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This document outlines the requirements for Home Health Agencies (HHAs) seeking Medicare certification, specifically focusing on the OASIS data transmission and compliance necessary for approval.
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How to fill out OASIS Requirements in New and Accredited HHAs Seeking Medicare Certification

01
Understand the OASIS (Outcome and Assessment Information Set) requirements as mandated by CMS.
02
Ensure all relevant staff are trained on OASIS data collection and its significance.
03
Gather necessary patient information such as demographic data and medical history.
04
Complete the OASIS assessment form accurately according to the CMS guidelines.
05
Submit the completed OASIS data to the CMS within the required time frames.
06
Review and audit submitted data regularly to ensure accuracy and compliance.
07
Prepare for potential site visits from accreditation organizations that will review OASIS compliance.
08
Keep abreast of any changes in OASIS requirements and update practices accordingly.

Who needs OASIS Requirements in New and Accredited HHAs Seeking Medicare Certification?

01
New Home Health Agencies (HHAs) seeking Medicare certification.
02
Accredited Home Health Agencies looking to maintain compliance with Medicare standards.
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People Also Ask about

How Long Does It Take to Complete the OASIS? Start of Cares: At least 2 hours in the home. Plus 1-2 hours of paperwork and contacting providers.
OASIS data are collected for skilled Medicare and Medicaid patients, 18 years and older, except for patients receiving services for pre- or postnatal conditions.
CMS defines a qualified clinician for the purpose of collecting and documenting accurate OASIS data as a Registered Nurse, Physical Therapist, Speech-Language Pathologist, or Occupational Therapist.
Mandatory Reporting for All Payors Starting January 1, 2025, agencies can voluntarily complete and submit OASIS assessments for 100% of patients, regardless of payor. By July 1, 2025, this will become mandatory. Previously, OASIS was required mainly for Medicare and Medicaid patients.
LPNs, PTAs, OTAs, may not complete any OASIS assessment. Added to the OASIS-E Manual in November 2023— NOT new guidance. home health benefit at the start of care, occupational therapy may establish eligibility under other programs, such as Medicaid.
CMS defines a qualified clinician for the purpose of collecting and documenting accurate OASIS data as a Registered Nurse, Physical Therapist, Speech-Language Pathologist, or Occupational Therapist.
Who can complete an OASIS? Since an OASIS is for skilled services, it must be completed by a Registered Nurse (RN), Physical Therapist (PT), Speech Language Pathologist (SLP), or Occupational Therapist (OT). Currently an Occupational Therapist can only perform a SOC OASIS if there are additional disciplines ordered.

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OASIS (Outcome and Assessment Information Set) Requirements are a set of standardized assessment tools that home health agencies (HHAs) must complete to ensure quality care and meet Medicare certification standards. These requirements are used to assess patient outcomes and determine eligibility for home health services.
All Home Health Agencies (HHAs) that are seeking Medicare certification, regardless of whether they are new or accredited, are required to file OASIS requirements. This includes agencies applying for initial certification and those seeking reaccreditation.
Filling out OASIS Requirements involves gathering comprehensive patient information at specific time points, including admission, discharge, and recertification. Trained staff must complete the OASIS assessment form, ensuring accuracy and compliance with Medicare guidelines. Training on OASIS requirements is essential for proper completion.
The purpose of OASIS Requirements is to collect data that helps in evaluating the quality of care provided to patients in home health settings. It aids in care planning, monitoring patient outcomes, and helps Medicare and other stakeholders to assess the performance of HHAs.
The information required includes patient demographics, clinical data, health status, functional abilities, and any other relevant assessment metrics that reflect patient outcomes and care needs. Specific items required in OASIS assessments may include mobility, pain, medication management, and social support details.
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