Schedule tab ➜ Schedule Center ➜ OASIS-D1 Task ➜ $ Click the green dollar sign symbol ($) to access the PDGM Case-Mix Analysis. The new PDGM Case-Mix Analysis is accessible in the Schedule Center. On the signature page, after the Check for Errors has been done, agencies can see the Home Health Resource Group data for each 30-day payment period, including the four patient characteristics that calculate the HHRG and the LUPA threshold for each 30-day pay period. When a clinician attempts to enter a questionable encounter code, a red box will highlight the unacceptable code and a message will appear instructing the user to obtain a payable code.Īxxess provides a Top 25 Questionable Encounter Codes resource that lists commonly used questionable encounter codes and information on identifying codes that generate payment under PDGM. These OASIS assessments will not be submitted until January 1.īeginning January 1, the system will not allow questionable encounter codes.

Agencies must enter an artificial M0090 date of for episodes on or after December 27 but before January 1. To accommodate the five-day window, OASIS-D1 assessments must be used beginning Decemfor episodes that begin on or after January 1, 2020. Recertifications scheduled on or after Decemmust use OASIS-D1 and have a M0090 date of Januor later. The system will also prevent users from scheduling OASIS-D Recertifications on or after December 27, 2019. To help agencies maintain compliance, the system will prevent users from scheduling an OASIS-D assessment on or after January 1. The following items pre-populate in the OASIS-D1 Follow-Up assessment and remain editable for clinicians to adjust as needed: For questions where the clinician selects the equal sign, an answer will not be submitted to CMS.Īlthough CMS no longer requires responses to these questions, agencies should instruct clinicians on the appropriate agency protocol, as optional items may be helpful for use in QAPI initiatives. For these questions, clinicians can choose not to submit an answer by selecting the equal sign (=). Two items have been added in the OASIS-D1 Follow-Up:Ģ3 questions became optional at specific time points. To schedule an OASIS-D1 assessment, navigate to the Schedule Center under the Schedule tab and add the appropriate OASIS-D1 task from the following options: OASIS-D1 is required for all episodes that begin on or after January 1, 2020.

D1 insurance form