Posts Tagged ‘OASIS’

Summary of Changes for the OASIS C-1

July 9, 2013

As noted in a previous report, the Centers for Medicare & Medicaid Services has issued a draft version of the Outcome and Assessment Information Set (OASIS) C-1.

The proposed version – OASIS – C1 – reflects changes to accommodate coding of diagnoses using the ICD-10-CM coding set that take effect Oct 1, 2014. Additionally, revisions reflect issues raised by stakeholders – such as updating clinical concepts and modifying item wording and response categories to improve item clarity.

Further, CMS has removed items not currently used for payment, quality, or risk adjustment to reduce the burden associated with the OASIS data collection.

Below is a summary of the key changes to the OASIS C-1 assessment instrument. (more…)

Submit Your Comments: CMS Proposes Changes to the OASIS Data Instrument

June 26, 2013

The Centers for Medicare & Medicaid Services issued a notice announcing proposed changes to the Outcome and Assessment Information Set (OASIS) in the Federal Register on June 21.

The proposed version – OASIS-C1 – reflects changes to accommodate the need to enable the coding of diagnoses using the ICD-10-CM coding set which goes into effect October 1, 2014; the need to address issues raised by stakeholders – such as updating clinical concepts and modifying item wording and response categories to improve item clarity – and to reduce burden associated with OASIS data collection by removing items not currently used by CMS for payment, quality, or risk adjustment.

Comments must be received by August 20, 2013. Click here to review the notice. (more…)

Palmetto GBA: Erroneous Partial Episode Payment Adjustments on Certain Home Health Dual-Eligible Claims

November 9, 2012

Palmetto GBA released this week an MLN Matters® article intended for home health agencies who bill Regional Home Health Intermediaries (RHHIs) or Medicare Administrative Contractors (A/B MACs) for services provided to dual eligible beneficiaries.

Change Request 7865 contains no new policy. It revises Medicare systems to ensure that payment episode adjustments for overlapping home health care episodes are not incorrectly applied. (more…)

CMS Clarifies Expectations for Therapy Start-of-Care Assessment

April 16, 2012

Questions have been raised regarding what a therapist must include in their physical assessment at the start of care (SOC) for therapy only cases. Recently, a state surveyor took exception to an agency’s therapy SOC assessment that did not include an assessment of the patient’s bowel, lung and heart sounds. The surveyor claimed that without these elements being assessed the agency did not meet the requirements of a comprehensive assessment. The therapists maintained that assessing for bowel, lung and heart sounds are not within their training or scope of practice. (more…)

CMS Provides Top 10 Home Health Survey Deficiencies and OASIS Transmission Errors

April 5, 2012

At the recent March on Washington advocacy event, representatives from the Centers for Medicare and Medicaid Services participated in a panel to discuss regulatory and policy initiatives for 2012 and beyond. The discussion centered on key topics such as payment policy, survey and certification, and an overview of medical review activities in home health. (more…)

Medicare Providers: MDS and OASIS Submission Connection Compliance Deadline Next Week!

February 23, 2012

Last spring, CMS announced during an Open Door Forum conference call that providers submitting MDS and OASIS assessments will need to convert their CMSNet (previously MDCN) submitter accounts from AT&T to Verizon. CMS has posted bulletins and sent out email notifications to providers, but with the compliance deadline just 8 days away, many of Florida’s providers have not made the conversion to Verizon. Providers that do not convert by March 1 will not be compliant with submission requirements and will not be able to use their old accounts to submit MDS or OASIS assessments. (more…)

OASIS Q&A Updated to Reflect Clarification on the F2F Requirement

February 7, 2012

The Centers for Medicare & Medicaid Services (CMS) recently released their OASIS Q&A’s for January 2012. In this most recent round of questions, CMS provided clarification on completion of OASIS data in situations where the face-to-face encounter does not occur within the 90 days prior to the start of care (SOC), or within 30 days after the SOC.

Please review the noteworthy information below. It is important for agencies to remember that while CMS now allows some flexibility in collecting and submitting OASIS data, in cases where a late F2F encounter occurs, you need to make sure your documentation is thorough and reflects the fact that a late F2F encounter did occur. This will assist you in explaining any inconsistencies should the patient’s chart be audited: (more…)