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What does OASIS stand for?
Outcome and Assessment Information Set
Outcome and Assessment Introduction Set
Objective Assessment Information Set
Objective and Analysis Information Set
Private Insurance or Non-medicare Patients always need OASIS documentations
What are the cardinal requirement for home health care admission?
Homebound
Skilled Care Need
Intermittent Care
Physician Order
Reasonable and Necessary
Authorizations
How many days are there in one home health episode?
30 Days
60 Days
15 Days
45 Days
All interventions need an MD order.
What does PHI stand for?
Protected Health Information
Personal Health Information
Protected Health Identity
Personal Health Identity
It contains all written orders, diagnosis, medications, treatment, rehabilitation potential etc.
485 POC
OASIS-C
Medication Profile
Referral Notes
When should wound trending be done?
Every Visit
Every 14 Days
Every 60 Days
Every 30 Days
Wound that presents as intact skin with non-blanchable redness of a localized area?
Stage 1 PU
Stage 2 PU
Stage 3 PU
Suspected DTI
Unstageable
Characterized by partial-thickness loss of dermis presenting as a shallow open ulcer with a red-pink wound bed without slough
Wound that presents as an intact ruptured serum-filled blister.
Characterized by a purple or maroon localized area of discolored intact skin or a blood-filled blister due to damage of underlying soft tissue from pressure.
What Stage of PU is in the image? (Image taken from google. No copyright infringement intended)
Stage 1
Stage 2
Stage 3
Stage 4
Stage 2 PU may present as a shiny or dry shallow ulcer with slough or bruising.
Which patient is NOT considered HOMEBOUND?
Patient who goes to adult day care centers on a regular basis.
Patient who goes to dialysis every M,W, F.
Patient who to church every Sunday for religious service.
Patient who uses crutches, drives himself to the mall every Friday to do shopping.
The following patients are considered homebound, EXCEPT:
A patient paralyzed from a stroke who is confined to a wheelchair.
A patient who is blind and requires the assistance of another person in leaving his place of residence.
A patient who uses crutches to a daily walk to the park every morning and does ADLs and groceries on his own.
A patient with no physical limitations but has a psychiatric illness that by nature, leaving home unattended would not be safe for the patient.
All are considered patient’s place of residence or home EXCEPT for:
Skilled Nursing Facility
Board and Care Facility
Assisted Living Facility
Caregiver's Home
What are the Drivers of Home Health Practice?
Patient Benefit
Physician’s Orders
Plan of Care
Patient’s continued progress
OASIS/Evaluation
Need of intermittent skilled care
What are the Major Segments of a home health plan of care?
Patient Education
Caregiver Training
Treatment
Rehabilitation
Medication Safety
Infection Control
When should the evaluation of additional disciplines ordered on referral be done?
Within 5 Days from SOC
Within 5 Days from hospital discharge
Within 5 Days from referral
Within 5 Days from face to face encounter
When should the POC be signed by the physician?
Within 30 days from the ordered date
Within 30 days from the hospital discharge
Within 30 Days from the referral
Within 5 days from SOC
OASIS-C Transfer should always be done within 24-48 hours from the date of transfer.
When should the Resumption Plan of Care be completed?
Within 1 Day from ROC
Within 2 Days from ROC
Within 2 Days from SOC
Within 5 Days from ROC
The following OASIS-C documentation may be done after an OASIS-C Resumption of Care EXCEPT for:
OASIS-C SOC
OASIS-C Recertification
OASIS-C Other Follow Up
OASIS-C Discharge
A private insurance only patient was admitted back to the hospital from home health care. What documents are needed to be completed by the home health practitioners?
Transfer order
Transfer summary
OASIS-C Transfer
Discharge order
What is the time line for Re-hospitalization penalty period FOR HOSPITAL?
30 Days from SOC
60 Days from home health discharge
15 Days from SOC
45 Days from home health discharge
What is the time line for Re-hospitalization penalty period FOR HOME HEALTH?
When should the OASIS-C Recertification be completed?
Within 5 Days prior to the end of the episode
Within 5 Days from the end of the episode
Within 5 Days from the Recertification period
Within 5 Days prior to start of care.
When should Face-to-face encounter be done?
Within 5 days from ROC date
Within 60 days from SOC date
Within 90 days prior SOC date
Within 30 Days from SOC date
What are the four important elements to assess during OASIS-C SOC using standardized tool for best practice?
Skin
Pain
Depression
Fall
Activity
Elimination
The following are used in outcome measurements in OASIS except for:
Dyspnea
Bathing
Urinary Incontinence
It is the condition that is most related to the current plan of care. It is also defined as the reason for home health.
Primary Diagnosis
Secondary Diagnosis
Pertinent Diagnosis
Treatment Diagnosis
All, but one, can be considered as surgical wound according to M1340:
Muscle Flap
Wounds with drains
Surgical Incision
Ostomies
Which of the following can be considered as surgical wound according to M1340?
Peritoneal dialysis catheter insertion site
Surgical Scars
PICC lines
PU treated by surgical debridement
All,but one, can be considered as intravenous or infusion therapy according to M1030:
Central line for medications
Insulin pumps
Saline flushing
TPN
All, but one, are not considered as enteral therapy according to M1030:
Osterized feeding administered through nasogastric tube.
NGT used for medication administration only.
Saline Flushing feeding to keep NGT patent.
NGT used for feeding and medication but without prescription for therapy which provides nutrition.
When is the CMS 485 updated or reviewed?
Every 15 days
Every 45 Days
Supplies require a physician order.
DME supplies require a prescription from the MD but do not require documentation of medical necessity.
All, but one, can trigger a need for a supplemental order.
Updates
Change in medication regimen
New orders
Correction of visit frequencies
Which of the is/are elements of a good verbal order:
Name of the Patient
Name of the Ordering Physician
The order
Manner of acquisition and verification
Name of the clinician verifying the order
All of the above
After the Clinical Manager assigns an admitting clinician who will do the admission visit, what should the admitting clinician do FIRST?
Call the patient for verification of available schedule for the admission visit.
Call the DME provider for verification of equipment.
Call the pharmacy for verification of medications.
Do the admission visit within 24 to 48 hours.
During the actual admission visit, which of the following should the admitting clinician FIRST do?
Introduction and Legal paperwork
Assess the environment of care
Medication Reconciliation
Develop an Interim Plan of Care
Which of the following items IS NOT considered PHI:
Name
Photograph
Fax Number
Medical Record Number
None of the above
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