OASIS-E1 Section I - Active Diagnoses

Establishing the correct diagnoses for the focus of home health services from the beginning is essential for many reasons. The primary diagnosis drives the plan of care for the patient's care. The face-to-face encounter documentation must indicate that the physician or other allowed practitioner addressed the primary reason (primary diagnosis) for home health during that visit with the patient. Primary and secondary diagnoses play key roles in calculating payment through the Patient-Driven Groupings Model (PDGM) and in determining risk adjustment of both Care-Compare quality scores and Home Health Value-Based Purchasing Expanded Model (HHVBPX) calculations that result in a year-long bonus or penalty imposed on every 30-day home-health claim. And accurate ICD-10 diagnosis coding is required by HIPAA. Overlooking the importance of accurately identifying conditions affecting the patient's care while receiving home-health services. OASIS-expert Beth Noyce will walk you through the intricac