OASIS Alert
Is This M0230 Coding Change Important Or Just Technical?
PDF
Knowing the difference can keep you out of survey trouble. Question: Your audit of a start of care assessment shows a manifestation code listed as the primary diagnosis in M0230 without the accompanying etiology code that coding guidelines require. Which kind of error is this? A. A technical coding error that the agency's coding expert can correct without discussing it with the assessing clinician. B. A substantive coding error requiring the coder to consult with the assessing clinician and get her consent before making the change. Answer: B. This is not a technical correction, the Centers for Medicare & Medicaid Services says. If the assessing clinician left out the manifestation code that coding guidelines require, correcting that error means you have to add a diagnosis. "If any diagnosis is being added, in this case the manifestation coding requirements, the assessing clinician must be contacted and agree," CMS explains in Question 14 of the July 2006 OASIS Q&As. Once the assessing clinician agrees, agency policy will designate who makes the change and how, CMS adds. Note: CMS' July 2006 Q&As are at http://www.oasiscertificate.org, in the resources section.
OASIS Alert
- OASIS Update:
At Last The New OASIS Form Has Arrived
Start preparing your staff and clinicians now for the M0 item changes. With agencies counting [...] - Test Your OASIS Savvy ...
Question: Your audit of a start of care assessment shows a manifestation code listed as [...] - Reimbursement:
OASIS Accuracy Can Make Or Break Your Agency In 2008
Start adapting to the new reimbursement system now with these 3 tips. You can't avoid [...] - Case Mix:
Become Familiar With The New Case Mix Diagnoses
The Centers for Medicare & Medi-caid Services' final rule on the prospective payment system not [...] - Compliance:
Avoid Diabetes/CHF Edit Snags
Once in the edit trap, the whole record is up for grabs. Running afoul of [...] - Clip & Save:
Test Your Diagnosis Choice Against This Muscle Weakness Chart
Is muscle weakness the right diagnosis? These questions will guide your answer. Patient's Name: _____________________________MR#:________ [...] - Diagnosis Coding:
Clinician And Coder Collaboration Is Crucial To PPS Success
Without the correct words, the coder is left in the lurch. Whether your clinicians do [...] - Education:
Is This M0230 Coding Change Important Or Just Technical?
Knowing the difference can keep you out of survey trouble. Question: Your audit of a [...] - Inservice:
Get Up To Speed On New PPS Rules With Staff Training
Massive changes are heading your way. Get the latest information on the PPS final rule [...] - CMS Finally Moves One Step Closer To Replacing ICD-9 Codes
ICD-10 impact analysis begins. The U.S. lags behind the rest of the international community in [...] - Survey Request:
Here's How To Get The OASIS Information You Need Most
One lucky survey contributor will win a $25 Amazon.com gift card. We need your input [...]