OASIS and Quality

Oct 8, 2020

The Outcome and Assessment Information Set (OASIS) is a group of standard data elements designed to enable systematic comparative measurement of home health care patient outcomes.  In addition to quality measurement, OASIS data are used to adjust per-episode payment rates for patient conditions that affect care needs because of which it becomes more critical for the HHAs to maintain the precision rate of the OASIS.

Per Medicare “The HHA must ensure that data items on its own clinical record match the encoded data that are sent to CMS. Once the qualified skilled professional (specifically, RN, PT, SLP/ST, or OT) completes the assessment, the HHA should develop means to ensure that the OASIS data input into the computer and transmitted to the CMS exactly reflect the data collected by the skilled professional."

Periodic audits pave way for Staff Development, Training, and Improvement in the accuracy rate of the OASIS Data. Expertise at Clarus on the components of OASIS and the ability to review each of them before being coded and transmitted to Medicare enables HHAs hassle free reimbursements. The ability to examine and compare the documentation right from the Start of Care to the Discharge, allows us to provide inputs on the quality of the Clinical records.  The comparison between data documented at the time of visits, paves way for Data entry Audits. The calibration of the OASIS items between the Care provider, Coordinator and we improves the overall exactness of the data which in turn proves very rewarding while both internal as well as external audits.

How do we make the difference? Our 100% certified Coders from AAPC/AHIMA with proven Six Sigma methodologies implements, we ensure the data is error free, comprehensive and can meet all the federal guidelines including compliance. Team is capable of

  • Documenting and Summarizing Findings

  • Providing inputs on the corrections

  • Recommend the process changes as needed

  • Identify the areas of improvement in the data.

  • Provide reports with Mitigation plans as needed.

  • Clinical documentation improvements and indexing

  • Appropriate ICD-10CM coding and sequencing.

  • Identification of discrepancies and trends on the same.

Phani Ram