COS-C Exam with all Correct & 100% Verified Answers |
Latest Version |Already Graded A+
May an LPN, OTA, or PTA perform comprehensive assessment? ✔Correct Answer-No. An LPN,
OTA, and PTA are clinicians that are not qualified to establish the Medicare home health benefit
for Medicare beneficiaries perform comprehensive assessments.
Who perform the comprehensive assessment when RN and both ordered at SOC? ✔Correct
Answer-According to the comprehensive assessment regulation, when disciplines are ordered at
SOC, the RN would perform the SOC comprehensive assessment. Either discipline may perform
subsequent assessments.
Who can perform the comprehensive assessment when PT ordered at SoC and the RN will enter
7-10 days after SOC? ✔Correct Answer-the RN's entry into the known at SOC (i.e., nursing is
scheduled, even if only for one visit), then the case NOT therapy- only, the RN should the SOC
comprehensive assessment. the order for the RN is not at SOC and originates from verbal order
after SOC, case is therapy-only SOC, and the therapist can perform the S0C comprehensive
assessment. Either discipline may perform subsequent assessments.
Who can perform the comprehensive assessment for a Medicare PPS patient when PT (or ST) is
ordered along with an aide? ✔Correct Answer-Because nursing orders exist, the PT (or ST)
should perform Because nursing orders exist, the PT (or ST) should perform the comprehensive
assessment
Can the MSW or an LPN ever perform a comprehensive assessment? What about therapy
assistants? ✔Correct Answer-MSW or LPN is not able to perform the comprehensive
assessment. Only RN, PT, SLP (ST), or OT is able to perform the assessment. Therapy assistants
are also not able to perform the comprehensive assessment.
patient was released from the hospital and needed an injection that evening. The case manager
was unavailable and planned resume care the following day. Could the on call nurse visit and
give the injection before the resumption of care assessment is done? Is there time frame which
care (by an LPN or others) can be provided prior to the completion of ROC assessment?
✔Correct Answer-It is not required that the ROC comprehensive assessment be completed on
the first visit following the patient's return home. OASIS guidance states that the Resumption
comprehensive assessment document must be completed within 2 calendar days of facility
discharge date, knowledge of patient's return home, or within 2 calendar days of a physician
ordered ROC
is it acceptable practice have an office based RN complete the medication review by reviewing
the med profile completed by the therapist during the home visit, and making telephone
contact with the patient/caregiver for discussion side effects, interactions, duplicate or
, compliance issues? ✔Correct Answer-therapy only cases, il is acceptable for an RN in the
office to per form additional portions of the medication regimen review after the therapist
collects the information regarding the patient's medication regimen as part of the
comrprehensive assessment.
When initial orders exist for nursing and PT, can the PT make an evaluation establish the start of
care, with the RN subsequently visiting to conduct the initial assessment visit and to complete
the SoC comprehensive assessment? ✔Correct Answer-When initial orders exist for and PT,
the Conditions of Participation require that the RN conduct the initial assessment visit
Has there been any regulatory changes that prohibit nurse from doing the initial SoC OASIS only
therapy is ordered? ✔Correct Answer-when there therapy only orders. It states that the RN
must complete the initial assessment visit when nursing orders exist at S0C. If there are therapy
only orders, no nursing at all, the aporopriate therapist may complete assessment visit.
Can an OT establish the Plan of Care and perform the soc assessment when a Medicare
Advantage plan the payer? ✔Correct Answer-OT does not establish eligibility for the Medicare
Traditional Home Health benefit. Therefore, an OT may perform the initial assessment or
complete the SOC comprehensive assessment on Medicare traditional fee-for-service (PPS)
patients.
MO090. We had patient to the hospital on April 15 and found out about it on April 19. When we
enter the transfer (patient discharged) assessment (M0100 reason for assessment 7) into
HAVEN, we get warning message that the record was not completed within correct timing
guidelines. (MO090) date should be no earlier than (M0906) date AND no more than days after
M0906 date. ✔Correct Answer-The regulation slates that completed within hours learning cf
transter inoatient facility, so in this case, the assessment has been completed in compliance.
M0104. home health agency received referral on June 1st, and then on June 2nd received faxed
update additional patient information that indicates possible delay in the patient's hospital
discharge date. What is the referral date for M0104? ✔Correct Answer-If start of care is
delayed due to the patient's condition physician request and no date was specified as the start
of care date, then the date the agency received updated/revised referral information for home
care services to begin would be considered the date of referral. In your scenario, June 2 correct
response for M0104.
M0104. If referral is faxed to the agency after business hours but does not get processed until
the next day, what date woutd we for referral date? ✔Correct Answer-M0104, Date of
Referral, the date stamped by your fax machine indicating when the referral was received.
