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OASIS:

OASIS ATTACHMENT D INSTRUCTIONS ON M0246 CONFOUND CODERS

Published on Tue Jan 27, 2009

Get the bottom line on how to follow the new guidance. The new OASIS User's Manual Attachment D is turning the home care coding world upside down, with instructions on how to complete M0246 leading the list of worries. Home health agencies fear that these new changes from the Centers for Medicare & Medi-caid Services could adversely affect payment. And CMS's guidance seems to conflict with its own coding guidance elsewhere. In the revised chapter of the Manual, CMS issues its first official instruction on how to respond to OASIS item M0246. Where coders had previously completed this section each time a V code replaced a numerical diagnosis code, now CMS instructs you to complete it only in a very limited number of situations. Specifically, the guidance instructs that coders should use M0246 infrequently and generally only complete it when any one of the following three conditions apply: Condition 1: [...]
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