
While OASIS-D1 will make responses to 23 existing items optional, agencies must keep in mind that...
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Homecare Direction, Issue 6, June 6, 2019
Ensure clinicians fully understand how to respond to M2003 (Medication follow-up) when filling out...
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Homecare Direction, Issue 6, June 6, 2019
CMS is conducting data analysis to prepare for possible introduction of star ratings on Hospice...
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Homecare Direction, Issue 5, May 8, 2019
Guidance on new items capturing information on falls, mobility, self-care and prior device use took...
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Homecare Q&A, Issue 4, April 18, 2019
You note that your agency is preparing for PDGM.
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Homecare Direction, Issue 4, April 8, 2019
Revisit best practices for responding to the OASIS item involving patients’ risk for...
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Homecare Q&A, Issue 2, February 25, 2019
The quality measure “drug regimen review conducted with follow-up for identified...
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Homecare Direction, Issue 2, February 5, 2019
With a month of OASIS-D under their belts, many agencies are struggling with accuracy and...
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Homecare Q&A, Issue 1, January 16, 2019
The most welcome changes to me are the removal of those coding items, M1011 (Inpatient diagnosis...
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Homecare Q&A, Issue 1, January 16, 2019
This scenario is not specifically addressed in the OASIS Q&As.
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Homecare Direction, Issue 1, January 4, 2019
CMS released the final OASIS-D guidance manual less than two weeks before the new version of the...
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Homecare Direction, Issue 1, January 4, 2019
Agencies should continue efforts to get clinicians comfortable with OASIS-D as 2019 unfolds.
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Homecare Direction, Issue 12, December 5, 2018
While agencies hustle to prepare for the Jan. 1, 2019, implementation of OASIS-D, changes to the...
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Homecare Direction, Issue 11, November 5, 2018
Significant shifts in how to stage a pressure ulcer when scabbing is present and what information...
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Homecare Direction, Issue 10, October 4, 2018
If a patient isn’t able to attempt transferring in and out of the car because no car is...
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Homecare Direction, Issue 9, September 1, 2018
The four pages of changes CMS has just made to its OASIS-D guidance manual correct a mistake...
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Homecare Direction, Issue 8, August 1, 2018
The OASIS-D draft guidance manual released July 3 offers agencies valuable clarifications about how...
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Homecare Q&A, Issue 12, July 25, 2018
It is up to clinicians to determine, in their clinical judgement, if the omission is a clinically...
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Homecare Direction, Issue 7, June 29, 2018
Step up efforts to educate clinicians about M2020 (Management of oral medications). The measure is...
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Homecare Direction, Issue 7, June 29, 2018
With the added time home health experts anticipate OASIS-D will take and the amount of time many...
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Homecare Q&A, Issue 10, June 11, 2018
Review what instruction have provided for J1900C in the MDS 3.0 Resident Assessment Manual for...
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Homecare Direction, Issue 6, June 4, 2018
Adding GG0130 (Self-care) and GG0170 (Mobility) to the list of OASIS items that collect responses...
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Homecare Direction, Issue 5, May 2, 2018
Update policies and procedures to spell out your processes if you decide to have a therapist assess...
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Homecare Direction, Issue 5, May 2, 2018
More agencies have achieved 5-star status than ever before, and scores for transferring saw the...
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Homecare Direction, Issue 4, April 12, 2018
To ensure communication and consistency across assessments, have physical therapists cross-train...
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Homecare Q&A, Issue 6, March 17, 2018
Agencies must abide by certain regulations in order to participate in the Medicare program, as...
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Homecare Q&A, Issue 6, March 17, 2018
Follow these tips:
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Homecare E-News, Issue 11, March 12, 2018
CMS filed a notice and request for comment on proposed revisions to the OASIS item set. The notice...
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Homecare Q&A, Issue 5, March 5, 2018
AIn the case of an unexpected discharge, the last qualified clinician to see the patient should...
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Homecare Q&A, Issue 4, February 19, 2018
The first clinical skin assessment is the assessment used to complete the Outcome and Assessment...
