Oasis practice questions

Your agency received a faxed referral from Dr. Jones on 1/13. The referral states that the patient is to be discharged from the inpatient facility on 1/16. There is no wording indicating a SOC date on the referral. The agency has been unable to get additional information from the physician's office or the referring facility. A call to the patient's home reveals that he was discharged on 1/16. What date should be entered in M0104? a. 1/13 b. 1/16 c. 1/18

1/13

You are conducting a SOC assessment. The patient's Medicare insurance card states that his name is Arnold Palmer. The patient tells you everybody, including his physician, calls him Arnie. What should you enter in M0040 (Patient name)? a. Arnie Palmer b. Arnold Palmer c. Leave blank d. Call the physician and ask him/her what you should enter in M0040

Arnold Palmer

When a patient is discharged from an inpatient facility and care is resumed within the last five days of the episode (i.e., a recertification assessment is due), which assessment should be completed? a. SOC (RFA 1) b. ROC (RFA 3) c. Recertification (follow-up) reassessment (RFA 4) d. Both a Re-cert ((RFA 4) and a ROC (RFA 3)

ROC (RFA 3)

At which OASIS time point are you required to complete M0066 (Birth date), M0069 (Gender) and M0140 (Race/ethnicity)? a. Start of care b. Transfer to inpatient facility c. Discharge d. All time points

SOC

The patient is admitted for a second Medicare episode of care on January 1st. The patient is discharged from service on February 12th. The last billable service date also was February 12th. The same patient is now re-admitted to your agency on March 15th. How should the clinician answer M0110 (Episode timing) for this latest episode? a. Early b. Late c. UK - Unknown d. NA - Not Applicable

Late

Your home health agency's branches are all located in the same state. How should you complete M0014 (Branch state)? a. Enter the state where all the branches are located b. Leave it blank c. None of the above

Leave it blank

In a "PT only" episode, when there are no orders for skilled nursing at the SOC, the visit made by the RN to perform an OASIS assessment is: a. Billable b. Not billable

Not billable

Except for the SOC assessment, which of the following disciplines is allowed to complete an OASIS assessment (M0080)? a. Occupational therapist (OT) b. Licensed practical nurse (LPN) c. Home health aide d. Social Worker with a Master's Degree (MSW) e. All of the above

Occupational therapist (OT)

What number should be entered in to M0010 (CMS certification number)? a. The home health agency's Medicare provider number b. The home health patient's Medicare provider number c. The attending physician's national provider identifier (NPI) d. Your nursing state license number

The home health agency's Medicare provider number

The physician referred the hospital inpatient for new home health services which he specified were to begin on 7/16. The patient was discharged from the hospital on 7/13 and the agency delivered the first billable visit on 7/16 as ordered. Will the initiation of care for this episode be considered timely? a. No b. Yes

yes

You are conducting a SOC assessment, and your patient tells you that Medicare is his primary payer source for his home health services. The patient also has Medicaid, which is paying for about 10% of his services. He mentions that he's waiting for a Veterans Administration (VA) grant to come through that will pay for a portion of his home care services. What is the correct response (s) to M0150 (Current payment sources for home care)? a. 0 - None; no charge for current services b. 1 - Medicare (traditional fee-for-service) c. 2 - Medicare (HMO/managed care/Advantage plan) d. 3 - Medicaid (traditional fee-for-service) e. 4 - Medicaid (HMO/managed care) f. 5 - Workers' compensation g. 6 - Title programs (e.g., Title III, V, or XX) h. 7 - Other government (e.g., TriCare, VA, etc.) i. 8 - Private insurance j. 9 - Private HMO/managed care k. 10 - Self-pay l. 11 - Other (specify) m. UK Unknown

1 - Medicare (traditional fee-for-service); 2 - Medicare (HMO/managed care/Advantage plan); and 3 - Medicaid (traditional fee-for-service)

The ROC (RFA 3) comprehensive assessment must be completed within: a. 24 hours of discharge from an inpatient facility after an inpatient stay of more than 24 hours. b. 48 hours of discharge from an inpatient facility after an inpatient stay of more than 24 hours. c. 48 hours of discharge from an inpatient facility for diagnostic testing. d. 24 hours following an observation stay of greater than 24 hours in an emergency room.

48 hours of discharge from an inpatient facility after an inpatient stay of more than 24 hours.

On May 16, the patient is admitted to the hospital for an episode of respiratory failure. She is discharged back to home health with orders to continue the previous plan of care (POC) on May 19. The skilled nurse cannot go to the patient's home to perform the ROC OASIS until May 21. The home health aide is scheduled, per the POC, to go out on May 20 to assist the patient with her bath and toileting. The aide makes the visit as scheduled. The skilled nurse makes a visit on May 21 and completes the ROC assessment (RFA 3). What is the ROC date for M0032?

