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American Indian or Alaska Native Asian 3 - Black or African-American 4 - Hispanic or Latino 5 - Native Hawaiian or Pacific Islander 6 - White OASIS-C1/ICD-10 Version All Items Centers for Medicare Medicaid Services October 2015 Page 1 of 25 M0150 Current Payment Sources for Home Care Mark all that apply. OMB 0938-1279 According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB...
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How to fill out oasis c1 form

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How to fill out the OASIS C1 form:

01
Start by gathering all the necessary information and documentation needed to complete the form. This may include the patient's personal details, medical history, current medications, and any other relevant information.
02
Begin filling out the Patient Information section of the form. This usually includes the patient's name, date of birth, gender, address, and contact information. Double-check for accuracy and completeness.
03
Move on to the Assessment section. Here, you will need to provide detailed information about the patient's current medical condition, including their primary diagnosis and any comorbidities. Be sure to include specific details such as the onset and duration of symptoms, previous medical treatments, and any recent hospitalizations.
04
Proceed to complete the Functional Status section. This part requires you to assess the patient's ability to perform daily activities such as bathing, dressing, eating, and ambulating. Utilize standardized scales or scoring systems, if applicable, to accurately determine the patient's functional abilities.
05
Fill in the Clinical Record Items section. This section requires you to provide additional clinical details about the patient, such as vital signs, laboratory test results, medical procedures performed, and other relevant clinical observations.
06
Next, you'll need to provide information about the patient's Active Diagnoses. List all relevant diagnoses that are currently being treated or managed, including the primary diagnosis and any secondary conditions.
07
Complete the Medications section. Provide a comprehensive list of all the medications the patient is currently taking, including prescription drugs, over-the-counter medications, and herbal supplements. Include the dosage, frequency, and route of administration for each medication.
08
Finally, review the completed OASIS C1 form for any errors or missing information. Ensure that all sections have been filled out accurately and that all necessary signatures and dates have been included.

Who needs the OASIS C1 form:

01
Home health agencies: The OASIS C1 form is primarily used by home health agencies to assess patient eligibility for home health services and to gather important clinical information for care planning and reimbursement purposes.
02
Medicare/Medicaid: In the United States, the OASIS C1 form is required by Medicare and Medicaid for reimbursement of home health services. Home health agencies must submit the completed form to these programs to receive payment for the care provided.
03
Patients: The OASIS C1 form is essential for patients who require home health services as it ensures that their needs are properly assessed and addressed. It provides a comprehensive overview of their health status, allowing caregivers to tailor their treatment plan accordingly.
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Oasis C1 form is a data collection tool used by home health agencies to collect patient information for assessment and payment purposes.
Home health agencies are required to file Oasis C1 form for patients receiving home health services.
Oasis C1 form should be filled out by healthcare professionals based on the patient's assessment and medical records.
The purpose of Oasis C1 form is to collect relevant patient information to determine the patient's eligibility for home health services and to establish a care plan.
Information such as patient demographics, medical history, clinical assessment, and functional status must be reported on Oasis C1 form.
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