OASIS-E1: Quick Guide to PDGM and HHVBP Items (Text-Only)

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Course Runtime: 31 Minutes

The current payment methodology for Medicare Part A home health services is driven in part by eight specific items found in the OASIS instrument. Several other payers utilize OASIS data for payment purposes as well. Home Health Value Based Payment also adjusts payment upward or downward using a Total Performance Score (TPS) method, 35% of which is calculated based on OASIS accuracy. Incorrect OASIS responses to the specific items in this course can negatively impact revenue and quality measures. This course is a quick guide focused on the items that directly relate to PDGM and HHVBP. Each text article provides information on how to collect and apply information on a specific item.

Meet your instructor

Cindy Krafft

Cindy Krafft brings more than 25 years of home health expertise that started with direct patient care and evolved to operational and management issues. Cindy recognizes that providing care in the home environment is different from providing care in any other setting, which is evident in both…

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Chapters & learning objectives

1. Risk for Hospitalization

This chapter includes before you begin instructions and the article on how to code M1033.

2. Improvement in Dyspnea and Management of Oral Medications

This chapter includes articles on how to code M1400 and M2020 items based on your assessment of the patient. It also covers how you can work with your patient to improve.

3. Change in Mobility

This chapter includes an article on how to code mobility item GG0170 based on your assessment of the patient. It also covers how you can work with your patient to improve.

4. Change in Self-Care

This chapter includes an article on how to code self-care item GG0130 based on your assessment of the patient. It also covers how you can work with your patient to improve.