Home Health & Hospice Week

If you've been letting your OASIS data

If you've been letting your OASIS data submission slide, now's the time to prioritize it. The National Association for Home Care & Hospice "recently learned that at least one contractor for the Centers for Medicare & Medicaid Services has begun auditing home health claims for OASIS data submission during the conduct of medical review," NAHC says in its member newsletter. "In cases where OASIS start-of-care or recertification data for episodes under review were not submitted to the state, claims were denied in full." Agencies haven't seen harsh penalties for failing to submit OASIS data until now, NAHC notes. They've been subject to survey citations and market basket inflation update reductions. Bottom line: "Entire home health claims are now subject to denial if agencies do not submit start-of-care and recertification assessments for every Medicare episode to the state," NAHC warns. Don't be surprised to see ZPICs and Recovery Audit Contractors (RACs) [...]
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