Home Health 101
What skilled role can't perform SOC OASIS
LVN/LPN
Number of tabs that can be open at one time
10
When must an agency submit the NOA to Medicare
The cost to use Axxess CARE
free, zero, nada, zilch
What does abbreviation DDE mean
Direct Data Entry
What option is not available when reviewing a visit in the QA Center?
The color that surrounds the OASIS questions
Green
Claim exception that has a visit threshold of 2-6 visits
LUPA
Where would you go to bulk post many visits at one time
Axxess CARE Scheduler
Do you need administrator permissions to change the login and signature passwords of a user
NO
During intake the agency should verify this
Medicare eligibility
Two occasions that red sticky notes are used
Missed visit and Return from QA
If a patient is discharged, when must an agency submit all claims to Medicare for consideration
within one calendar year formt he end date of service
Color of heart for an internal visit
purple
What certification must a physician caring for Medicare patients have
PECOS
Number of days in an episode
60
Criteria for a patient to qualify for home healthcare (3)
Homebound, ordered and overseen by physician, medically necessary and skilled need providing care
Claim exception used if patient loses Medicare eligibility during an episode
PEP or Partial Episode Payment
When can a pay rate be changed at the visit level
When the visit is posted
How do you write the frequency for the following: physical therapy, first week is 3 visits & 2 visits a week for six weeks
PT 3w1, 2w6
Number of days before or after the start of care that the Face to Face is required to be conducted
90 : 30
The two parts of Medicare that is considered "traditional"
Part A & Part B
Two things an agency must do before NOA can be submitted to Medicare
Verbal or written order received from physician AND initial visit conducted at SOC
When will the clinician/therapist be paid for the visit
Once the agency QAs the visit OR after 5 business days
The sequential order of the five OASIS visits
SOC>TF>ROC>Recert>D/C -OR- SOC>Recert>TF>ROC>D/C