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Homecare Direction, Issue 12, December 18, 2017
Many items will be eliminated from the OASIS and several others will be added to the assessment...
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Homecare Q&A, Issue 24, December 17, 2017
One reason agencies score poorly on M1830 (bathing): They still struggle with properly assessing...
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Homecare Q&A, Issue 22, November 17, 2017
The Wong-Baker FACES scale, like all standardized, validated assessments, has thresholds
for what...
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Homecare Q&A, Issue 21, November 2, 2017
Many agencies have had great success with Ambulation/Locomotion (M1860), but others have...
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Homecare E-News, Issue 41, October 30, 2017
Home Health Compare’s refresh this quarter produced a slightly different number of 5-star...
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Homecare Direction, Issue 10, October 23, 2017
Get ready to collect as many as 15 new OASIS data elements involving cancer, respiration, IVs and...
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Homecare E-News, Issue 39, October 16, 2017
Home health agencies will now have their claims returned when Medicare systems fail to match those...
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Homecare Q&A, Issue 19, October 3, 2017
Yes, the OT can perform a discharge, or transfer, or any other OASIS after the SOC.
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Homecare E-News, Issue 33, August 28, 2017
According to CMS’ final rule, 35 OASIS items would be deleted or modified for 2019. NAHC...
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Homecare E-News, Issue 30, August 7, 2017
CMS released the 2018 guidance manual for OASIS-C2 on August 4. The new guidance manual, which...
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Homecare E-News, Issue 28, July 21, 2017
New Program for Evaluating Payment Patterns Electronic Reports (PEPPERs) through CY 2016 are...
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Homecare Q&A, Issue 14, July 17, 2017
As part of a monthly or quarterly quality assurance review, agencies should closely monitor...
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Beacon Institute On-Demand Webcast Library, Issue 11, November 8, 2016
Master new OASIS-C2 guidance changes, take a step closer to 5-star ratings
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Homecare Q&A, Issue 16, August 22, 2016
Our agency is in the process of evaluating wound certification courses for our nursing staff. We...
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Homecare Q&A, Issue 16, August 22, 2016
Follow-up question to the one above: Because the patient would not be coming back to us for...
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Homecare Q&A, Issue 16, August 22, 2016
When our patients are admitted to an inpatient facility and we complete a transfer OASIS, we...
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Homecare Q&A, Issue 15, August 3, 2016
Therapy visits have a direct impact on the first (grouping step) and fourth (services utilization...
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Homecare Q&A, Issue 15, August 3, 2016
M2200 asks about the number of visits on the plan of care, which reflects physician orders. This...
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Homecare Q&A, Issue 15, August 3, 2016
The CMS system will automatically change the answer to M2200 to reflect the number of visits...
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Homecare E-News, Issue 22, June 6, 2016
The National Association for Home Care & Hospice (NAHC) has raised concerns regarding...
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Homecare Q&A, Issue 7, April 4, 2016
No. ICD-10-CM classifies depression under Disorder, depressive, major (MDD), but more information...
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Homecare E-News, Issue 14, April 4, 2016
The OASIS-C2 item stet is now available on the OASIS Data Sets webpage. OASIS-C2 is effective...
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Homecare Q&A, Issue 3, February 3, 2016
Thank you for your question and commitment to compliance. You are correct that the assessment must...
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Homecare Q&A, Issue 1, January 3, 2016
You are correct, M1034 is risk adjusted. Please be sure clinicians are answering response “3...
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Homecare Q&A, Issue 23, December 4, 2015
This therapy M item should be reviewed once all initial orders have been received by the agency...
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Homecare Q&A, Issue 23, December 4, 2015
M2200 asks about the number of visits on the plan of care, which reflects physician orders. This...
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Homecare Q&A, Issue 23, December 4, 2015
Therapy visits have a direct impact on the first (grouping step) and fourth (services utilization...
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Homecare Q&A, Issue 23, December 4, 2015
Because there will be no adjustments in the HHRG after the RAP is sent, the reporting of therapy...
