OASIS
OASIS D1
What is the current OASIS version?
Patient Driven Grouping Model
what does PDGM stand for?
Going to church, special events, hairdresser appt, MD appointments
What activities do not affect homebound status?
DME and Supplies, Safety, Nutrition, Func Limitations, Activities, Mental Status, Prognosis
What are "Locators"?
2-3 lbs in 24 hours
CHF sx to report to Home Health
5 days
The SOC OASIS must be completed within?
Hospital, SNU, Rehab
Institutional referrals have higher reimbursement and include which facilities?
60 days
What is length of Medicare episode?
Sunday through Saturday
What is a Medicare week for scheduling purposes?
Uneven steps, rugs, O2 tubing, cluttered rooms, narrow doorways, low light areas, pets
What are environmental risks for falls?
RN, PT
SOC OASIS can only be completed by?
The first 30 day care period
What is an "early care period" for PDGM.
Med planners, venipuncture, bathing assistance
What services are not considered Skilled Needs for HH?
Muscle weakness, shortness of breath, unsteady gait, edema
What are symptom codes and no longer used for primary Home Health coding.
Multiple co-morbidities, Current Infection, Advanced age, Recent health decline, History of Falls, Multiple medications, Open Wounds, Recent weight loss, Recent Emergency Room use, Current IV therapy, Recent Hospitalization
What are risk factors for ER or rehospitalization?
48 hours
ROC must be completed within how long?
M1800 questions
What OASIS questions are used to score functional status points for reimbursement under PDGM?
21 days
How long can SN make daily visits?
Emergency plan, Patient goals for treatment, Patient agreed participation in plan and Advanced Care Planning (ACP).
What are required elements to all Plans of Care?
Impaired Mobility, incontinence, bony prominences, friction, shearing, poor nutritional status, paralysis or neurological disorders, diabetes, peripheral vascular disease....
What are risk factors for skin breakdown that we must address in the care plan?
RN, PT, OT or ST
Who can complete a Discharge OASIS?
What are the 12 Clinical Groups under PDGM ?
Primary care physician, Hospitalist, Physician Specialist, (MD, DO) PECOS Certified
Who can sign certification for Home Health (485)?
Every 14 days
How often must the RN provide and document HHA supervision?
Patient is soiled, unexplained bruising, repeated injuries, dependent for care and ADLs with no available or consistent caregiver, left alone, found tied to chair or bed, food/medications not available...
What are typical reasons to notify APS?