Hello! 

If this was truly an observation stay and they were not admitted, no transfer oasis is necessary.  You would document in the record that the patient went to the hospital under observation.  If they were admitted to the hospital, you would do a RFA 6 (transfer without agency discharge) as you anticipated them coming back.

Our practice is anytime we are going to bill a Medicare episode, is to have a ‘clean chart’ meaning we discharge the current home care episode and do a brand-new admission billing Medicare.  Once they are no longer Medicare appropriate, we issue the NOMNC, discharge then readmit them under the other payer if they are still home care appropriate. 

Hope this helps!

Jess

Jessica Downs, RN | Executive Director of Clinical Operations

Corporate Office

2586 7th Ave E, Suite 302, North St. Paul MN 55109

Phone: 651.633.7300 | Fax: 651.633.7301

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From: medicarecompliance@list.mnhomecare.org <medicarecompliance@list.mnhomecare.org> On Behalf Of Farrah Gajewski
Sent: Wednesday, January 26, 2022 9:33 AM
To: medicarecompliance@list.mnhomecare.org
Subject: [EXTERNAL] Oasis Question

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Hello All-

I am hoping someone is able to help me out with this question.

Client A gets admitted to the hospital on observation. Client A gets discharged with PT orders and remained observation the whole time they were in the hospital for a total of 4 days.

Client A’s current pay source is a waiver but will be Medicare now that he has a skilled need.

What is the correct documentation process for this to be compliant? Would Client A be a transfer without discharge then an ROC with Medicare? If so, would a new episode need to be started?

Thank you all in advance!
Farrah

Farrah Gajewski, RN

Adult Health Supervisor

Kanabec County Community Health

905 East Forest Avenue

Mora, MN 55051

320-679-6338

320-679-6333(fax)

farrah.gajewski@co.kanabec.mn.us

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