Coding and Limited OASIS Review

SOC, ROC, Recert, D/C

Review of clinician OASIS documentation, referral documentation, H&P of patient.

Auditor will:

  • Code and sequence according to regulations, ensuring accuracy of documentation in OASIS and 485.
  • Conduct review of SOC, ROC, Recert OASIS M questions that impact the HHRG/Case Mix Index. Discharge assessment review for outcomes is also available.
  • Recommendations are made to visit clinician and agency determined leadership (Nurse Manager, etc.) related to “M” questions to approve/ decline auditor findings.
  • Quarterly consultative review of agency/clinician trended findings with recommendations for improvement.
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