OASIS and PDGM Exam Questions & Answers | Verified & Updated |
OASIS and PDGM Exam Questions & Answers | Verified & Updated | patient driven groupings model (PDGM) - Answer ️️ -- Used in Home Health starting January 1, 2020 - 30-day periods as a basis for payment - Timing of the 30-day period (two subgroups): early or late - Clinical grouping (twelve subgroups) - Functional impairment level (three subgroups): low, medium, or high - Comorbidity adjustment (three subgroups): none, low, or high based on secondary diagnoses. - In total, there are 2*2*12*3*3 = 432 possible case-mix adjusted payment groups timing of PDGM - Answer ️️ -- First 30-day period is considered early. All subsequent 30-day periods are considered as late. A sequence of 30-day periods continues until there is a gap of at least 60 days - When there is a gap of at least 60-days, the subsequent 30-day period is classified as being the first 30-day period or early. - OASIS must be completed within 5 days of the SOC date and updated no less frequently than during the last five days of every 60 days beginning with the SOC. - Information obtained from the OASIS used in the PDGM may not change over the two 30-day periods the OASIS cover
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