Author: Melinda A. Gaboury Publisher: ISBN: 9781683081883 Category : Languages : en Pages :
Book Description
Help your home health agency maintain regulatory compliance by implementing the OASIS data set transitions with convenience and ease using the Home Health Guide to OASIS-C2: A Reference for Field Staff. This updated book supplies homecare providers with the latest information they need to know about the revised OASIS-C2 data set implementation requirements for January 2017. Designed to enable field staff to bring along and complete the OASIS-C2 assessments at a patient's bedside, the book provides helpful guidance for each assessment type and M item change to ensure documentation standards are upheld and proper reimbursement is obtained for every patient. This handy pocket guide provides: Convenient access to OASIS guidance; use this travel-sized pocket guide while filling out the assessment at the bedside Plain English guidance with step-by-step instructions for filling out each OASIS-C2 item to help staff easily improve their OASIS documentation An explanation of how OASIS items fit into various assessments A breakdown of how the data collection affects reimbursement Troubleshooting tips to avert incorrect payment, denials, and fines Compliance at any time--our pocket guide offers information about the revised implementation requirements for October 2016
Author: Melinda A. Gaboury Publisher: ISBN: 9781556454745 Category : Languages : en Pages : 0
Book Description
Home Health Pocket Guide to OASIS-C1: A Reference for Field Staff Melinda A. Gaboury, COS-C Help your home health agency maintain regulatory compliance by implementing the OASIS data set transitions with convenience and ease using the Home Health Pocket Guide to OASIS-C1: A Reference for Field Staff. This updated book supplies homecare providers with the latest information they need to know about the revised OASIS-C1 data set implementation requirements for January and October 2015. Designed to enable field staff to bring along and complete the OASIS-C1 assessments at a patient's bedside, the book provides helpful guidance for each assessment type and M item change to ensure documentation standards are upheld and proper reimbursement is obtained for every patient. This handy pocket guide provides: Convenient access to OASIS guidance; use this travel-sized pocket guide while filling out the assessment at the bedside Plain English guidance with step-by-step instructions for filling out each OASIS-C1 item to help staff easily improve their OASIS documentation An explanation of how OASIS items fit into various assessments A breakdown of how the data collection affects reimbursement Troubleshooting tips to avert incorrect payment, denials, and fines Compliance at any time--our pocket guide offers information about the revised implementation requirements for January and October 2015 Table of Contents: Section 1: OASIS-C1 Overview - Summary of eliminated, modified, and new data elements Section 2: What's New: Two-Step Implementation Method to Compliment ICD-10 Section 3: The Comprehensive Assessment and OASIS-C1 Section 4: Reimbursement Effect of OASIS-C1 Section 5: OASIS-C1 and Outcomes Section 6: Patient Tracking Sheet Section 7: Start of Care and Resumption of Care Assessments Section 8: Follow-Up and Other Follow-Up Assessments Section 9: Transfer and Discharge Assessments Section 10: Step by Step: General instructions for completion of the OASIS-C
Author: Randa L. Sperling Publisher: Lippincott Williams & Wilkins ISBN: 9780781719551 Category : Home care services Languages : en Pages : 0
Book Description
This text makes a complex subject easier to understand! The imminent enactment of new COP's will bring about extensive changes for Medicare-certified home health agencies. New requirements will compel agencies to collect data and determine outcomes of care using OASIS and to develop entire OBQI programs around that data. Complex and multi-faceted, the new data system requires total reorganization that will impact computerization, documentation forms, staff and management roles and functions, and a complete restructuring of quality improvement programs. This informative new text -- based on the original research project -- will help to ensure the reliable and valid collection of information during patient assessments. Clear, concise and well-organized, the text presents the rationale and background of OASIS and OBQI and offers cogent guidelines on implementation and analysis of results.
