Oasis D Questions and answers |
Updated 2024/25 RATED A+
0 - Able to independently transfer. - The patient transfers without a walker or cane and
II II II II II II II II II II II II II II II II II
needs no assistance, however he uses the arms of the chair to steady himself when
II II II II II II II II II II II II II II II
standing to transfer back to the sleeping surface. What is the best response to M1850?
II II II II II II II II II II II II II II II
True - True or False: The SN frequency is 1wk3 and the PT made a 1d1 visit on the same
II II II II II II II II II II II II II II II II II II II II II II
day as the nursing visit (on the SOC date). The patient refuses further visits after the SOC
II II II II II II II II II II II II II II II II II
date. There is no need to perform a discharge OASIS.
II II II II II II II II II II
False - True or False: The presence or absence of a caregiver may impact actual
II II II II II II II II II II II II II II II II II
performance of activities. It also impacts the patient's ability to perform the task.
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DC OASIS - The patient was not home when the last visit was made and cannot be
II II II II II II II II II II II II II II II II II II II
found. She mentioned moving to live with her daughter out of state. Which OASIS is
II II II II II II II II II II II II II II II
appropriate?
II
M0104 Date of Referral is 7/17 - the hospitalist wrote on 7/14 "Refer to home care. PCP
II II II II II II II II II II II II II II II II II II II
will follow." The agency called the PCP named by the patient. The doctor said she will not
II II II II II II II II II II II II II II II II II
sign orders until she was able to evaluate the patient herself. The appointment was made
II II II II II II II II II II II II II II II
for 7/17 and the physician called with home care orders that same day. What is the best
II II II II II II II II II II II II II II II II II
response to M0104?
II II II
0 - Patient does not have an ostomy for bowel elimination - If a patient has an ostomy
II II II II II II II II II II II II II II II II II II II II
that has been reversed, what is the best response to M1630?
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False - True or False: To answer M1850-transferring, the clinician must assess the
II II II II II II II II II II II II II II II
patient to transfer from the bed to the chair, even if the patient doesn't normally sleep in
II II II II II II II II II II II II II II II II II
the bed.
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Code 3, Independent (because he was independent with his walker prior to this illness,
II II II II II II II II II II II II II II
exacerbation or injury) - Mr. Sal ambulates with a walker around his home, and uses a
II II II II II II II II II II II II II II II II II II
stair lift to negotiate the stairs to the second floor, where his bedroom is located. What is
II II II II II II II II II II II II II II II II II
the best response to GG100B Indoor Mobility Ambulation?
II II II II II II II II
0 - Patient is not short of breath - You are admitting Mr. McGoo today to services. Upon
II II II II II II II II II II II II II II II II II II II II
questioning, he tells you that he sleeps in his recliner, because he can't "breathe" when
II II II II II II II II II II II II II II II
he lies down in his bed, although he is showing no visible signs of SOB. What is the best
II II II II II II II II II II II II II II II II II II II
response to M1400?
II II II
The RN has to consider the reasons why the patient went to the ER 4 times. - The patient
II II II II II II II II II II II II II II II II II II II II II
went to the ER on Tuesday night and was admitted Wednesday morning with a diagnosis
II II II II II II II II II II II II II II II
, of sepsis. Thursday, the RN case manager is sitting down to complete the transfer
II II II II II II II II II II II II II II
OASIS. She notes that the patient has been to the ER twice more this episode and once in
II II II II II II II II II II II II II II II II II II
the previous episode. What should the RN consider?
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A new SOC OASIS is generated with a new SOC date with updated M0030, M0090,
II II II II II II II II II II II II II II II
M0110, and M2200. All visits in the non-covered period cannot be billed. - Mrs. Smith's
II II II II II II II II II II II II II II II II II
face to face encounter did not occur within 30 days after admission to your home health
II II II II II II II II II II II II II II II II
agency. Her physician saw her 40 days after the start of care. What should the agency
II II II II II II II II II II II II II II II II
do?
II
J1800 Yes and J1900A 1; J1900B 1; J1900C 0 - Mr. Smith had two falls since the most
II II II II II II II II II II II II II II II II II II II II
recent SOC/ROC. The falls are documented on clinical notes. The first describes an
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event during which Mr. Smith tripped on the bathroom rug and almost fell, but caught
II II II II II II II II II II II II II II II
himself against the sink. The RN assessment identified no injury. The second describes
II II II II II II II II II II II II II
an event during which Mr. Smith, while stepping out of the bathtub, caught his foot on the
II II II II II II II II II II II II II II II II II
edge of the tub and fell against the sink sustaining an abrasion on his face and a large
II II II II II II II II II II II II II II II II II II
hematoma on his ribs which required x-rays. There were no fractures. What is the best
II II II II II II II II II II II II II II II
response to J1800 and J1900?
