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OASIS Alert
OASIS Alert
OASIS Alert - 2011; Volume 12, Number 12
Item Focus:
M1200: Don't Be Blinded by Low Vision Case Mix Points
Avoid these common upcoding and downcoding mistakes. You can earn up to three case mix po...
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Get the M1200 Case Mix Breakdown
Do you know how much your M1200 inaccuracies are costing you? It could be more than $600 p...
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Assessment Strategies:
Try these M1200 Assessment Techniques
Ask the Right Questions You know you need to know whether your patient has a visual impai...
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Tool:
Nail Leg Ulcer Types with This Chart
Know what to look for with stasis, arterial, and ulcers caused by peripheral neuropathy. ...
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Assessment:
Get Down to OASIS Basics for Most Accurate Reimbursement
One tip yields improved case mix scores and better reporting. Understanding each OASIS i...
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Quiz:
Test Your M1410 Skills
Check your assumptions about oxygen use. OASIS item M1410 -- Respiratory Treatments ...
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ICD-9 Diagnosis Coding:
Welcome New Detail for Late Effects, Glaucoma, and Cardio Codes
Don't forget to update your memory loss coding practices. ICD-9 2012 ushered in a slew of...
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Patient Privacy:
Beef up Your Laptop and Facebook Security Procedures
Take a closer look at these HIPAA security risks. With HIPAA enforcement looking to ramp u...
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Compliance:
Gear Up for OIG's Spotlight on OASIS Data
OIG work plan adds 5 new HHA topics to 4 existing ones. Monitoring home health agencies w...
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Industry notes:
RAC Audits Will Impact Medicaid Claims Jan. 1, CMS Says
You've benefited from several delays to Medicaid RAC audits, but Jan. 1 will be a day of r...
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Reader Question:
Look to WOCN for Leg Ulcer Gudiance
Question: How do we answer the OASIS stasis ulcer questions when the patient diagnoses in...
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OASIS Alert - 2011; Volume 12, Number 11
Item Focus:
M1024: Keep Your Eye on Case Mix Diagnoses for Accurate Reimbursement
Do you know the three situations in which it's appropriate to complete M1024? You have an...
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M1024:
Expert Sheds Some Light on Risk Adjustment Grey Area
Must you sacrifice risk adjustment to CMS's letter of the law? At one time, there was an ...
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Clip & Save:
Deploy this Tool to Help Decrease Hospitalization
Don't wait until you have time to make your own screening tool. Try this one. ...
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Wound Care:
Master Healing Status of Stasis Ulcers or Risk Losing $367 Per Episode
Avoid the one response you can never list in M1334. If your responses to the OASIS stasis ...
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Know Your Ulcer Types
There are two types of ulcers that receive special attention on the OASIS assessment ...
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Keep Wound Healing Criteria Handy for M1334
When responding to OASIS questions about the healing status of wounds, look to this guidan...
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Home Health Compare:
Get the Latest from CMS on Nonambulatory Fall Risk
Response from CMS leaves agencies wondering. The Centers for Medicare & Medicaid Serv...
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Face To Face:
OASIS Guidance Brings Troubling F2F News
Confusion persists over how to handle a missed encounter and the start of care. A recent O...
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ICD-9:
Prepare for a Slew of New Case Mix Codes in 2012
Welcome improved dementia reporting. If you thought you'd have minimal 2012 ICD-9 updates...
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Industry Notes:
Don't waste your time with an extra face-to-face visit when you don't have to.
That's the takeaway from a recent question-and-answer issued by Medicare Administrative C...
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Reader Question:
Get Straight on Reverse Staging
Question: I know that Stage 3 and 4 pressure ulcers never heal and should always be repor...
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OASIS Alert - 2011; Volume 12, Number 10
Item Focus:
M1020/M1022: Keep Your Primary Diagnoses in Order for Most Accurate Reporting
Don't base principal diagnosis on number of visits by discipline. Accurately reporting you...
