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OASIS Data Collection, Accuracy, and Transmission

Makes sure OASIS data are collected as part of every comprehensive assessment by the registered nurse or therapist who did the assessment, reflect the patient accurately, are reviewed before they are locked, and are encoded and transmitted to CMS within 30 days of completing the assessment, through software and connections that meet CMS standards, with patient-identifiable OASIS data kept confidential and never released to the public.

Preview: full text with a package
About this policy
Policy number
NC-HH-ASM-02
Version
1.0
Main rule
42 CFR §484.45
Library
North Carolina home health · 57 policies
Category
Service delivery
Sections
18

In short

  • The nurse or therapist who did the assessment answers the OASIS questions from his or her own observation.
  • OASIS answers must match the rest of the visit notes and the patient’s real condition.
  • A reviewer checks each OASIS before it is locked; only the assessing clinician changes a clinical answer.
  • Every completed OASIS is sent to CMS within 30 days; our goal is 10 days.
  • Never share OASIS information with anyone outside the care team.

What's inside

18 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 the Data
  • 7. Accuracy Review Before Locking
  • 8. Encoding and Transmission
  • 9. Validation Reports and Corrections
  • 10. Confidentiality and the OASIS Privacy Notice
  • 11. Responsibilities
  • 12. Records and Compliance Monitoring
  • 13. Staff Training
  • 14. References
  • 15. Related Policies and Forms
  • 16. Approval
  • 17. Revision History

An inspector may ask

  • Show me the OASIS for this patient’s start of care and the date it was transmitted.
  • Who reviews OASIS for accuracy before it is submitted?

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