II II II II II
Stage 3 - The patient has a 2cm x 1cm x 0.1 cm pressure ulcer on the coccyx covered
II II II II II II II II II II II II II II II II II II II II II
with slough. There is a stage 3 ulcer on the shoulder 5cm x 5cm x3cm with approximately
II II II II II II II II II II II II II II II II II
30% granulation tissue. The patient will not stay off of the coccyx and it continues to be
II II II II II II II II II II II II II II II II II
contaminated with feces. What is the best response to M1324?
II II II II II II II II II II
0 - No - Mr. Kenney has a suprapubic catheter and is on Bactrim monthly for preventative
II II II II II II II II II II II II II II II II II II II
measures. He develops a UTI, which the physician confirmed, however, he did not order
II II II II II II II II II II II II II II
anything different. What is the best response to M1600?
II II II II II II II II II
NA - Mr Herman has a suprapubic catheter, and is on Bactrim monthly for preventative
II II II II II II II II II II II II II II II II II
measures. What is the best response to M1600?
II II II II II II II II
The RN and PT visit the same day with the RN making a non-billable visit to complete the
II II II II II II II II II II II II II II II II II II
OASIS. - If a single visit quality episode was provided, an OASIS to end the quality
II II II II II II II II II II II II II II II II II II
episode is not required. Which one of the following situations requires a DC OASIS?
II II II II II II II II II II II II II II
0 - Able to get to and from the toilet and transfer independently with or without a device. -
II II II II II II II II II II II II II II II II II II II II II
A patient is independent in getting to and from the toilet during the day, but uses a BSC at
II II II II II II II II II II II II II II II II II II II
night for convenience. What is the best response to M1840?
II II II II II II II II II II
06 Independent - Patient completes the activity by him/herself with no assistance from a
II II II II II II II II II II II II II II
helper. - The patient sleeps in a recliner to avoid dyspnea, so to sit up with his feet on the
II II II II II II II II II II II II II II II II II II II II II II
floor from a lying position just takes a push on the lever on the side of the chair. He does
II II II II II II II II II II II II II II II II II II II II
not need any assistance until he starts to stand up and then requires stand-by assistance
II II II II II II II II II II II II II II II
to be safe. What is the best response to GG0170C?
II II II II II II II II II II
Updated 2024/25 RATED A+
0 - Able to independently transfer. - The patient transfers without a walker or cane and
II II II II II II II II II II II II II II II II II
needs no assistance, however he uses the arms of the chair to steady himself when
II II II II II II II II II II II II II II II
standing to transfer back to the sleeping surface. What is the best response to M1850?
II II II II II II II II II II II II II II II
True - True or False: The SN frequency is 1wk3 and the PT made a 1d1 visit on the same
II II II II II II II II II II II II II II II II II II II II II II
day as the nursing visit (on the SOC date). The patient refuses further visits after the SOC
II II II II II II II II II II II II II II II II II
date. There is no need to perform a discharge OASIS.
II II II II II II II II II II
False - True or False: The presence or absence of a caregiver may impact actual
II II II II II II II II II II II II II II II II II
performance of activities. It also impacts the patient's ability to perform the task.
II II II II II II II II II II II II II
DC OASIS - The patient was not home when the last visit was made and cannot be
II II II II II II II II II II II II II II II II II II II
found. She mentioned moving to live with her daughter out of state. Which OASIS is
II II II II II II II II II II II II II II II
appropriate?
II
M0104 Date of Referral is 7/17 - the hospitalist wrote on 7/14 "Refer to home care. PCP
II II II II II II II II II II II II II II II II II II II
will follow." The agency called the PCP named by the patient. The doctor said she will not
II II II II II II II II II II II II II II II II II
sign orders until she was able to evaluate the patient herself. The appointment was made
II II II II II II II II II II II II II II II
for 7/17 and the physician called with home care orders that same day. What is the best
II II II II II II II II II II II II II II II II II
response to M0104?
II II II
0 - Patient does not have an ostomy for bowel elimination - If a patient has an ostomy
II II II II II II II II II II II II II II II II II II II II
that has been reversed, what is the best response to M1630?
II II II II II II II II II II II
False - True or False: To answer M1850-transferring, the clinician must assess the
II II II II II II II II II II II II II II II
patient to transfer from the bed to the chair, even if the patient doesn't normally sleep in
II II II II II II II II II II II II II II II II II
the bed.
II II
Code 3, Independent (because he was independent with his walker prior to this illness,
II II II II II II II II II II II II II II
exacerbation or injury) - Mr. Sal ambulates with a walker around his home, and uses a
II II II II II II II II II II II II II II II II II II
stair lift to negotiate the stairs to the second floor, where his bedroom is located. What is
II II II II II II II II II II II II II II II II II
the best response to GG100B Indoor Mobility Ambulation?
