Outcome and
Assessment Information Set (OASIS) Update
PDF Version
of BQA 01-013 (PDF, 15 KB)
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Date: March 20, 2001 DSL-BQA-01-013
To: Home Health Agencies HHA 06
From: Jan Eakins, Chief, Provider Regulation and Quality Improvement
Section
cc: Sue Schroeder, Director, Bureau of Quality Assurance
The purpose of this memorandum is to provide you with
information related to:
Correction Policy for OASIS Data Item
M0825
On February 22, 2001, HCFA published a
policy that allows HHAs to make a non-key field correction to their
original assessment at M0825 to update the Home Health Resource Group (HHRG).
Increase or decrease in therapy with no clinical change in patient’s
condition
If the therapy need was under-estimated or over-estimated at the
beginning of an episode of care and if there is no clinical change in the
patient’s health status, the HHA may correct the original assessment at
M0825 to update the HHRG and transmit the corrected assessment to the
state. The HHA may then cancel the original Request for Anticipated
Payment (RAP) and resubmit with the correct HHRG. The HHA must document in
the patient’s record the difference between therapy originally estimated
and therapy actually delivered.
Significant Change in Condition (SCIC)
If the physician orders therapy services for a patient who had no
therapy ordered at the start of care (SOC), the change in physician orders
and in the home health resource group (HHRG) constitutes a SCIC. The HHA
must complete an Other Follow-up Assessment (RFA 05) and submit the SCIC
adjustment. Corrections to the SOC assessment are not appropriate in this
case.
Changes must be documented in the clinical record.
Time limit
Currently, HCFA has not put a time limit on corrections. Corrections
can be made whenever the agency identifies the error and submits a
corrected record through the OASIS correction policy.
Reference
The exact text publicizing this correction policy can be found in
PPS/OASIS questions/answers 23 and 24 on the following HCFA website: http://www.hcfa.gov/medicaid/oasis/hhqcat12.htm
[not operable, see http://www.cms.hhs.gov/oasis/hhoview.asp
(exit DHFS)]
OASIS Considerations for
HHAs Seeking Initial Certification
The Bureau of Quality Assurance (BQA)
received the attached memorandum, Ref. S&C
01-02 (exit DHFS), dated February 2, 2001, from the federal Health Care Financing
Administration (HCFA), Survey and Certification Group. This memo provides
guidance to HHAs seeking initial certification concerning OASIS
requirements and payment under Medicare.
Application of OASIS
Requirements to Medicare Beneficiaries
The BQA received the attached memorandum,
Ref. S&C 01-03 (exit DHFS), dated February 12, 2001, from the federal HCFA,
Survey and Certification Group. The memo provides guidance to HHAs and
state survey agencies for the application of OASIS requirements to
Medicare beneficiaries using various Medicare benefits.
Implementation of OBQM Reports in Survey
Process
The BQA received the attached
memorandum, Ref. S&C 01-06 (exit DHFS), dated March 6, 2001, from the federal
HCFA, Survey and Certification Group. This memo provides instructions to
state agency and federal surveyors on implementing the OBQM Case-mix and
Adverse Event Outcome Reports as part of the HHA survey process.
The information in this memo is effective immediately. HHAs should
review this information to understand the following in relation to OBQM
reports:
OASIS Training Opportunity
The Bureau of Quality Assurance will be
presenting an OASIS – Step Beyond The Basics workshop in April
2001. The workshop is intended to provide advanced information for home
health agency staff who work with and have a basic understanding of OASIS.
Workshop dates and locations
The workshop will be held on the following dates at three different
locations:
-
April 18, 2001 – Best Western Midway Hotel, Eau Claire.
-
April 24 – Olympia Conference Center, Oconomowoc.
-
April 26 – Comfort Suites of Green Bay, Green Bay.
Training brochure and registration form
HHAs may obtain a detailed training brochure and registration form in
one of the following ways:
-
A brochure and registration
form is attached to this memo.
[no longer available on Internet]
-
A brochure and registration form was mailed to all Wisconsin home
health agencies.
-
Training information is available on the State OASIS System Welcome
Page by clicking on Bulletins.
Further information on training
Contact Leann Graffin, Training Officer, at (608) 267-1438, for further
information on the OASIS workshops.
New OASIS Correction
Policy
The spring release updating the State OASIS System will include a
process for removing erroneous OASIS records and making key field changes
to records that have been accepted by the state. Starting with Version
1.20 of the OASIS data specifications, users will be able to remove a
record that was submitted in error using an automated process called
inactivation. Version 1.20 is scheduled to be implemented April 2001.
The current CORRECTION_NUM method will continue to be used for
modifying OASIS non-key field errors. However, if an error has been made
in one or more key fields or if an OASIS assessment was submitted in
error, then the erroneous assessment should be inactivated. Home health
agency’s internal OASIS software programs should have the ability to
create an inactivation record.
The OASIS – Beyond the Basics training program mentioned previously
will include an Automation Track that will discuss the inactivation
process.
Questions
Please direct questions to the following resources:
Software and OASIS data transmission:
-
Chris Benesh, OASIS Automation Coordinator, 608/266-1718 or
benesce@dhs.state.wi.us.
-
Cindy Symons, OASIS Technical Analyst [no longer available, contact Chris
Benesh]
Clinical issues regarding OASIS data collection:
General home health questions:
Medicare payment and billing questions:
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