Dig deeper for ability to use telephone.
When the Start of Care assessment includes erroneous OASIS responses, the stage is set for a negative impact on reimbursement, outcomes, and your agency’s reputation. Make sure you don’t fall prey to these common mistakes.
Mistake #1: Underscoring M1890.
OASIS item M1890: Ability to use telephone is an item that is typically scored too low at SOC, says Teresa Northcutt, BSN, RN, COS-C, HCS-D, AHIMA Approved ICD-10-CM Trainer with Selman-Holman & Associates, LLC in Denton, Texas.
The typical score is response “0 — Able to dial numbers and answer calls appropriately and as desired” which is too independent in many cases, Northcutt says. Effective use of the phone for communication requires vision, hearing, speech, cognitive ability, and manual dexterity, she explains.
Cost of errors: This item isn’t used for payment or public quality measurement, but it is used for risk adjustment on nearly all quality measure calculations, Northcutt says.
Northcutt’s tips for answering this item correctly include:
Mistake #2: Lack of documentation to support M0104 response.
If the date on the referral form is within two days of the SOC date, and the date in M0104 — Date of referral matches the date on the referral form, you’re in the clear. But two problems arise with this item, Northcutt says.
1. The clinician enters a date in M0104 that is different from that on the referral form and doesn’t include an explanation of why in the documentation; or
Cost of errors: This item is a publicly reported process measure on Home Health Compare, and it is a requirement of the Conditions of Participation to make the initial visit within the appropriate time frame, Northcutt says.
Northcutt’s tips for answering this item correctly include:
2. The clinician enters the date from the original referral form in M0104 and it is greater than two days prior to the SOC date, and there is documentation of additional communication with the physician or referral source that updates the referral information or identifies a specific SOC date.