Oasis 202 Post Training Quiz

1. Please match the time frame an OASIS must be completed with the type of OASIS.

Within 48 hours of patient referral

Within 48 hours of clients discharge from an inpatient facility

The last 5 days of a client's 485 date period

Within 48 hours of being notified a client was admitted to an inpatient facility

At the last visit a client receives

Submit

2. You are completing a clients discharge OASIS on June 25th. They had a SOC on March 1st and a re-cert OASIS on April 29th.(M1041) Influenza Vaccine Data Collection Period: Does this episode of care (SOC/ROC to Transfer/Discharge) include any dates on or between October 1 and March 31?

0 - No

1 - Yes

The client was admitted March 1st and did not have an ROC OASIS. The client did have dates that spanned the flu season during this quality episode so we need to mark yes.

Explanation

The client was admitted March 1st and did not have an ROC OASIS. The client did have dates that spanned the flu season during this quality episode so we need to mark yes.

3. A client has an insulin pump that infuses insulin via subcutaneous route. (M1030) Therapies the patient receives at home: (mark all that apply)

1 - Intravenous or infusion therapy (excludes TPN)

2 - Parenteral nutrition (TPN or lipids)

3 - Enteral nutrition (nasogastric, gastrostomy, jejunostomy, or any other artificial entry into the alimentary canal)

4 - None of the above

Subcutaneous infusion does count as infusion therapy for this OASIS item.

Explanation

Subcutaneous infusion does count as infusion therapy for this OASIS item.

4. Select all that are true for a client's diagnosis code list.

All diagnoses codes listed must either be currently treated by home health, or must affect their treatment or response to treatment

All diagnoses codes must be addressed in the interventions and goals of at least one discipline seeing the client

It is only the coders responsibility to verify and order a client's diagnoses codes. The clinicians have no responsibility with diagnosis codes.

Diagnoses codes must be updated at minimum with every SOC, ROC and re-cert OASIS that is completed.

Option 3 is not correct because it is the clinician's responsibility to ensure that all coded conditions are relevant to the plan of care

Explanation

Option 3 is not correct because it is the clinician's responsibility to ensure that all coded conditions are relevant to the plan of care

Submit

5. If a client is not being admitted within 48 of receiving their referral due to their request to push the admit date back, what should you do?

Nothing

Place a coordination note in the chart explaining why admission was delayed

Immediately request a physician ordered SOC date by placing a Request for Orders Coordination note

Cancel clients admission

If the client is requesting a later admit date, place a coordination note explaining why patient was not admitted same day and immediately send a request for orders to the physician to notify and request orders for a later admission date.

Explanation

If the client is requesting a later admit date, place a coordination note explaining why patient was not admitted same day and immediately send a request for orders to the physician to notify and request orders for a later admission date.

Submit

6. You admit a client post knee replacement. Client has history of CHF and COPD with no current exacerbations. (M1034) Overall Status: Which description best fits the patient's overall status? (check one)

0 - The patient is stable with no heightened risk(s) for serious complications and death (beyond those typical of the patient's age).

1 - The patient is temporarily facing high health risk(s) but is likely to return to being stable without heightened risk(s) for serious complications and death (beyond those typical of the patient's age).

2 - The patient is likely to remain in fragile health and have ongoing high risk(s) of serious complications and death.

3 - The patient has serious progressive conditions that could lead to death within a year

UK - The patient's situation is unknown or unclear

The patient has multiple chronic conditions that will make it unlikely they will ever return to a health status with no heightened risks beyond those typical for their age group. Due to this, option 2 is the best choice.

Explanation

The patient has multiple chronic conditions that will make it unlikely they will ever return to a health status with no heightened risks beyond those typical for their age group. Due to this, option 2 is the best choice.

7. You admit a client who lives in the independent living section of an assisted living. They do not have any call lights available or receive any services from assisted living staff other than building maintenance and laundry. They have family that take them to scheduled medical appointments, but provide no other assistance. (M1100) Patient Living Situation: Which of the following best describes the patient's residential circumstance and availability of assistance?

1 - Patient lives alone; Around the clock

2 - Patient lives alone; Regular daytime

3 - Patient lives alone; Regular nighttime

4 - Patient lives alone; Occasional / short-term assistance

5 - Patient lives alone; No assistance available

6 - Patient lives with other person(s) in the home; Around the clock

7 - Patient lives with other person(s) in the home; Regular daytime

8 - Patient lives with other person(s) in the home; Regular nighttime

9 - Patient lives with other person(s) in the home; Occasional / short-term assistance

10 - Patient lives with other person(s) in the home; No assistance available

11 - Patient lives in congregate situation (for example, assisted living, residential care home); Around the clock

12 - Patient lives in congregate situation (for example, assisted living, residential care home); Regular daytime

13 - Patient lives in congregate situation (for example, assisted living, residential care home); Regular nighttime

14 - Patient lives in congregate situation (for example, assisted living, residential care home); Occasional / short-term assistance

15 - Patient lives in congregate situation (for example, assisted living, residential care home); No assistance available

The patient lives in a congregate living situation, but they only have occasional assistance available to them. Due to this, option 14 is the correct choice

Explanation

The patient lives in a congregate living situation, but they only have occasional assistance available to them. Due to this, option 14 is the correct choice

8. What should you do if a client has NOT received an influenza vaccine or pneumonia vaccine and they meet the criteria for the vaccine?

Offer to either administer vaccine or set them up an appointment to receive vaccine

Document their response to offer of vaccine

If we are in flu season, all patients that do not have contraindications should be offered the vaccine. If they refuse, document the reason for refusal. All patients that meet the criteria for pneumococcal vaccine should be offered the vaccine year round. If they refuse, document the reason for refusal.

Explanation

If we are in flu season, all patients that do not have contraindications should be offered the vaccine. If they refuse, document the reason for refusal. All patients that meet the criteria for pneumococcal vaccine should be offered the vaccine year round. If they refuse, document the reason for refusal.

Submit