M0104 What constitutes a "valid referral" for the purposes of considering that we, in fact, have
actionable referral to initiate home care services? If/when we try to follow up with the patient's
primary care physician, or with the referral source to get patient contact information or clarify
orders, we don't hear back the same day, and wonder how/if this impacts our M0104 Date of
Latest Version |Already Graded A+
May an LPN, OTA, or PTA perform comprehensive assessment? ✔Correct Answer-No. An LPN,
OTA, and PTA are clinicians that are not qualified to establish the Medicare home health benefit
for Medicare beneficiaries perform comprehensive assessments.
Who perform the comprehensive assessment when RN and both ordered at SOC? ✔Correct
Answer-According to the comprehensive assessment regulation, when disciplines are ordered at
SOC, the RN would perform the SOC comprehensive assessment. Either discipline may perform
subsequent assessments.
Who can perform the comprehensive assessment when PT ordered at SoC and the RN will enter
7-10 days after SOC? ✔Correct Answer-the RN's entry into the known at SOC (i.e., nursing is
scheduled, even if only for one visit), then the case NOT therapy- only, the RN should the SOC
comprehensive assessment. the order for the RN is not at SOC and originates from verbal order
after SOC, case is therapy-only SOC, and the therapist can perform the S0C comprehensive
assessment. Either discipline may perform subsequent assessments.
Who can perform the comprehensive assessment for a Medicare PPS patient when PT (or ST) is
ordered along with an aide? ✔Correct Answer-Because nursing orders exist, the PT (or ST)
should perform Because nursing orders exist, the PT (or ST) should perform the comprehensive
assessment
Can the MSW or an LPN ever perform a comprehensive assessment? What about therapy
assistants? ✔Correct Answer-MSW or LPN is not able to perform the comprehensive
assessment. Only RN, PT, SLP (ST), or OT is able to perform the assessment. Therapy assistants
are also not able to perform the comprehensive assessment.
patient was released from the hospital and needed an injection that evening. The case manager
was unavailable and planned resume care the following day. Could the on call nurse visit and
give the injection before the resumption of care assessment is done? Is there time frame which
care (by an LPN or others) can be provided prior to the completion of ROC assessment?
✔Correct Answer-It is not required that the ROC comprehensive assessment be completed on
the first visit following the patient's return home. OASIS guidance states that the Resumption
comprehensive assessment document must be completed within 2 calendar days of facility
discharge date, knowledge of patient's return home, or within 2 calendar days of a physician
ordered ROC
is it acceptable practice have an office based RN complete the medication review by reviewing
the med profile completed by the therapist during the home visit, and making telephone
contact with the patient/caregiver for discussion side effects, interactions, duplicate or
, compliance issues? ✔Correct Answer-therapy only cases, il is acceptable for an RN in the
office to per form additional portions of the medication regimen review after the therapist
collects the information regarding the patient's medication regimen as part of the
comrprehensive assessment.
When initial orders exist for nursing and PT, can the PT make an evaluation establish the start of
care, with the RN subsequently visiting to conduct the initial assessment visit and to complete
the SoC comprehensive assessment? ✔Correct Answer-When initial orders exist for and PT,
the Conditions of Participation require that the RN conduct the initial assessment visit
Has there been any regulatory changes that prohibit nurse from doing the initial SoC OASIS only
therapy is ordered? ✔Correct Answer-when there therapy only orders. It states that the RN
must complete the initial assessment visit when nursing orders exist at S0C. If there are therapy
only orders, no nursing at all, the aporopriate therapist may complete assessment visit.
Can an OT establish the Plan of Care and perform the soc assessment when a Medicare
Advantage plan the payer? ✔Correct Answer-OT does not establish eligibility for the Medicare
Traditional Home Health benefit. Therefore, an OT may perform the initial assessment or
complete the SOC comprehensive assessment on Medicare traditional fee-for-service (PPS)
patients.
MO090. We had patient to the hospital on April 15 and found out about it on April 19. When we
enter the transfer (patient discharged) assessment (M0100 reason for assessment 7) into
HAVEN, we get warning message that the record was not completed within correct timing
guidelines. (MO090) date should be no earlier than (M0906) date AND no more than days after
M0906 date. ✔Correct Answer-The regulation slates that completed within hours learning cf
transter inoatient facility, so in this case, the assessment has been completed in compliance.
M0104. home health agency received referral on June 1st, and then on June 2nd received faxed
update additional patient information that indicates possible delay in the patient's hospital
discharge date. What is the referral date for M0104? ✔Correct Answer-If start of care is
delayed due to the patient's condition physician request and no date was specified as the start
of care date, then the date the agency received updated/revised referral information for home
care services to begin would be considered the date of referral. In your scenario, June 2 correct
response for M0104.
M0104. If referral is faxed to the agency after business hours but does not get processed until
the next day, what date woutd we for referral date? ✔Correct Answer-M0104, Date of
Referral, the date stamped by your fax machine indicating when the referral was received.
M0104 What constitutes a "valid referral" for the purposes of considering that we, in fact, have
actionable referral to initiate home care services? If/when we try to follow up with the patient's
primary care physician, or with the referral source to get patient contact information or clarify
orders, we don't hear back the same day, and wonder how/if this impacts our M0104 Date of
