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PDGM and My Diagnosis List

In News, OASIS, Online Training, PDGMby Sarah BaconLeave a Comment

A question that we all have pondered at some time over the last few months…How are those diagnoses going to get on that claim? What do they mean when they say the diagnoses don’t come from the OASIS? What if a new diagnosis is communicated to us in the middle of a 30-day period and a new OASIS is not …

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[On-demand webinar] PDGM and OASIS-D1/Comprehensive Assessment

In News, OASISby Sarah Bacon12 Comments

On Jan. 1, 2020, “business as usual” will be a thing of the past with OASIS-D1 and PDGM going into effect.  Unlike other providers, home health agencies bill based on clinicians’ documentation. Strong documentation will be the key to accurate coding when identifying the appropriate primary diagnosis to determine the clinical group and all pertinent diagnoses relevant to payment.  Consequently, …

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PDGM: Hysterics of the year 2000 all over again

In News, OASISby Sarah BaconLeave a Comment

The Patient Driven Grouper Model (PDGM) is the most significant change to the home health payor system since the year 2000. We are moving away from therapy utilization driven payment to a payment largely driven by diagnosis codes.  In this new in-depth course, home health industry expert Lisa Selman-Holman will cover PDGM success tips including: Understanding your percentage of institutional …

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OASIS-D1: What is Your Action Plan?

In News, OASISby Lisa Selman-HolmanLeave a Comment

It seems Medicare is giving us a “break” when it comes to changes to OASIS in January 2020. A couple of items have been added to the recertification assessment because they are needed for calculating the new functional score–M1800 (Grooming) and M1033 (Risk for Hospitalization).  The biggest change comes from the CMS instruction that MANY items on the recertification will …

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OASIS-D comprehensive training course now available

In OASIS, Online Trainingby Ken Bell5 Comments

We’re excited to offer a brand new comprehensive online training series for OASIS-D, ideal for new home health clinicians and coders. CEUs available 21 Nursing CE Hours 21 HCS-O CEU Hours 21 CEU Hours for Administrators & Alternate Administrators Course sections About this course Introduction Who, What, When Clinical Record Items Patient History & Diagnoses Living Arrangements Sensory Status Integumentary Respiratory …

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Navigating that OASIS C2 Denial

In OASISby DeLaine SchwertnerLeave a Comment

As of April 1, 2017, Medicare began automatically denying claims with missing patient assessment data in the OASIS. Agencies are scratching their heads over the new denials. With some, they just plain messed up. The OASIS was not transmitted before the final claim for the episode was transmitted. With some, OASIS was submitted in time, but certain data was wrong …

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Don’t be stumped with amputation stumps

In OASISby DeLaine SchwertnerLeave a Comment

Amputation coding seems to bring more confusion, and more potential gray areas, than most. There is the ongoing discussion about what code is correct for aftercare of surgery for amputation, and more recently, there has been a lot of discussion on what code works to indicate a complication of an amputation stump. The straight-up coding seems simple: The infected amputation …