OASIS Alert
Medical Necessity:
USE OASIS TO PROVE MEDICAL NECESSITY TO DOUBTFUL FIs
Published on Sun Sep 01, 2002 
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If your fiscal intermediary decides to deny a claim on medical necessity grounds for a patient you feel sure makes the grade, use this decision tree to secure reimbursement. (See related story, article 1)
If your fiscal intermediary decides to deny a claim on medical necessity grounds for a patient you feel sure makes the grade, use this decision tree to secure reimbursement. (See article # 1).
Other Articles in this issue of
OASIS Alert
- Reimbursement:
OASIS HOLDS THE KEY TO VERIFYING HOMEBOUND STATUS, REPORT FINDS
Home health agencies in a tangle with fiscal intermediaries over whether a patient meets Medicare's [...] - Homebound Status:
HOMEBOUND ALGORITHM BOLSTERS HHAs REIMBURSEMENT CLAIMS
If your intermediary insists that one of your patients doesnt meet Medicares homebound criteria, but [...] - Medical Necessity:
USE OASIS TO PROVE MEDICAL NECESSITY TO DOUBTFUL FIs
If your fiscal intermediary decides to deny a claim on medical necessity grounds for a [...] - Diagnosis Coding:
CMS BLESSES V CODE USAGE ON REVAMPED OASIS
To pass muster under HIPAA, the Centers for Medicare & Medicaid Services will allow home [...] - Adverse Events:
HHAs SHOULD TAKE THEIR CUE FROM THE BOY SCOUTS
Preparedness is the name of the game when a surveyor wants an explanation of the [...] - Education:
SKETCH COMEDY MEETS OASIS
If your staff members' eyes glaze over during OASIS training, it's time for you to [...] - Assessment:
OVERCOME M0610/620 PROBLEMS
Home health agencies have a duty to monitor patients for signs of behavior problems, but [...] - Management:
DONT BE SHY ABOUT OASIS TIMEFRAME EXPECTATIONS
In an environment increasingly devoid of nurses, managers at home health agencies are caught in [...] - Quality Improvement:
KNOW THE TOOLS OF THE TRADE
If you feel overwhelmed by information when trying to decide which outcomes to target for [...] - Coding:
ALL FOR ONE AND ONE FOR ALL?
The GAO has sent a message to health care providers that have been clamoring for [...] - Industry Notes:
HHAs CAN IGNORE OASIS DRAFT DATA SPECS
The Centers for Medicare & Medicaid Services has issued the draft data specifications to go [...]
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