Hospital At Home Still Counts As Hospital For OASIS, New Quarterly Q&As; Make Clear
Make sure you are completing M1000 accurately in light of this new elaboration. It’s time for a new batch of clarifications about OASIS, thanks to the latest quarterly questions and answers. Seven new questions over three pages address topics ranging from OASIS collection for single visits to correcting data from departed staffers to diagnosis coding requirements. One of the Q&As demystifies OASIS coding when the patient has been receiving relatively new Hospital at Home services. Question: If a patient has been receiving care in their home under a Hospital at Home program, and is then referred to Home Health within 14 days of discharge from the program, how should M1000 - Inpatient Facility be coded? Answer: The intent of M1000 - Inpatient Facilities is to identify whether the patient has been discharged from an inpatient facility within the 14 days immediately preceding the Start of Care/Resumption of Care date. In an instance where a patient is receiving care in their home under a Hospital at Home program, they are considered to be in an inpatient facility. This is because the services being provided are being delivered under the coordination of an acute care hospital. If the patient’s discharge from the Hospital at Home program is within the past 14 days, then for M1000, response 3 - Short-stay acute hospital (IPPS) should be checked. Note: See the rest of the Q&As at https://qtso.cms.gov/system/files/qtso/508_CMS_OAI_2nd Qtr_2023_QAs_ July_2023_final.pdf.
