Home Health Care: OASIS C Manual Updated

by | Jan 12, 2012 | All Blogs | 6 comments

Entry By: Eileen Bach, PT, M.Ed, DPT

CMS had posted the most recent version of the OASIS C manual for users. Title is “2011 OASIS C Manual”.

Also posted is the file “OASIS C Guidance Manual Errata 12-11”.

http://www.cms.gov/HomeHealthQualityInits/14_HHQIOASISUserManual.asp

The item by item guidance for OASIS C items that was previously found in Chapter 3 is now found in each section of the guidance manual.

Best wishes from the home health setting!

Eileen Bach PT, M.Ed, DPT, COS-C

6 Comments

  1. Julie on April 23, 2013 at 11:23 am

    Hi Eileen,

    I have been trying to research info regarding co-signing PTA notes in California. Our CA regs have changed and we no longer have a co-signing requirement/weekly case conference requirement.
    But I am wondering what Medicare requires for home health. I believe outpatient (part B)requires co-signing, but I haven’t found anything about home health.
    Do you have any references for me??
    Thanks!!
    Julie

    • Eileen on April 23, 2013 at 6:03 pm

      Hi Julie,
      I have never seen any Medicare home health (part A) requirements regarding PT co-signing PTA notes. Since 2011, visits are coded by a G code to show a visit provided by a PTA vs PT and re-assessments by a therapist are required at key time points. As long as the PT and PTA team are complying with those requirements ( and the plan of care, conditions of participation standards), the Medicare requirements would be met.

      Best wishes,
      Eileen

  2. Jan on September 20, 2012 at 5:04 pm

    What type of caregivers are included in m2100? Are we to include private pay, waiver and passport aides?

    • Eileen Bach on November 6, 2012 at 3:10 pm

      Jan, the CMS guidance manual indicates that the caregivers to include here are any caregivers EXCLUDING home health agency staff.

      I am not familiar with passport aides (this is not available in my area -NYC) but if they are not from the HHagency, then I would count them as a caregiver.

      Best wishes,
      Eileen Bach

  3. Eileen Bach on January 19, 2012 at 4:09 pm

    Hi Cathy, your scenario is possible as CMS has not given a rigid interpretation of the 13 and 19 re-assessment visits when there are multiple therapies actively providing care just emphasizing the re-assessments are completed by the 13th or 19th visit.
    When only 1 therapist is actively visiting, then the re-assessment must be made on the 13th or 19th visit.
    Best wishes,
    Eileen

  4. Cathy on January 19, 2012 at 3:25 pm

    A staffing company just told me that when only 2 therapy(PT and ST) where involved in a case. A reeval on the 10th visit by ST and 13th for PT was within the range for the reevals. Is this correct?