PPS PERFORMANCE OPTIMIZER TOOLKIT:
HIGH-YIELD SOLVED QUESTIONS AND FINAL
EVALUATION TRANSCRIPT FOR
OPERATIONAL READINESS SUCCESS 2026
◍ Homebound Criteria? Answer: 1/2
aid of supportive devices
leaving home medically contraindicated
+
both
normal inability to leave home
Requires cosiderable & taxing effort
◍ Outcome and Assessment Information Set (OASIS) Answer:
determine acuity/needs of pt
influences medicare reimbursement
Completed at: SOC/ROC, transfer, recert, DC/death
◍ Hx of OASIS Answer: 1999
Outcome measures, improvement/stabilization, show potentially
avioidable events
OASIS D: January 2019--sections GG (fnal ability & goals) and J
(health conditions)
, ◍ PPS for HH Answer: 60 day episode
Casemix adjustment: payment based on condition & needs
LUPA: <5 skilled visits in episode
PEP: readmission during 60 day episode
◍ Current Home Health PPS Answer: HHRGs based on levels (CSF
scores)
Clinical: Dx & additional conditions
Functional: pt ability to dress/bathe toilet/transfer/amb
Service Utilization: based on # visits/60 days
◍ OASIS Outcomes Answer: SOC -> DC
SOC -> Transfer to inpt facility
ROC -> DC
ROC -> Transfer to inpt facility
◍ Risk Adjustment Answer: Compensation for differences in pt
population
◍ SOC Answer: IE
If pt eligibility in question: STOP
HIGH-YIELD SOLVED QUESTIONS AND FINAL
EVALUATION TRANSCRIPT FOR
OPERATIONAL READINESS SUCCESS 2026
◍ Homebound Criteria? Answer: 1/2
aid of supportive devices
leaving home medically contraindicated
+
both
normal inability to leave home
Requires cosiderable & taxing effort
◍ Outcome and Assessment Information Set (OASIS) Answer:
determine acuity/needs of pt
influences medicare reimbursement
Completed at: SOC/ROC, transfer, recert, DC/death
◍ Hx of OASIS Answer: 1999
Outcome measures, improvement/stabilization, show potentially
avioidable events
OASIS D: January 2019--sections GG (fnal ability & goals) and J
(health conditions)
, ◍ PPS for HH Answer: 60 day episode
Casemix adjustment: payment based on condition & needs
LUPA: <5 skilled visits in episode
PEP: readmission during 60 day episode
◍ Current Home Health PPS Answer: HHRGs based on levels (CSF
scores)
Clinical: Dx & additional conditions
Functional: pt ability to dress/bathe toilet/transfer/amb
Service Utilization: based on # visits/60 days
◍ OASIS Outcomes Answer: SOC -> DC
SOC -> Transfer to inpt facility
ROC -> DC
ROC -> Transfer to inpt facility
◍ Risk Adjustment Answer: Compensation for differences in pt
population
◍ SOC Answer: IE
If pt eligibility in question: STOP