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Homecare Q&A, Issue 23, December 4, 2015
The CMS system will automatically change the answer to M2200 to reflect the number of visits...
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Homecare Q&A, Issue 23, December 4, 2015
When a patient is discharged and not readmitted during the remainder of the episode, the 60th or...
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Homecare Q&A, Issue 23, December 4, 2015
When determining the answer for M0110, the concern is what happened before admission.
Count...
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Homecare Q&A, Issue 23, December 4, 2015
CMS and medical reviewers pay close attention to patterns in care delivery and HHRG data. They are...
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Homecare E-News, Issue 47, November 30, 2015
Since 2007, Medicare regulations have mandated Outcome and Assessment Information Set (OASIS...
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Homecare Q&A, Issue 20, October 16, 2015
What kind of events count as "potentially avoidable"? What will and should be in the...
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Homecare E-News, Issue 40, October 12, 2015
The start-of-care (SOC) assessment is completed as a patient is being admitted to a home health...
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Homecare Q&A, Issue 18, September 17, 2015
This patient’s change in condition has a real impact on resource utilization—an...
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Homecare Q&A, Issue 18, September 17, 2015
The CoPs identify several key components for this assessment. Here are the components and some...
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Homecare Q&A, Issue 15, August 3, 2015
I am specifically looking for the guidance indicating that, when an OASIS assessment is not...
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Homecare Q&A, Issue 14, July 16, 2015
The only similar guidance found was according
to CMS’ OASIS Q&A:
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Homecare Q&A, Issue 14, July 16, 2015
Thanks for your question and commitment
to compliance. In cases where you learn
after the fact...
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Homecare Q&A, Issue 13, July 2, 2015
If a patient switches from traditional Medicare to MA, the agency will receive a partial episode...
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Homecare Q&A, Issue 13, July 2, 2015
AM0150 would be answered “2”—Medicare (HMO/managed care/Advantage plan).
It is...
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Homecare Q&A, Issue 13, July 2, 2015
AM0110, Episode Timing, and M2200, Therapy Need, apply when the assessment will determine the...
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Homecare Q&A, Issue 13, July 2, 2015
When a patient joins a Medicare Advantage (MA) plan, he or she takes on a subscriber number, but...
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Homecare Q&A, Issue 13, July 2, 2015
July 3, 2015
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Homecare Q&A, Issue 12, June 15, 2015
If an agency discharges a patient with goals met but then readmits him or her within 60 days of...
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Homecare Q&A, Issue 12, June 15, 2015
Q: We are seeing a patient with Alzheimer’s disease, who was hospitalized for advanced...
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Homecare Q&A, Issue 0, June 9, 2015
To accommodate the extended effectiveness of ICD-9 after the Protecting Access to Medicare...
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Homecare Q&A, Issue 9, May 17, 2015
Do we answer M0063, Medicare Number, with the patient’s now-defunct Medicare number or the...
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Homecare Q&A, Issue 9, May 3, 2015
What should you do about a tardy recertification assessment? It’s the fifth day of the...
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Homecare Q&A, Issue 9, May 3, 2015
What would be the response for M0150, Current Payment Sources, for an MA patient?
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Homecare Q&A, Issue 9, May 3, 2015
Regarding M0102 and M0104: We received a referral and we contacted the patient within the...
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Homecare Q&A, Issue 8, April 17, 2015
M0110, Episode Timing, and M2200, Therapy Need, apply when the assessment will determine the...
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Homecare Q&A, Issue 8, April 17, 2015
When a patient joins an MA plan, he or she takes on a subscriber number, but the patient’s...
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Homecare Q&A, Issue 7, April 3, 2015
The ROC assessment is completed any time a patient has returned home following an inpatient stay of...
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Homecare Q&A, Issue 6, March 17, 2015
Yes, all Medicare, Medicare Advantage, and Medicaid OASIS assessments must be transmitted.
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Homecare Insider, Issue 1, January 5, 2015
Will home health remain exempt from overtime compensation in most circumstances like it has for 40...