A visual aid to better understand access to covered treatment and services for people with chronic pain, derived from stakeholder interviews focusing on the experiences of those living with and treating chronic pain. The intent of the aid is to highlight the most prominent barriers experienced by people accessing care and the influencers acting on providers, ultimately affecting the person with chronic pain, their quality of care (QOC), and their quality of life (QOL).
These sentiments were derived from requests for information (RFIs) conducted by CMS and CDC, including as part of CDC’s efforts to understand and integrate the lived experiences of patients and providers into their update to the 2016 opioid prescribing guideline.
(The aid appeared in Medicare Learning Network Connects Newsletter
on 5/12/2022)
Confirm patient eligibility
Document the medical record
Determine the number of test strips and lancets
Learn why claims are denied
(Information from the Medicare Learning Network (MLN) dated 5/5/2022)
Available on the CDPHE website
Outcome and Assessment Information Set (OASIS) is a federal system used by Medicare-certified facilities to submit patient outcomes. We provide technical assistance and training for using this system.
OASIS for home health agencies.
Face-to-face provider requirement information.
Clinical templates or suggested clinical data elements (CDEs) assist with documenting the Plan of Care/Certification and face-to-face encounters to support the need for home health services.
OASIS D information
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OASIS assessment tools