OASIS Assessment Reviews: What Every Home Health Agency Should Be Doing

As reimbursements shrink and costs go up, it is vital that home health agencies operate as effectively as possible. One way to ensure proper reimbursement is by performing OASIS assessment reviews.

All too often, home health agencies make the mistake of not conducting OASIS assessment reviews or if they do conduct them, they aren’t adequately identifying inconsistencies that could potentially cost them reimbursement dollars. By conducting thorough reviews, agencies can rectify inconsistencies and ensure accuracy prior to submission, improving reimbursement and reporting of quality outcomes.

What is an OASIS assessment?

The Outcome and Assessment Information Set (OASIS) represents core items of a comprehensive assessment designed to collect information related to a home health care patient’s health and functional status. The OASIS was developed to provide the data necessary to measure outcomes and patient risk factors. As a result, it is a key component of outcome measurement and performance improvement.

OASIS data items address sociodemographic, environmental, support system, health status, functional status, and health service utilization characteristics of the patient. Information is collected at the start of care, 60-day follow-ups, and discharge.

Why is OASIS assessment data accuracy important?

OASIS assessments are an important part of letting Medicare know what care is needed and why it is necessary. Additionally, it drives reimbursement for each episode of care. Information is also publicly reported on Home Health Compare to provide patients and caregivers greater insight into quality of care when selecting an agency.

Why should I perform OASIS assessment reviews?

Documentation inaccuracies can lead to compliance issues, lower quality scores, and reduced reimbursement. OASIS assessment reviews ensure the accuracy of OASIS assessments so home health agencies properly report outcomes and are reimbursed accurately for their services. All documentation, including the full chart, care plans, physician orders, visit frequencies, and clinical assessments, should be examined for consistency and changes should be made when necessary.

Should I outsource my OASIS assessment reviews?

Utilizing the services of a company, like HEALTHCAREfirst, that specializes in home health coding and OASIS assessment reviews can be very beneficial for a few reasons. First, thorough OASIS reviews can usually be completed much more quickly, often within two business days. Second, home health agencies benefit from highly trained experts who are up to date on the latest regulations and requirements so you can rest assured that your coding and OASIS assessment reviews are in the right hands. Lastly, these experts are solely focused on the accuracy of each episode so you properly report outcomes and are paid for the services you provide.

The HEALTHCAREfirst Difference

HEALTHCAREfirst offers industry-leading home health coding services coupled with detailed OASIS reviews. Our coding and OASIS review experts identify potential inconsistencies in OASIS assessments and opportunities for improvement, helping home health agencies increase their reimbursement per episode by up to $325. Contact us to learn more today!