5/20

To answer M0030 (Start of care date) accurately, which has to be true? a. A reimbursable service, ordered by the physician, must be delivered on that date. b. The date must be agreed upon by the patient and the home health agency. c. The SOC date is the earliest date the RN can get out to see the patient. d. The SOC date is the date that the RN and PT agree upon.

A reimbursable service, ordered by the physician, must be delivered on that date.

Are social workers permitted to review and/or audit OASIS documents and provide guidance to the qualified/assessing physician? a. No, Social Workers are not qualified clinicians who are allowed to collect and document an OASIS assessment. b. Yes, Social Workers are qualified clinicians who are allowed to collect and document an OASIS assessment. c. Agency policy may define the qualifications of a person doing a quality review of the comprehensive assessment, OASIS items, and/or providing education or instruction related to OASIS data collection. d. Agency policy may define the qualifications of a person doing a quality review of the OASIS items but the reviewer may not provide instruction or guidance to the clinician completing the OASIS.

Agency policy may define the qualifications of a person doing a quality review of the comprehensive assessment, OASIS items, and/or providing education or instruction related to OASIS data collection.

For a PT or speech therapist (SLP) to perform the SOC OASIS assessment for a Medicare home health patient: a. The agency must have orders from the patient's physician indicating the need for physical therapy or speech therapy prior to the initial assessment visit. b. The SOC order from the physician may not include any orders for skilled nursing services. c. A reimbursable (billable) service must be provided during the SOC visit. d. The need for the service must establish program eligibility for the Medicare home health benefit. e. A and B only f. All of the above

All of the above

On the day of discharge (5/6) your agency received a referral for "SN to evaluate and manage the patient's medication regimen" for Mrs. G who was a patient at Get-Well Medical Center. The order was written by the hospitalist managing Mrs. G at Get-Well. The hospitalist will not see the patient once she is discharged and will not provide follow-up orders for care. Mrs. G's PCP is Dr. X. There is no indication in the referral that Dr. X will be seeing the patient after her discharge. What should the agency do when it gets this referral? a. Call Dr. X to determine if he will provide follow-up care and orders for this patient. b. Use the order from the hospitalist and plan to initiate services no later than 5/8.

Call Dr. X to determine if he will provide follow-up care and orders for this patient.

Your patient transferred from another agency to your agency on January 13th. At the time of the patient's transfer to your agency, she was in the middle of her first Medicare episode with the other agency. The date of the last billable visit for the first agency was January 10th (ended episode on this date). There is no record of additional Medicare episodes in the Common Working File (CWF), and the patient says she has not been a home health patient prior to the episode with the other agency. How should the clinician answer M0110 (Episode timing)? a. Early b. Late c. UK - Unknown d. NA - Not Applicable

Early

Your patient was under care with a Medicare HMO for three episodes until Sept. 30th. The patient transferred to traditional Medicare, effective October 1st, and was admitted to your agency on October 2nd. How should the clinician answer M0110 (Episode timing)? a. Early b. Late c. UK - Unknown d. NA - Not Applicable

Early

How should you respond to M0016 (Branch ID) if your agency is the parent agency? a. Enter "N" followed by nine blank spaces b. Leave it blank c. Enter "P" followed by nine blank spaces d. Enter the word "parent"

Enter "P" followed by nine blank spaces

Your home health patient has Medicaid in addition to Medicare to help pay for home care services. How should you respond to M0065 (Medicaid number)? a. Leave blank b. Answer 'NA - No Medicaid' option c. Enter the Medicare number d. Enter the Medicaid number

Enter the Medicaid number

Your home health patient has two insurance carriers. Her primary insurance carrier is Blue Cross Blue Shield, and her secondary payer is Medicare. How should you answer M0063 (Medicare number)? a. Enter the Blue Cross/Blue Shield number b. Enter the Medicare number (HICN or MBI) c. Choose the 'NA - No Medicare' option d. Leave blank

Enter the Medicare number

You are conducting a SOC assessment and your patient is a member of a Medicare HMO, how should you answer M0063 (Medicare number)? a. Enter the Medicare number (HICN or MBI) if available b. Enter the Medicare HMO identification number c. Enter the patient's social security number d. Leave blank

Enter the Medicare number if available

Your home health patient's SOC date is Jan. 4th. The nurse goes to the home on Jan. 4th and starts the assessment but has an emergency and has to leave before finishing. The nurse returns to the patient's home on Jan. 6th and completes the assessment. Assuming that the RN was able to get orders from the physician and no further information needed to be gathered, what is the most appropriate response to M0090 (Date assessment completed)? a. Jan. 4th b. Jan. 5th c. Jan. 6th d. Jan. 7th

