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There are several places on the OASIS instrument where reporting of diagnoses or about diagnoses is needed. The more important fields are M1021 and M1023 which allow the entry of a single Primary Diagnosis [M1021] and up to five Other Diagnoses [M1023].
(M1800) Grooming: Current ability to tend safely to personal hygiene needs (i.e., washing face and hands, hair care, shaving or make up, teeth or denture care, fingernail care).
OASIS guidance states that the Resumption of Care comprehensive assessment must be completed within 2 calendar days after the patients return from the inpatient facility. The clinician that completes the ROC comprehensive assessment must be an RN, PT, OT or SLP.
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.
(M1860) Ambulation/Locomotion: Current ability to walk safely, once in a standing position, or use a wheelchair, once in a seated position, on a variety of surfaces. ⃞
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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).
M2001: Drug Regimen Review. M2003: Medication Follow-up. M2005: Medication Intervention. Three additional standardized OASIS items.
OASIS guidance states that the Resumption of Care comprehensive assessment must be completed within 2 calendar days after the patients return from the inpatient facility. The clinician that completes the ROC comprehensive assessment must be an RN, PT, OT or SLP.
OASIS data helps Medicare and Medicaid to calculate the reimbursement amounts for home health care patients by measuring their health care needs. OASIS information is used to assign each patient to a Home Health Resource Group (HHRG).
The appropriate M1860 response in this case is 5-Chairfast, unable to ambulate and is unable to wheel self.

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