Provider Questions

Provider Questions:

1) Is a Transfer OASIS required for the following situation: A patient on home care services was admitted to the hospital to an inpatient bed. They remained there for greater than 24 hours for reasons other than diagnostic testing, however, the stay was then changed to an observation stay. Should a Transfer OASIS be completed?

2) When assessing GG0170R - Wheel 50 feet with two turns, can the two turns be combined, or should they be completed at different times during the 50 feet?

3) How are falls defined for M1033 - Risk of Hospitalization; response 1 - History of falls? For example, if a therapist is performing a therapeutic intervention that challenges a patient’s balance and the patient loses their balance would that be considered a fall?

4)  We are seeking clarification for M1033 - Risk for Hospitalization; response 3 - Multiple hospitalizations (2 or more) in the past 6 months.  In the Response Specific Instructions, it states “Multiple hospitalizations (Response 3) defines hospitalization as the patient being admitted for 24 hours or longer to an inpatient acute bed for reasons other than diagnostic testing.”   Does “inpatient acute bed” include inpatient facilities other than an acute care hospital? Specifically, would admission to any or all of the following facilities be considered an “inpatient acute bed” for M1033 response 3: 

• Free-standing Inpatient Rehabilitation Hospital 

• Inpatient Rehabilitation Unit within a hospital  

• Inpatient Psychiatric Hospital 

• Long-Term Care Hospital