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The instrument/data collection tool used to collect and report assessment data by home health agencies is called the Outcome and Assessment Information Set (OASIS).
OASIS assessments are necessary for all Medicare and Medicaid home health care patients who are 18 years old and above. It is mandatory for all non-maternity and non-pediatric beneficiaries. OASIS data only needs to be gathered for patients who are currently being provided with skilled home health care.
Each 485 contains the Patient and Provider demographics, Medication orders, Nursing orders, Diagnosis/Procedure Codes, Supply lists, Nutritional requirements, Allergy info, Patient Activities/Limitations, Ancillary care orders (OT,PT, etc.), Goals and Discharge plans, and a Penalty statement for falsification, ...
The Outcome and Assessment Information Set (OASIS) is the patient-specific, standardized assessment used in Medicare home health care to plan care, determine reimbursement, and measure quality.
Form CMS-485 (the Home Health Certification and Plan of Care- see Exhibit 31) meet regulatory and national survey requirements for the physician's plan of care, certification and re-certification. Form CMS-485 provides a convenient way to submit a signed and dated POC.
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The 485 is used to establish the patient's treatment plan for the initial certification period and any continued sixty day 'recertification' periods. The 485 can be created on the laptop or desktop computer. The process is the same for the laptop or desktop user.
The Outcome and Assessment Information Set (OASIS) is the patient-specific, standardized assessment used in Medicare home health care to plan care, determine reimbursement, and measure quality.

485 addendum