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Oasis And Coding Are More Important Than Ever. What Are You Doing To Make Sure Every Oasis Counts? Or, Are You Just Sitting Back Hoping For The Best?

ICD-10 CodingWith the approach of PDGM, homecare agencies work to understand and fit in a new payment system. If this is where your thought process ends, then it is time to go back to basics. Oasis and coding are the basis and the beginning of everything from your care plan to reimbursement. If you do not optimize both, then you miss the mark moving into PDGM. 

OASIS Accuracy: 

Many agencies dismiss Oasis training with the thought process that “nurses are sick of Oasis training”. This may be true. However, training and evaluation of Oasis accuracy are key to care planning and proper coding. You may be a small agency that does more Medicaid than Medicare. This should not decrease your effort to train and evaluate accuracy. With PDGM, it reality that certain agencies will not survive. This may increase your Medicare census. As the Oasis tool changes, it’s frustrating for long-term clinicians. The way a question was answered 5 years ago is not the way it is answered today. This causes a need for some de-programming of that previous knowledge. Don’t assume staff is answering things correctly. Now, this doesn’t minimize the value of long-term staff in any way. You know the invaluable leadership and experience these staff bring to the table. It just means you must evaluate the accuracy regardless the years of experience. 

Coding Appropriately: 

Coding needs to be evaluated on several levels. Whether you code in-house or outsource, make sure your coding system optimizes the dollars you deserve. A good way to determine whether you are on the right track is by doing a side-by-side comparison. If your current in-house provider evaluated the same for OASIS and coding as an outside source, then you can feel good about what is in place. You may also find out from the outside source that you do not have the documents you need to justify codes that could lead to higher reimbursement. Let me explain this. Many times, it may be clear to the clinical reviewer of Oasis and coding that the patient qualifies for certain specific codes, but the agency has not sought out the documents from outside agencies to prove it. This leaves you agency at risk for losing hundreds or up to a thousand dollars for an episode of care.  It is worth the time and effort to make sure you are on the right track.

Let Kenyon Homecare Consulting Be Your Side-By-Side Comparison:

At Kenyon Homecare Consulting, we always offer 5 free re-codes to work as a check-and-balance to your current system. Whether you need someone to cover your in-house coding during times of high census or medical leave, we can help. Maybe you have been a provider that outsources but haven’t seen improvements in accuracy or coding specificity. Call us today at 206-721-5091 or contact us online to see if we can help with education, coding, or evaluate your current system. 

Who Checks The Oasis Assessments In Your Agency? What Are You Doing With The Data You Receive? Doing Nothing Is Like Having A Brain Unattached From The Rest Of The Body.

Oasis TrainingOk,  it’s time to focus on Oasis assessments. The Oasis is clearly a data collection tool for CMS, but most agencies do not use it properly. Today, incorrect assessments can mean a big difference financially. So, we need to discuss the work flow in your office and how to maximize use the assessment tool.

Reviewing Your Oasis:

Do you have someone reviewing the assessment tool? Is that individual Oasis certified? It may be that you utilize a vendor to sweep for discrepancies. Ultimately, someone needs to review that tool for accuracy. The person needs to be Oasis certified and capable of comparing clinical information with what is contained in the assessment tool.  This is not only for clinical accuracy, but the difference in Oasis mistakes can mean so much money left on the table for every episode.

Maximize Educational Opportunities:

This one is big. If you don’t analyze the data you receive from the reviews, then it makes no sense. You will continue to see the same consistent mistakes from the same clinicians. This costs you more money in the long run. Take the Oasis errors and work with the individual clinicians as well as with entire clinical staff.  When Oasis teaching is consistent there is improvement in accuracy. Accuracy declines can lead to increases in ADRs or other types of audits.

Once your staff has consistent levels of accuracy, then focus on linking the Oasis to proper care planning. Often times, the assessment tool is filled out, but never looked at throughout the episode of care. It should be key in writing interventions and goals based upon what the tool should look like at discharge. Too often, this is not the case. If this sounds familiar to you, then educate staff to use the tool as an ongoing guide to care plan management.

Let Kenyon Homecare Consulting Be Your Guide:

At Kenyon Homecare Consulting, we have senior consultants who are certified in Oasis as well as coding to guide clinicians through the documentation process. Allow Kenyon to complete 5 free reviews on current assessments and codes in your system. You may see you are missing out on reimbursement and accuracy. Contact us today at 206-721-5091 or contact us online to see how we can help!