Home Health Blogger

Melissa Cott

Recent Posts

4 Exercises for the Chairbound to Improve Upper Body Strength

As part of your rehabilitation plan for patients with deficits in M1850 Transferring and M1840 Toilet Transferring, M1830 Bathing and other activities of daily living (ADLs) that require upper body strength, the following four (4) exercises are recommended for patients who are...

Posted by Melissa Cott on Jan 26, 2021

Guidance for OASIS M1041/6 Flu Vaccine

Medicare added the status of a patient's vaccination for influenza (as M1040) in 2009. The answer to "Influenza Vaccine Data Collection Period" (now M1041) is collected at transfer/discharge and discharge but many EMRs - home health software - capture the data on admission,...

Posted by Melissa Cott on Jan 21, 2021

‘Etiology’ and ‘Manifestation’ Home Health Coding on OASIS

In certain cases, ICD-10-CM guidelines require more than one diagnosis code to report a condition. The use of two diagnosis codes in is called “mandatory multiple coding,” “dual classification,” “dual coding,” or “mandatory dual coding.” One specific example of such mandatory dual...

Posted by Melissa Cott on Jan 5, 2021

Home Health CoPs: Emergency Preparedness Checklist

In January 2018 Medicare made multiple changes to the language of the condition regarding Emergency Preparedness §484.102. Medicare also created an exception to emergency preparedness testing and drills: if the HHA experiences an emergency - that requires activation of the emergency...

Posted by Melissa Cott on Dec 16, 2020

Home Health EMR: Everyone Needs to Sign a Non-Disclosure Agreement

If you have nursing, therapy and administrative staff accessing an electronic EMR system you need have to make sure each employee signs an EMR Confidentiality Form - also known as a Non-Disclosure Form.  A confidentiality or non-disclosure agreement is absolutely necessary for an...

Posted by Melissa Cott on Dec 8, 2020

OASIS M1910 - Medicare Guidelines for Assessing Fall Risk

Adapted from Medicare's OASIS Guidance Manual: Include the following home health care OASIS Best Practices for completing M1910 Falls Risk Assessment:(M1910) Has this patient had a multi-factor Falls Risk Assessment using a standardized, validated assessment tool?

Posted by Melissa Cott on Dec 2, 2020

Guidance for Completing M1610 Urinary Incontinence/Catheter Presence

Include the following policies and procedures for documenting OASIS M1610 Urinary Incontinence/Catheter Presence (adapted from OASIS/ICD10 Guidance Manual):

Posted by Melissa Cott on Dec 1, 2020

Infection Control Teaching for Home Health Patients

Given the current focus on COVID-19, other infectious processes commonly experienced by home health patients - pneumonia, UTI’s, hepatitis, and wound infections - still pose significant challenges to patients and home health clinicians.

Posted by Melissa Cott on Nov 17, 2020