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.