Author: Paula Long Publisher: Beacon Health, a Division of Blr ISBN: 9781601468406 Category : Languages : en Pages : 0
Book Description
Home Health Aide On-the-Go In-service Vol 10, Issue 1, OASIS-C Outcome and Process Measures OVERVIEW The OASIS assessment monitors outcomes, determines reimbursement, and serves as the foundation for an agency's quality improvement system. The assessment data are collected for any patient who is receiving skilled care from a Medicare-certified home health agency and whose payer is Medicare or Medicaid. This in-service provides home health aides background into the function of OASIS-C assessments and helps them understand their role in quality improvement. Aides will learn how quality outcomes affect the patient's quality of care as well as the agency's bottom line. LESSON OBJECTIVES After completion of this program, the home health aide will be able to: Identify the purpose of the OASIS-C assessment Identify the outcome and process measures related to the OASIS-C assessment Discuss the importance of the outcome and process measures in quality improvement Identify and discuss the home health aide's role in quality improvement Identify potentially avoidable events Contents of this lesson: A clearly written fact sheet A 10-question post-test to measure understanding of the subject matter An answer sheet with a place for the instructor's comments and signature An illustrative, homecare-specific case study Suggested supplemental learning activities An attendance log and certificate of completion
Author: J'Non Griffin Publisher: ISBN: 9781683081807 Category : Languages : en Pages : 360
Book Description
The Home Health Guide to Medicare Service Delivery, 2017 Edition J'non Griffin, RN, MHA, WCC, HCS-D, COS-C, HCS-H Updated to reflect the 2017 home health PPS final rule, new Conditions of Participation (CoP), and OASIS-C2, The Home Health Guide to Medicare Service Delivery, 2017 Edition, offers a one-stop solution for home health professionals that are looking for answers to their Medicare compliance questions. This book also enables agencies to ensure services are delivered according to current Medicare regulations and helps staff understand how to produce patient care documentation that supports compliance and proper payment claims. This manual provides: Quick access to concise, up-to-date CMS regulations, including new CoPs and interpretive analyses A go-to resource for anyone in the home health agency, useful for orientation, training, and reference when stumped by a regulatory or operational question An overview of the home health PPS final rule, featuring complete interpretation and compliance guidelines on all PPS regulations "Nuts and bolts" education--this book takes the most complicated aspects of Medicare healthcare services and explains them in an easy-to-understand way What's New? Updated regulations include: The 2017 home health PPS final rule Payment rebasing Home health quality changes Coding changes Changes in methodology used to calculate outlier payments (episodes of care with unusual variations in the type or amount of medically necessary care) Changes in payment for negative pressure wound therapy performed using a disposable device for patients under a home health plan of care Additions and modifications to the home health value-based purchasing model Table of Contents The Basics of Medicare Service Delivery: Presents the fundamentals of Medicare coverage criteria and the new Conditions of Participation. This includes a section dedicated to survey preparation. The Prospective Payment System (PPS): Gives an overview of critical concepts, including the Home Health Resource Group, consolidated billing requirements, and clinical issues with an impact on billing for the current payment system. All About the OASIS: Discusses the fundamentals of the OASIS-C2 and assessments. Compliance and Care Delivery: Highlights issues related to visits, physician orders, start of care, recertification, and discharge. Documentation Essentials: Looks at documentation fundamentals, the clinical record, diagnoses, and the plan of care. This includes a section related to the 485 and elements of content.
Author: Publisher: ISBN: 9781645351825 Category : Medical Languages : en Pages : 0
Book Description
The ICD-10-CM & OASIS Field Guide, 2023, contains two important references for clinicians on the go -- a quick ICD-10 code look-up and a guide to answering the OASIS functional case-mix questions and other key items. Section I: ICD-10-CM Field Guide provides official guidance on how to assign the most often-used home health ICD-10 codes. It contains Tabular rules such as Includes and Excludes notes, and provides PDGM payment information. Section II: OASIS Field Guide provides the most up-to-date OASIS-E guidance on how to accurately answer the OASIS questions that are the most challenging, yet most important in terms of determining and adequately capturing your patient's acuity as well as making sure your agency will be appropriately reimbursed for the intensive services you will be providing. For example, in addition to the functional case-mix items (M1033, M1800-M1860), we've also included the challenging wound and GG items. We've taken CMS' Q&As and boiled them down to plain-English tips that clinicians can quickly turn to when filling out an OASIS form. The 2023 ICD-10-CM & OASIS Field Guide includes: NEW! Updated OASIS-E guidance and the latest CMS Q&As, as well as the addition of GG-items. NEW! Updated with FY2023 code changes and latest CMS OASIS-E guidance updates so that you have the most recent information to code accurately. NEW! FY2023 tabular and index updates most applicable to home health clinicians and coders on the go who need to do a quick code check. Icons identify the new and revised codes. NEW! Updated OASIS-E and PDGM guidance on those items that are used to calculate functional impairment levels. Updated coding guidance and key official guidelines embedded at the code level to help you quickly navigate the new coding rules to accurately assign the correct ICD-10 codes. The 2023 ICD-10-CM & OASIS Field Guide is meant to make your job easier. Take it with you to every OASIS visit and use it as a guide to select the initial ICD-10 codes and answer key OASIS questions.
