tci Medicare Compliance & Reimbursement - 2004 Issue 34

Home Care: Pressure Ulcer Change Could Cost HHAs

HHAs should prepare for scrutiny of this high-dollar OASIS coding revision.There will be no more free lunch when it comes to counting healed pressure ulcers on OASIS.That's the message the Centers for Medicare & Medicaid Services is sending with a new policy change to how home health agencies should code healed pressure ulcers on OASIS.Effective Sept. 1, HHAs should not count healed Stage 1 or Stage 2 pressure ulcers in M0440 (Does this patient have a Skin Lesion or Open Wound?) and M0445 (Does this patient have a Pressure Ulcer?), CMS instructs. So unless...

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