1) Case Study: A HHA patient was seen in the hospital on 12/01/01 for a total hip surgery on an outpatient basis. The patient was kept overnight for observation, but was never admitted to the hospital. The patient left the hospital on 12/2/2021 and went to stay at her daughter's home. Due to COVID, the patient did not receive rehabilitation services. The patient returned to her home on 12/4/2021. Due to the hip surgery, it was determined there was a significant change in the patient's condition. Additionally, when the patient returned to her home, she was in the five-day recertification window (12/1/2021 to 12/5/2021).
Would the RFA 5 (Other follow-up) take the place of the RFA 4 (Recertification) or should both assessments be completed? Which assessment(s) need to be completed?
2) Is OASIS required for Medicare Advantage patients?
3) Who can complete the OASIS comprehensive assessment? If an RN is ordered, do they have to be the first ones in the door?
4) Are there any written regulations regarding Start of Care Assessments via Telehealth?