Author: Tina M. Marrelli Publisher: Elsevier Health Sciences ISBN: 0323079431 Category : Medical Languages : en Pages : 688
Book Description
Handbook of Home Health Standards: Quality, Documentation, and Reimbursement includes everything the home care nurse needs to provide quality care and effectively document care based on accepted professional standards. This handbook offers detailed standards and documentation guidelines including ICD-9-CM (diagnostic) codes, OASIS considerations, service skills (including the skills of the multidisciplinary health care team), factors justifying homebound status, interdisciplinary goals and outcomes, reimbursement, and resources for practice and education. The fifth edition of this “little red book has been updated to include new information from the most recently revised Federal Register Final Rule and up-to-date coding. All information in this handbook has been thoroughly reviewed, revised, and updated. Offers easy-to-access and easy-to-read format that guides users step by step through important home care standards and documentation guidelines Provides practical tips for effective documentation of diagnoses/clinical conditions commonly treated in the home, designed to positively influence reimbursement from third party payors. Lists ICD-9-CM diagnostic codes, needed for completing CMS billing forms, in each body system section, along with a complete alphabetical list of all codes included in the book in an appendix. Incorporates hospice care and documentation standards so providers can create effective hospice documentation. Emphasizes the provision of quality care by providing guidelines based on the most current approved standards of care. Includes the most current NANDA-approved nursing diagnoses so that providers have the most accurate and up-to-date information at their fingertips. Identifies skilled services, including services appropriate for the multidisciplinary team to perform. Offers discharge planning solutions to address specific concerns so providers can easily identify the plan of discharge that most effectively meets the patient’s needs. Lists the crucial parts of all standards that specific members of the multidisciplinary team (e.g., the nurse, social worker) must uphold to work effectively together to achieve optimum patient outcomes. Resources for care and practice direct providers to useful sources to improve patient care and/or enhance their professional practice. Each set of guidelines includes patient, family, and caregiver education so that health care providers can supply clients with necessary information for specific problems or concerns. Communication tips identify quantifiable data that assists in providing insurance case managers with information on which to make effective patient care decisions. Several useful sections make the handbook thorough and complete: medicare guidelines; home care definitions, roles, and abbreviations; NANDA-approved nursing diagnoses; guidelines for home medial equipment and supplies. Small size for convenient carrying in bag or pocket! Provides the most up-to-date information about the newest and predominant reimbursement mechanisms in home care: the Prospective Payment System (PPS) and Pay For Performance (P4P). Updated terminology, definitions, and language to reflect the federal agency change from Health Care Financing Administration (HCFA) to Centers for Medicare & Medicaid Services (CMS) and other industry changes. Includes the most recent NANDA diagnoses and OASIS form and documentation explanations. New interdisciplinary roles have been added, such as respiratory therapist and nutritionist.,/LI>
Author: Richard Gaudet Publisher: ISBN: 9781500301231 Category : Medical Languages : en Pages : 36
Book Description
OASIS (Outcome and Assessment Information Set) The purpose of the Oasis is to provide the Center for Medicare and Medicaid (CMS) with a means to enter important health information and to track patient outcomes through patient data provided by Home Health Care Agencies (HHA). This data gathering begins at Start of Care (SOC) and ends at transfer to an inpatient facility or Discharge from the HHA. This book helps Home Health Care personnel by offering direction on specific M-Items that are not intuitive to the nurse completing the OASIS in the field. Use this manual as a quick reference.