OUTCOME AND ASSESSMENT INFORMATION SET (OASIS)

CREATING AN OASIS

The SOC OASIS or Start of Care - Outcome and Assessment Information Set form is created when the patient’s status in the system is set to admit. The user will be directed to the patient’s admission page after completing the Referred for Admission Order.

1.png

Since the system is order-driven, the rest of the other OASIS forms (Recertification OASIS, Resumption of Care OASIS, Transferred not discharged OASIS, and Transferred discharged OASIS) can only be created when a Physician Telephone (PTO) order is generated.

You can view the OASIS at OASIS/Plan of Care section of the Patient’s Summary Page. This section provides the user the link to the OASIS and POC forms of the patient including the corresponding statuses.

2.png

The Patient Summary Open Task area is designed to inform the users of any item that needs to be completed.

3.png

ACCESSING THE OASIS

In the Patient’s Summary page, the Episode Date marked will open the OASIS. The OASIS forms in the system follow the CMS order of items. Several versions are available in the system and can be utilized depending on the patient’s date of admission. The newest format applies to patients whose certification date falls on the activation time of each OASIS.

4.png

The series of buttons found on the upper left part of this page is the OASIS toolbar.

5.png

Save – stores all the entered data in the oasis.

Validate – helps identify the OASIS errors and inconsistencies to keep the form free from mistakes.

Lock OASIS – prepares the form for e-signing and enables users to export oasis once completed.

PPS Calculator – opens the PPS Code breakdown and estimates computations based on the OASIS entries.

PDGM Calculator - opens the PDGM breakdown and estimates computations based on the OASIS entries.

Printer Friendly – gives user the option to print the FULL version of the oasis.

Fall-Risk and Hospitalization-Risk Assessment – can be used by agencies that prefer their risk assessment information separated from the OASIS.

Upload – allows the user to attach a scanned copy of a physical OASIS or documents related to it.

Fax Oasis - allows the user to fax the OASIS.

6.png

The M0 set items are arranged per page according to category as to make it easier to locate each assessment entry. Users can make use of this to transfer from section to section aside from the “Back and Next” Button found at the bottom of the page.

7.png

The M0 set search engine makes it easier for the user to access a specific Mitem. By putting in the number and pressing on the “Go” button, automatically the system directs the entered Mitem.

8.png

The Format Selection is available whenever a user needs to set the type according to the payer of the episode. Medicare documentation requires the full version while some privately-insured patient forms only require a shorter assessment profile. The format automatically changes upon selection and can be switched back and forth without affecting the entries.

FILLING OUT THE OASIS

HHC has a built-in pre-fill mechanism that allows previously defined information to be carried over from one record to another. Essential data is transferred from the Admission Documents to this form while other OASIS (like Resumption of Care or Recertification) can be filled out with information from the previous OASIS. This is the reason why some items are already answered upon completing the form.

Most of the items have check boxes and a free text box for answering while others have the auto-selection feature that gives the user possible matches that they could select to immediately fill out the text box or the numeric field especially for diagnosis and other ICD coding.

9.png

With this feature, the user can either enter the name of the diagnosis or its code. If the code is entered, the system automatically pulls up the diagnosis that corresponds to it.

The HHC Ultra OASIS is not only for the standard M0 sets but can also be modified to have additional items from standard agency assessment forms integrated. Items highlighted in black and grey are supplemental items that can be put in using the Admin – OASIS Supplemental feature or may be arranged with the assistance of the technical team.

VALIDATING THE OASIS

To check the OASIS for errors and inconsistencies, click on “Validate” button. This will identify items that need to be corrected and any inconsistencies that needs to be addressed. The complications of each error and inconsistency will be shown in detail as well to provide idea to the user on how to resolve each item. Note: Only Mitems are covered and it does not include the supplemental.

10.png

To correct the items, users will need to click on the link (M0 set item number in blue), and they will be presented with the item in question. Users could refer to the validation messages for suggestions or leads on what to choose.

Once all the errors or at least no high warning level is present, the user may lock and electronically sign the oasis.

USING THE PPS CALCULATOR

The PPS calculator is an excellent feature that can be used by agency administrators who would like to investigate the HIPPS code breakdown and visit reimbursement estimation. It is divided into two parts, the code expansion and approximation of the amount.

11.png

The preliminary estimate can be used as a calculator for the individual profit/loss figures based on the HIPPS code and number of visits given that other requisite information is provided.

12.png

USING THE PDGM CALCULATOR

The PDGM calculator can be used to view the breakdown and visit reimbursement estimation for the early and later PDGM billing. The user needs to provide the necessary details for it to calculate the estimated amounts since this tool is very dependent on the clinical characteristics and other patient information.

25.png

The following items are required to generate HIPPS Code:

- Timing
- Admission Source
- Oasis: M1021/1023, M1033, M1800, M1810, M1820, M1830, M1840,
- M1850, M1860

After the Oasis Validated, click the PDGM Calculator to view the generated HIPPS Code, LUPA Threshold, and Estimated Bill Amount for the patient. Also, the Functional Item Total Score from the required M-items will display the total.

The Lupa Threshold is based on the generated HIPPS Code from the Oasis. It is usually displayed in the PDGM Calculator. And from the PDGM Calculator, it will also automatically show in Patient Summary.

The total posted visits of the period determined the status of Lupa. If the total posted visit is less than the Lupa Threshold total, Lupa Status or payment in billing will be on Lupa (e.g., First 30-day period). But if the total posted visit is more than the Lupa Threshold total, the Lupa Status or payment in billing will be 20% RAP and 80% Final Claim (e.g., Second 30-day period).

UNLOCKING OASIS FOR CORRECTION

In cases that require unlocking a previously exported OASIS for correction, the user must open the assessment.

13.png

Clicking on the “Unlock button” will open a pop-up window that enables the user to select which type of Correction Code is needed based on the data that needs to be updated.

14.png

UNLOCKING THE OASIS COMPREHENSIVE ASSESSMENT

There is a feature in the OASIS forms of the HHC that enables the user to unlock the OASIS to add or update any supplemental item without having to open the whole oasis. The button for this feature is located on top of the OASIS form and it is used when the case manager or the QA personnel notices inconsistencies in the supplementals that are not included during the validation process.

15.png

EXPORTING OASIS

16.png

The page to make patient OASIS ready for submission is located under Batch » OASIS Export.

17.png

The process has two steps: Batch Locked OASIS and Download / Marked as Submitted. The default page that loads up is Step 1 of the process

To narrow down the list, the user may set the completed from and to date and set the type of Insurance / Payer.

18.png

The OASIS forms will be listed down according to the date range set on the counter.

19.png

20.png

Validation errors will show items that needs to be completed first before the oasis can be exported. These items will be listed upon clicking the “Error” link.

21.png

22.png

To download the oasis file, the user must click on the filename that ends with a .txt extension. Depending on the user’s browser set up, the file may be automatically downloaded to the user’s computer or may give two options, to save or to open the file. Once the download is completed, user may now submit the file to CMS.

23.png

If user needs to print the OASIS submission report, the Print option is located between the checkbox and the file name. If the file sent was received and confirmed without any errors, the user may now click on the corresponding checkbox of the file and click on the “Submitted” button to complete the process.

24.png

Version Control #: DSL2019-2.3

Report abuse