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Clip and Save:
Track Diagnosis Case Mix Points with This Chart
After the 2008 PPS revamp, figuring out the impact of listing a case mix diagnosis in M10...
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Make the Right Choice with Symptom Control Ratings
For each diagnosis you list in M1020 or M1022, you'll also need to report the numeric cod...
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Assessment:
M2020: Give Your Oral Medication Management Approach a Tune-Up
Tip: New online training from CMS offers instruction on all OASIS medication questions. Im...
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Prospective Payment System:
Hypertension Codes No Longer Predict Costs, CMS Says
Use of 401.9 more than doubled in last five years. The Centers for Medicare & Medicai...
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Home Health Compare:
Reconsider How You Answer M1910
Confusion over a standardized tool for this population is resulting in falling scores. Wh...
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ICD-9/ICD-10 Crosswalk
Look for Simpler Hypertension Coding in ICD-10 The rules you'll follow for assigning hype...
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ICD-9:
Prepare for a Slew of New Case Mix Codes to Report in M1020/M1022/M1024 Come 2012
Welcome improved dementia reporting. If you thought the 2012 ICD-9 updates would be minima...
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HIPAA:
Travel Safely with OASIS Patient Data
Make sure you maintain your HIPAA compliance on the road. Protecting your patients' privat...
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Patient Privacy:
Focus On Your Laptop's Physical Security
You can minimize the risk of people inadvertently seeing protected health information on y...
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Industry Note:
Falls May Indicate Early Alzheimer's
Your patients who you assess as at risk for falls may be in the early stages of Alzheimer'...
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Reader Question
Question: Our clinician reported an ostomy as a surgical wound in the OASIS M1340, Surgic...
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OASIS Alert - 2011; Volume 12, Number 9
Item Focus:
M1324: Take 3 Steps to Stage Most Problematic Pressure Ulcer
Hint: You'll list NA in only three circumstances. Accurately staging your patient's most ...
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Get CMS' Answers to Your Pressure Ulcer Questions
There always seem to be situations that aren't easily reported in M1324. Through the quar...
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Train and Verify to Ace Pressure Ulcer Stages
If you don't develop a tool for pressure ulcer staging and verify that all staff is on the...
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Assessment:
Skin Assessment or Pressure Ulcer Risk Assessments -- Do You Know the Difference?
You won't gather the most accurate information when you do risk assessments at SOC. Conduc...
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3 Tips Guide Your Way to Better Pressure Ulcer Risk and Skin Assessment
Documenting your patient's skin status helps paint an accurate picture of the care your a...
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Tool:
Try These Interventions for Pressure Ulcer Prevention
Avoid massaging reddened bony prominences. If the pressure ulcer risk assessment you've co...
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Quiz:
Test Your OASIS Q&A Knowledge
Can a pharmacist provide drug education intervention? Get ready: The July 2011 Quarterly ...
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ICD-9:
Advice Clears Up Your Pressure Ulcer Coding Confusion
Hint: Always code stage 3 and 4 pressure ulcers. Coding correctly for pressure ulcers in M...
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Get the Answers to our OASIS Q&A Quiz
Do you have your answers to the quiz on page 92 ready? Read on to check them against the l...
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Clip and Save:
Manage OASIS-C, Diagnosis Coding Pressure Ulcer Conflicts
Do you know when a grafted pressure ulcer becomes a surgical wound? OASIS-C logic and ICD...
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ICD-10:
Welcome Laterality and All-Inclusive Stage and Site Pressure Ulcer Codes in ICD-10
More codes don't make pressure ulcer coding more complicated. In ICD-9, to code for a pre...
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Industry Notes
The Centers for Medicare & Medicaid Services proposes to cut home health agency prosp...
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OASIS Alert - 2011; Volume 12, Number 8
Item Focus:
M1860: Glide Through Ambulation Assessment with New Guidance
Does absence of a wheelchair limit your response options? Accurately scoring your patient...
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Assessment:
Get Expert Answers to Solve Your Pressure Ulcer Mysteries
Do you know which treatment turns a pressure ulcer into a surgical wound? Answering M1320 ...
