Oasis

absolute.clewis@gmail.comabsolute.clewis@gmail.com
in Home Care Coding General
Patient transferred without discharge now going into LTC. The dc oasis should be completed by the last skilled person that saw the patient, that would be the nurse that is no longer with the company. Not sure what form I would use as the dc oasis can not be completed.
Thoughts

Comments

  • tstrauss@elevatehomehealth.comtstrauss@elevatehomehealth.com
    edited April 2017
    The Suoervisor or DPCS may complete or next last skilled clinician RN/PT etc... may complete

    Traci Strauss RN, COS-C, HCS-D
    Clinical Reimbursement Specialist
    209-914-3521
  • Unknown
    edited April 2017
    If transferred a TIF Oasis should have been done. If TIF was done....no DC Oasis is needed, only DC documentation that is required for your branch/organization.
  • Jgibson@axxess.comJgibson@axxess.com
    edited April 2017
    No OASIS DC is needed when a transfer OASIS has been completed. Only the DC summary is completed.

    Jennifer Gibson, RN, HCS-D ICD-10, COS-C
    Senior Clinical Services Consultant
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  • Nancy.Wolverton@kindred.comNancy.Wolverton@kindred.com
    edited April 2017
    Hi Cydnee.
    Very complex question. In your case I would respond on the question in a conservative way omitting the wound vac visits and allow Medicare to auto-adjust upward M2200 instead of downward. You will not be in trouble with an incorrect response as Medicare does auto-correct this number in the final claim for you without penality.
    To answer your question one has to look at the specific guidelines from Chapter 7 in the Medicare Benefits Policy Manual on Physical Therapy Services and I quote:
    "H. Wound Care Provided Within Scope of State Practice Acts
    If wound care falls within the auspice of a physical therapist's State Practice Act, then the physical therapist may provide the specific type of wound care services defined in the State Practice Act. However, such visits in this specific situation would be a covered therapy service when there is documentation in the home health record that the skills of a therapist are required to perform the service. The patient’s response to therapy must be documented."
    Therefore you will need to look at your State Practice Act for PT for specifics. Our state allows for such but again, I would err on the side of caution anticipating a lower number from Medicare and letting Medicare adjust it up if it is covered by your MAC.



    Nancy Wolverton RN, CCM, HCS-D
    Kindred at Home
    Little Rock, Arkansas
    501-508-8526
    Nancy.Wolverton@kindred.com
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