A common question asked among coders is, “is this a complication or is this a sequela”? Following specific coding guidelines will ensure that costly errors are avoided for these two very different coding situations.
OASIS-D is the latest data set for home health agencies to utilize and will be effective January 1, 2019. The focus of this latest revision is on quality and comparison of those quality indicators.
The July release of the Home Health OASIS July 2018 Quarterly Q&As brings promise that CMS is back on track to continue quarterly updates that address agency OASIS questions. Perhaps, one of the most complex responses was the insight provided on “what is” and “what is not” a surgical wound in the context of PleurX catheters.
This agency was experiencing inaccuracies in OASIS scoring due to recent clinician turnover. Agency leadership found that dedicating ample resources to thoroughly train new staff in OASIS accuracy was necessary, but beyond what their internal resources could provide at the time.