II II II II II II II II
0 - Patient is not short of breath - You are admitting Mr. McGoo today to services. Upon
II II II II II II II II II II II II II II II II II II II II
questioning, he tells you that he sleeps in his recliner, because he can't "breathe" when
II II II II II II II II II II II II II II II
he lies down in his bed, although he is showing no visible signs of SOB. What is the best
II II II II II II II II II II II II II II II II II II II
response to M1400?
II II II
The RN has to consider the reasons why the patient went to the ER 4 times. - The patient
II II II II II II II II II II II II II II II II II II II II II
went to the ER on Tuesday night and was admitted Wednesday morning with a diagnosis
II II II II II II II II II II II II II II II
, of sepsis. Thursday, the RN case manager is sitting down to complete the transfer
II II II II II II II II II II II II II II
OASIS. She notes that the patient has been to the ER twice more this episode and once in
II II II II II II II II II II II II II II II II II II
the previous episode. What should the RN consider?
II II II II II II II II
A new SOC OASIS is generated with a new SOC date with updated M0030, M0090,
II II II II II II II II II II II II II II II
M0110, and M2200. All visits in the non-covered period cannot be billed. - Mrs. Smith's
II II II II II II II II II II II II II II II II II
face to face encounter did not occur within 30 days after admission to your home health
II II II II II II II II II II II II II II II II
agency. Her physician saw her 40 days after the start of care. What should the agency
II II II II II II II II II II II II II II II II
do?
II
J1800 Yes and J1900A 1; J1900B 1; J1900C 0 - Mr. Smith had two falls since the most
II II II II II II II II II II II II II II II II II II II II
recent SOC/ROC. The falls are documented on clinical notes. The first describes an
II II II II II II II II II II II II II
event during which Mr. Smith tripped on the bathroom rug and almost fell, but caught
II II II II II II II II II II II II II II II
himself against the sink. The RN assessment identified no injury. The second describes
II II II II II II II II II II II II II
an event during which Mr. Smith, while stepping out of the bathtub, caught his foot on the
II II II II II II II II II II II II II II II II II
edge of the tub and fell against the sink sustaining an abrasion on his face and a large
II II II II II II II II II II II II II II II II II II
hematoma on his ribs which required x-rays. There were no fractures. What is the best
II II II II II II II II II II II II II II II
response to J1800 and J1900?
II II II II II
Stage 3 - The patient has a 2cm x 1cm x 0.1 cm pressure ulcer on the coccyx covered
II II II II II II II II II II II II II II II II II II II II II
with slough. There is a stage 3 ulcer on the shoulder 5cm x 5cm x3cm with approximately
II II II II II II II II II II II II II II II II II
30% granulation tissue. The patient will not stay off of the coccyx and it continues to be
II II II II II II II II II II II II II II II II II
contaminated with feces. What is the best response to M1324?
II II II II II II II II II II
0 - No - Mr. Kenney has a suprapubic catheter and is on Bactrim monthly for preventative
II II II II II II II II II II II II II II II II II II II
measures. He develops a UTI, which the physician confirmed, however, he did not order
II II II II II II II II II II II II II II
anything different. What is the best response to M1600?
II II II II II II II II II
NA - Mr Herman has a suprapubic catheter, and is on Bactrim monthly for preventative
II II II II II II II II II II II II II II II II II
measures. What is the best response to M1600?
II II II II II II II II
The RN and PT visit the same day with the RN making a non-billable visit to complete the
II II II II II II II II II II II II II II II II II II
OASIS. - If a single visit quality episode was provided, an OASIS to end the quality
II II II II II II II II II II II II II II II II II II
episode is not required. Which one of the following situations requires a DC OASIS?
II II II II II II II II II II II II II II
0 - Able to get to and from the toilet and transfer independently with or without a device. -
II II II II II II II II II II II II II II II II II II II II II
A patient is independent in getting to and from the toilet during the day, but uses a BSC at
II II II II II II II II II II II II II II II II II II II
night for convenience. What is the best response to M1840?
II II II II II II II II II II
06 Independent - Patient completes the activity by him/herself with no assistance from a
II II II II II II II II II II II II II II
helper. - The patient sleeps in a recliner to avoid dyspnea, so to sit up with his feet on the
II II II II II II II II II II II II II II II II II II II II II II
floor from a lying position just takes a push on the lever on the side of the chair. He does
II II II II II II II II II II II II II II II II II II II II
not need any assistance until he starts to stand up and then requires stand-by assistance
II II II II II II II II II II II II II II II
to be safe. What is the best response to GG0170C?
II II II II II II II II II II