Jan. 6th

Your agency closes the office on Friday at 5:00 p.m. At 10:00 p.m. on Friday June 14th, a faxed referral is received. The fax is not picked up by the agency until Monday June 17th. What date should be used for the date of referral in M0104 (Date of referrals)? a. June 14th b. June 15th c. June 16th d. June 17th

June 14th

A physician referral is sent to your home health agency from a discharge planner at a rehabilitation facility on June 1st. On June 2nd the discharge planner faxes information that the patient had a change in condition and had to stay an extra day in the rehab facility. He will not be discharged until June 3rd. Which date would be considered the date of referral for M0104 (Date of referral)? a. June 1st b. June 2nd c. June 3rd d. None of the above

June 2nd

Your home health patient was admitted on March 4th and was on service for two weeks when his daughter called on March 18th to tell you that the patient died. The clinician completed the final assessment in the office on March 19th. What is the most appropriate response to M0090 (Date assessment completed)? a. March 4 b. March 18 c. March 19 d. None of the above, the clinician has to visit the patient to complete the assessment

March 19

You are conducting a SOC assessment on a patient who recently suffered a stroke. Since his stroke, your patient has been living with his daughter in Maryland. He tells you that he's had a hard time feeling at home. His "real" home is in Delaware. When he suffered his stroke, he went to the hospital and then to a rehab facility in New Jersey for two weeks. Now he's at his daughter's home. He says that as soon as the home health services discontinue, he plans on going back to his home in Delaware. How should the clinicians answer M0050 (Patient state of residence)? a. Delaware b. Maryland c. New Jersey d. All of the above

Maryland

On May 10th, a home health agency receives a referral from a hospital discharge planner on behalf of the physician to start care for Mrs. Smith on May 12th. What date should be entered in M0102 (Date of physician-ordered start/resumption of care)? a. May 12th b. May 14th c. Leave blank d. Leave blank until physician confirms the date

May 12th

A home health agency receives a referral from a physician for a SOC date of Oct. 12th. The nurse in the agency's intake office tells the hospital discharge planner that the agency cannot admit the patient until Oct. 15th due to staffing shortages. The discharge planner communicates with the physician that the agency is unable to start care on the original date, and the physician agrees to a new SOC date of Oct. 15th. The agency receives a fax verifying that the physician agrees with the SOC date change. Which date should you enter in M0102 (Date of physician-ordered start/resumption of care)? a. Oct. 12th b. Oct. 15th

Oct. 15th

On the last day of the patient episode, both the RN and the physical therapist are scheduled to conduct discharge visits. Based on guidance for completing M0080 (Discipline of person completing assessment), which discipline is responsible for completing the discharge assessment? a. RN b. PT c. Both the RN & PT d. The last qualified clinician to see the patient

The last qualified clinician to see the patient

Which of the following does the National Provider Identifier (NPI) in M0018 identify? a. The current Medicare-certified home health agency that is providing care to the patient. b. The previous Medicare-certified home health agency that provided care to the patient. c. The last inpatient facility the patient was discharged from prior to home health care. d. The physician who will sign the plan of care.

The physician who will sign the plan of care.

Which of the following should be placed in M0020 (Patient ID number)? a. The patient's Medicare provider number b. The patient's social security number c. The number the agency assigns and uses to identify the patient d. None of the above

The number the agency assigns and uses to identify the patient

The patient is referred by her physician following a total knee replacement. The faxed physician referral order states: "PT only to evaluate and treat post TKR." Your agency policy is that an RN must perform the SOC OASIS for all "PT only" cases. Which of the following is correct about the timing of that assessment? a. The nursing assessment visit must be made the same day as the therapist's visit. b. The nursing assessment visit may be made the day before the therapist's first visit. c. The nursing assessment visit must be made the same day as the therapist's visit or within five days after the therapist's first visit. d. None of the above

The nursing assessment visit must be made the same day as the therapist's visit or within five days after the therapist's first visit.

The referring physician did not provide a specific date to start care. But in the orders, received by the agency on June 3rd, the physician states that the agency "may start care the week of June 6". What date should be used as the date of referral in M0104 (Date of referral)? a. Enter the date of the first billable service. b. Use the most recent date that your agency received verbal, written, or electronic orders from the physician to begin care. c. Pick any date as long as it is within 48 hours of the SOC visit. d. None of the above

Use the most recent date that your agency received verbal, written, or electronic orders from the physician to begin care.