Correcting Exported OASIS

Please review the following options BEFORE making any changes to an exported OASIS.  Verifying that the OASIS was exported and accepted or rejected is an important part of this process. 

A.  If an OASIS has been transmitted and accepted had wrong information in a key field (M0040, M0063, M0064, M0066, M0069, Agency ID, M0100,   M0090, M0030, M0032, M0906), it needs to be Inactivated and Resubmitted.
NOTE:  Although M0100 is a key field, Barnestorm is not able to change the RFA from one type to another as a correction OASIS.  If the M0100 is the only correction, you will need to Inactivate the OASIS and create a new one to replace it. 

NOTE:  You will only be able to view Inactivated OASIS, if the Show All button is selected.  

B.  If an OASIS was transmitted and accepted but should not have been transmitted at all, then it needs to be Inactivated.  

C.  If an OASIS has been transmitted and accepted and a non-key field (like M2200) needs to be changed, add 1 to the correction number and make the changes. The correction number always starts at 00. The first correction will be 01. 

D If an OASIS has been transmitted but NOT accepted (rejected), then don't use inactivate or correction process. 
Additional Information:

M00110 has choices of EarlyLate, or N/A:

N/A means "Do NOT create a treatment or HIPPS code." So, when a RAP was submitted but the treatment code is gone, this is the first thing to check. Verify that the Document ID on the PPS Tracking still matches the Doc ID of the OASIS. If the ID is the same, and the informaiton is still there, then Select a Different OASIS on the Edit PPS screen. The Select a Different OASIS button is only availble if the EOE claim has not been create. You can cancel the EOE claim to select a different OASIS if needed.
If the Medicare number changes mid episode, note that the Medicare number only gets transmitted on SOC OASIS and not resumption or recerts.  There's no need to correct an OASIS unless it is a SOC for Medicare number update only. 

On Edit PPS Episodes screen, you see HIPPS and Authorization. If either of those codes are not there, then there is a problem with the OASIS or the OASIS is a stop OASIS. 

RFA 01, 03, 04, and 05 have a HIPPS code and a treatment code. These are the only OASIS that are used for billing purposes. The OASIS that stop a series of visits, like RFA 06, 07, 08, and 09 will not have a HIPPS code or a treatment code and are NOT used for billing purposes.

The PPS Episode is defined by the 60-day period on a 485. The episode is automatically entered in PPS tracking when a 485 is printed in Barnestorm Office and either the primary or the secondary payer for the patient is a PPS payer.

The PPS Episode is defined by the 60-day period on a 485. The episode is automatically entered in PPS tracking when a 485 is printed in Barnestorm Office and either the primary or the secondary payer for the patient is a PPS payer.

In Billing > Reports > 14/03, there is a tab to search for Missing Episodes. A missing episode can occur when a 485 is printed from POC. The search for missing episodes looks for visits charged to a PPS payer that do not have an episode in PPS tracking. The billing staff member needs to come to this screen at least once a week, before creating billing, and run this report. This screen also has a button that will create all the missing episodes for you.

When you are updating to create EOE claims, and click on payer on EOE Claims screen, it generated a report to indicate if what is on the RAP no longer matches OASIS. We recommend that you PRINT and troubleshoot each item on this report before continuing.

When the OASIS are exported, the CMS system provides both initial and final feedback reports. The initial feedback repoirt show the number of OASIS transmitted and the final report provides a detail of each OASIS and whether it was accepted, rejected, or generated warnings.  

When the OASIS are transmitted, this feedback report should be printed or saved so that the information is available. File Save or File Print. Save these all in the same place, or keep them together in a folder. If you save them, put them in the same place as the OASIS files.

For M2200 correction, the OASIS can be unexported, unlocked, edit, add to correction#, and fix the M2200 (which is not a key field) - however, under PGDM, that number is no longer used to calculate the hipps code, and no longer used to adjust the hipps code by Medicare. You may need to check with Medicare Advantage payers to find out if they are still doing 60-day episodes (in which case they might be using M2200 to calculate HIPPS), or is they have switched to the PDGM 30-day episodes (in which case you don't need to do anything but correct the OASIS as you would for Medicare).