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Outcomes:
Take a Two-Tiered Approach to Prevent Outcome Surprises
Improve your outcomes before they cast a poor light on your agency. Wondering what exactly...
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5 Tips Help You Master M1320
You set the criteria for most problematic. When it comes to answering M1320 (Status of mo...
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Communication:
Start with Office Staff to Improve Physician Communication
Establish a rapport with office staff to hasten communication improvement. Better communi...
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OASIS News:
Get the Latest OASIS Updates from CMS
Don't miss this free medication item training opportunity. You don't want to miss the cri...
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Give Your Communication Techniques a Check Up
Put an end to phone tag. Already using an SBAR tool to plan your communication with physi...
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ICD-9 Coding:
Avoid These V Code Errors and Keep Your Reimbursement Accurate
Watch your sequencing or pay the price. The Centers for Medicare & Medicaid Services ...
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Tool:
Try this Tailor-Made SBAR for Streamlined Communication
Gather your thoughts with this handy form before contacting the physician. If you're read...
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ICD-10 Coding:
Watch for Two Kinds of Excludes in ICD-10 Aftercare Codes
New notes clear up blurred exclusion instructions. While many coding conventions will rem...
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Industry Notes
If you're a new provider and didn't start submitting submitting OASIS data by June 30 you...
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OASIS Alert - 2011; Volume 12, Number 7
Item Focus:
M1850: Get the Latest Word on Transferring Assessment
Do you have all of the answers you need to answer M1850? Accurately assessing your patien...
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Wound Care:
Beef Up Wound Care Documentation to Prevent Needless Denials
Tip: E-photos can help speed wound care advice. Poor outcomes in wound healing can lead to...
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Follow This Wound Photo Guidance
The Wound, Ostomy and Continence Nurses Society has published a position paper that inclu...
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OASIS News:
Drop M1012 From Your OASIS Worry List
Plus: Watch for OASIS-C-based reports and outcomes to go public this summer. The list of O...
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Tool:
Keep Tabs On These Common High-Risk Medications
Use this handy tool to help identify high-alert medications and how they work. You see ma...
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Management:
Use This Clever Tool to Help Staff See the Good They Do
Also find out free ways to help staff in need and how to turn around chronic complainers....
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Tool:
Staff Can Use This Form to Share How They Are Helping Patients
Nursing expert puts a new spin on 'incident report.' ...
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Diagnosis Coding:
Vanquish These 7 Common Errors to Perfect Your Diabetes Coding
Can Type II diabetics have diabetic cataracts? Are you falling prey to diabetes coding mi...
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ICD-10:
Don't Let This ICD-10 Crosswalk Quirk Trip You Up -- Bone Up On Osteoarthrosis coding
Hint: Specifics like unilateral, bilateral, and post-traumatic will help you nail this di...
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Industry Notes
What do you do when a patient won't sign a home health advance beneficiary notice? This...
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Correction
The quiz, M1030: Test Your Knowledge About Therapies at Home, which ran in Vol. 12, No. 6 ...
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Reader Question:
What Counts As 'Close To' For Therapy Reevals?
Question: The Centers for Medicare & Medicaid Services says in episodes with multiple...
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Reader Question:
M1350: Answer Yes for Wounds or Lesions That Require Intervention
Question: Our patient had a burn with orders for the nurse to assess and change the dress...
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OASIS Alert - 2011; Volume 12, Number 6
Item Focus:
M1030: Rack Up Full Clinical Points for Therapies with These Tested Strategies
Are you overlooking this common implanted device that could bring you more points? Your a...
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Quiz:
M1030: Test Your Knowledge About Therapies at Home
Do you know which response to choose when administer Pedialyte? Now that you've boned up ...
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Assessment:
2 Step Process Can Cut Down Chronic Transfers
Decrease OASIS paperwork and hospitalizations with this advice. Your chronically ill pati...
