Question:
There is no question about V57.x as primary, however, from an OASIS guideline/standpoint, an RN (SN) can open a case and be followed by therapist only for the sole purpose of evaluating patient that includes assessment of homebound status, medical necessity, and explanation of four components of patient's rights, consent, etc., according to the conditions or participation. If the case has been opened by an RN, and the SOC OASIS was done by a SN, and the billable visit posts when you RAP, it would be the SN's visit, correct?
Montana Subscriber
Answer: The nursing visit in this case is non-billable; therefore, this visit cannot be the SOC date. A visit made by an RN solely for the purpose of establishing eligibility for care (homebound, medically necessary care, etc.) is not considered skilled care.
Even if the RN provides teaching at the visit, it still will not be considered skilled care because the medically necessary care must be intermittent for the RN's visit to be considered billable. Any information collected for the comprehensive assessment prior to the SOC date (the therapist's date) is void and must be completed once the SOC has been established by a billable visit.