OASIS Alert
Clearly Define Change For M0200 Accuracy
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Don't forget the day of assessment. Question: When you answer M0200 (Medical or treatment regimen change within the past 14 days) which of the following, if it occurs within those 14 days, is NOT considered a medical or treatment change?
A) A physician's referral for home health services.
B) Medication adjusted for previously diagnosed diabetes.
C) Insulin started for newly diagnosed diabetes.
D) Office appointment with a referring physician.
E) Both A and D.
Answer: E. For the purposes of M0200, "a physician appointment by itself or a referral for home health services does not qualify as a medical or treatment regimen change," the Centers for Medicare & Medicaid Services instructs in its OASISquestions and answers.
Focus on any change in treatment, whether or not it is accompanied by a change in diagnosis, CMS suggests. Some examples of qualifying changes include:
•Changes in medication dosage.
•Newly ordered therapy services.
•New medication prescribed.
•Change in wound treatment.
Tip: A treatment regimen change occurring on the day of assessment does qualify as having occurred within the 14 days, CMS instructs.
Note: For this Q&A, go to www.qtso.com, select "OASIS," scroll down to OASISQ&As and select Category 4.
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