Policy Manual sample

MDT Home Health Care Agency, Inc. timely transmit our non-maternity Medicare, and skilled services Medicaid beneficiaries (HMO/Managed Care the OASIS data will be collected, but not transmitted to the State according current regulations) that are age 18 and over to the State, the data collected, following the established dated schedule but at least monthly (within 30 days of assessment date), also conducting clinical and data entry audits in a process to verify that collected OASIS data is consistent with reported OASIS data, identifying and addressing any discrepancies in data collected and reported, maintain an alternate plan when it is unable to submit OASIS data to the state agency (to prevent unavailability we will transmit it as soon as possible to be always on compliance). If for any reason we are unable to comply with OASIS submission using our vendor software, then it may be necessary to use a temporary alternative, such as manual data entry using the free “QIES ASAP System” or like software from CMS OASIS contractor, provided by CMS. Our Agency transmits or shares data with external parties in compliance with local, state, and federal law or regulation. The original hand written assessment for each time point completed, must be filed in the patient’s record behind the skilled discipline completing the OASIS data set questionnaire, or store electronically if Agency’s software allow that. Transmission of all OASIS assessments must be completed within 30 days of assessment date. PROCEDURE: ADMISSION OASIS: 1. Upon initial assessment for services, the assigned clinician will complete a comprehensive assessment including a drug regimen review as well as the OASIS Start of Care date set. 2. Initial assessment is performed within 48 hours of physician referral or of physician ordered SOC. In the event this time frame cannot be carried out, clinician notifies DON, Clinical Manager for resolution. 3. OASIS date is returned to Agency along with the completed Start of Care paperwork within 72 hours of completion. 4. Comprehensive Assessment which includes OASIS date is then reviewed by office clinician for completeness. Admissions clinician will be notified of any discrepancies noted or areas not completed. Forms will be corrected/ completed as soon as clinician is notified. This may be done by telephone with the office clinician completing an addendum, signing and dating forms. 5. Once review/corrections are made, the comprehensive assessment with OASIS date elements is forwarded to appointed staff for data entry into the Agency encoding program no later than 7 days following date of completion. Transmission OASIS must be completed within 30 days. 6. Paperwork is then forwarded to Medical Records and a clinical record is started for each patient admitted to services. RECERTIFICATION OASIS (Follow Up): 1. If the patient is to continue receiving services following the original sixty day episode, clinician is assigned to perform a reassessment of patient needs using the integrated reassessment and OASIS data form. The process is carried out between the 56 and 60 day of the preceding episode. 2. Steps 3 through 6 of the ADMISSION OASIS process are then followed. Home Health Agency Policies A-76