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ICD-9 Coding:
Safeguard Your Therapy Claims With These OASIS Cross-Checks
It's up to you to 'connect the dots' between documentation and coding. Your therapy claim...
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ICD-10 Coding:
ICD-10 Replaces 486 for Unspecified Pneumonia With J18.9
You have two years left to prepare for the diagnosis coding shift. When coding for a pati...
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ICD-10 Transition:
Vanquish These 3 ICD-10 Myths to Jump Start Your Transition
Contrary to popular opinion, the ICD-10 diagnosis code set will not be more difficult to ...
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HIPAA:
Don't Jump to Meet Every Lawyer's Records Request
Being too helpful with patients' confidential information could be a HIPAA violation. Whe...
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Industry Notes
• If you receive more outlier payments than average, you may soon be in the hot seat. T...
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Reader Question:
M1840: Count Effort when Scoring Toilet Transferring
Question: Our patient has multiple sclerosis and uses a mechanical lift for transfer to t...
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OASIS Alert - 2011; Volume 12, Number 5
Item Focus:
M1342: Ask Two Questions to Report Most Problematic Surgical Wound's Healing Status
Hint: Know the difference between primary and secondary intent healing. Documenting wound...
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Assessment:
Manage Infections to Ratchet Up Pressure Ulcer Outcomes
Do you know when an infection requires an orthopedic consult? Treat a pressure ulcer infec...
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ICD-9 Coding:
Check the Record for Nonroutine Supply Point Details
The original SOC isn't always the last word in diagnosis coding. One way you can maximize ...
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Tool:
Nail Surgical Wound Healing Status with This Guidance
The Wound Ostomy and Continence Nurses Society (WOCN) has the final say on which details m...
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Documentation:
Take 6 Steps To Keep Up With New Therapy Changes
Your therapy retooling process should already be in full swing. As of April 1, big change...
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Tool:
Check Out these Diagnosis Crosswalks To Smooth Your ICD-10 Transition
New code set provides greater specificity and includes 2011 diagnoses. To help ease your ...
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Conferences:
Don't Overlook Tax Write-Offs for Conferences
Learn how you can boost our career and get a deduction. If your employer reimburses all o...
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Education:
Get Training On Industry Outlook, Diabetes Coding And More
Check out Eli audioconferences on Homebound Status and other topics. You can receive v...
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Industry Notes
CMS is switching its OASIS submission vendor from AT&T to Verizon, CMS's Kim Jasmin s...
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ICD-10:
List Seven Digits for Infected Surgical Wounds Come 2013
Know which seventh digit is generally off-limits for home health. When ICD-9 becomes ICD-...
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Reader Question:
Don't Count Staple Or Suture Sites for M1342
Question: When sutures are removed from surgical wounds healing by primary intention, how...
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OASIS Alert - 2011; Volume 12, Number 4
Item Focus:
M1400: Breathe Easier When Assessing Dyspnea
Use your clinical judgment when deciding between responses 2 and 3. OASIS item M1400 asks...
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M1400:
Ace Dyspnea Assessments with These Tips
Know which questions to ask for an accurate assessment. To make certain you score M1400&n...
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OASIS Updates:
Bone Up On These Recent OASIS Corrections and Answers
Are you certain you're following the most recent OASIS Guidelines? Instructions and guida...
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Assessment:
Boost Your Bottom Line: Stop Losing Valuable Nonroutine Supply Points
NRS points can add as much as $569 per episode. The 2011 Home Health Prospective Payment d...
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Documentation:
Follow 3 Tips To Keep OASIS and Therapy Documentation Consistent
Don't hem yourself into a 24-hour turn-around. Cleaning up inconsistencies between start ...
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ICD-9 Coding:
Keep Diagnoses in Order to Maximize Nonroutine Supply Points
Here are the seven categories you should track to get the NRS payment you deserve. Nonrou...
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Tool:
Nonroutine Medical Supplies (NRS): Case-Mix Adjustment Variables and Point Scores
This table, formerly Table 10A of the final PPS rules (CMS-1541-FC), shows how nonroutine ...
