How would you answer these example scenarios?
Understanding the M1040 concepts in theory is easy, but the test comes when you need to respond on a real-life assessment. Try selecting the correct responses in these scenarios included in the January 2013 CMS OASIS Quarterly Q&As
Scenario 1: Your patient was admitted January 1, 2012, your agency administered the flu vaccine on April 2, 2012, and patient was discharged June 10, 2012.
M1040 answer 1: No day of the quality episode fell between October 1st and March 31st, so the correct answer is "NA," CMS said in the Q&A update.
Scenario 2: Your patient’s SOC date is September 1, your agency administered the flu vaccine on September 20th, and the patient was discharged June 15th.
M1040 answer 2: This patient’s quality episode began during the flu season, as determined by the CDC, and ended well beyond the typical end of flu season (March 31st). Your agency provided the flu vaccine during the quality episode, so the correct answer for M1040 is "1 -- Yes," CMS said in the Q&A update.
Scenario 3: Your patient was admitted January 1, 2012 and discharged October 10, 2012. Your agency gave the patient the flu vaccine for the flu season that was current at time of discharge.
M1040 answer 3: This patient’s quality episode overlaps more than one influenza season. Because you gave him the flu vaccine for the flu season that was current at time of discharge, you should answer M1040 with "1 -- Yes," CMS said in the Q&A update.
Scenario 4: Your patient was admitted January 1, 2012, your agency administered the influenza vaccine on January 5th 2012 (during the 2011/2012 flu season), and the patient was discharged October 10, 2012. No influenza vaccine was given between the beginning of the 2102/2013 flu season and the time of discharge.
M1040 answer 4: This patient’s quality episode overlaps more than one influenza season, but your agency only administered the vaccine for the past flu season. In this case, the correct answer for M1040 is "0 -- No," CMS said in the Q&A update.