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OASIS Data Collection, Accuracy, and Transmission

For a Medicare-certified Agency, sets out how OASIS data is collected as part of each comprehensive assessment, checked for accuracy, encoded and transmitted to the CMS system (iQIES) within 30 days of completing the assessment, using compliant software and the CMS-assigned branch identification number, and kept confidential, and how the Agency meets the Home Health Quality Reporting Program submission threshold. A licensed-only agency that is not Medicare-certified is not subject to these federal OASIS rules.

Preview: full text with a package
About this policy
Policy number
LA-HH-ASM-02
Version
1.0
Main rule
42 CFR §484.45
Library
Louisiana home health · 57 policies
Category
Service delivery
Sections
17

In short

  • Collect OASIS accurately at each required time point, following the CMS guidance manual.
  • OASIS is collected for patients of all payers, except those CMS exempts.
  • Each completed OASIS is sent to CMS within 30 days; we aim for 7.
  • Never change an OASIS answer to raise payment or scores.
  • Keep OASIS data confidential; patients receive the OASIS privacy notice.

What's inside

17 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (42 CFR §484.45)
  • 5. Which Patients and Which Time Points
  • 6. Collecting Accurate Data
  • 7. Encoding, Transmission and Validation
  • 8. Quality Reporting Program
  • 9. Privacy and Confidentiality
  • 10. Responsibilities
  • 11. Records and Compliance Monitoring
  • 12. Staff Training
  • 13. References
  • 14. Related Policies and Forms
  • 15. Approval
  • 16. Revision History

An inspector may ask

  • Who collects OASIS data, and how do you check it for accuracy before it is submitted?
  • Show me your iQIES validation reports. How do you track that each assessment is transmitted within 30 days?

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