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ICD-10:
Don't Wait: Begin Your ICD-10 Transition and Stay Ahead of the Game
Four phases set the milestones for your ICD-10 transition. Staying on top of ICD-9 and OA...
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Reader Question:
M1300, M1302: Sync up Your Pressure Ulcer Risk Answers
Question: Our patient scored no risk on the Braden Scale for predicting pressure ulcer ri...
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OASIS Alert - 2011; Volume 12, Number 2
Guidance:
Welcome this Stasis Ulcer Answer
Prepare for ulcer coding conflict between OASIS, ICD-9 guidance. Coding for ulcers is nev...
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Widespread Edits:
Stay on Top of Widespread Edits to Keep Your Claims Safe
Don't fall into this open wound trap. Delays or denials resulting from claims caught up i...
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Coverage:
3 Tips Help Secure Your B12 Injection Claims
Check the LCD for diagnosis code guidance. B12 injections can require skilled nursing, but...
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Clip and Save:
M1340: Keep this Tool Handy to Keep Surgical Wound Confusion at Bay
Not all surgeries result in surgical wounds OASIS item M1340 asks "Does this patient have...
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Training:
M1340, M1350: Put Your Wound Coding Expertise to the Test
Can you tackle these wound coding conundrums? Surgical and open wound coding can be compl...
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Education:
Get More Out of Professional Conferences with 4 Tips
Take your own notes -- don't rely on speaker handouts. Attending a conference is a g...
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Clarification:
Get this Ambulation Update
In "Follow The 3 Ws To Accurately Track Ambulation Improvement" (OASIS Alert v11n12), the ...
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Contractors:
Prepare for Intermediary-To-MAC Transition Now
You'll lose payment if you aren't using this new payer ID number by the deadline. If Palm...
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Medical Review:
Guard Alzheimer's Patients' Claims from Denial
Only 8 percent of claims squeaked past this review. Thorough documentation is the only way...
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Industry Notes
It's a good time to make certain your OASIS submission procedures are top-notch, since in...
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Reader Question:
Document Your Patient Transfer Checks With this Simple Strategy
Print two pages for easy reference. Question: We admitted a patient who had no record of ...
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OASIS Alert - 2011; Volume 12, Number 1
Education:
Know Which Ulcers You Must Always Report on M1380
Stage II pressure ulcers may heal, but for Stage III and Stage IV it's another story. M13...
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Training:
Click On This Falls Risk Assessment Tool from CMS
All disciplines should feel comfortable conducting falls risk assessments. Home care pati...
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Try the SBAR Approach for Cross-Provider Communication
Communication always flows better when you're prepared. To that end, the Centers for Medic...
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Diagnosis Coding:
You'll Still Earn Case Mix Points for Hypertension in 2011
It's safe to list HTN as primary, just make certain your documentation is supportive. Bac...
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Coverage:
Use 8 Homebound Strategies To Make Claims Audit-Proof
The homebound verification process starts with good intake procedures. Auditors are takin...
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Contractors:
New Medicare Contractor Takes Over Cahaba Region
HHAs and hospices from 15 states will see new Medicare contractor in 2011. States in the ...
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ICD-10:
Welcome a Partial Code Freeze as You Prepare for ICD-10
Say goodbye to ICD-9 in 2013. If you've been wondering how you can stay up-to-date on the...
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Documentation:
Say Goodbye To Date Stamp For Physician Signatures
New stricter guidelines will require physicians to date signatures themselves starting Ja...
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Clip N Save:
Keep this Chart Close at Hand for Easy BMI Calculation
Know when it's safe to code obesity, and when you should list a code for BMI alone. The 2...
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Reader Questions:
Keep Up with New Single Visit Payment Requirements
Question: We have heard that Medicare now requires a completed OASIS for payment. Does th...
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Reader Questions:
Know when to Complete RFA 7
Question: New text in the Medicare Claims Processing Manual, CMS Publication 100-4, Chapt...
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