Medicare requires all OASIS to be transmitted to CMS within 30 days of completing the assessment.
Medicare will deny claims (Finals) if there is not the matching OASIS (SOC or Recert) in CMS (the quality system) if the Final Claim is being submitted 30 days after the Completed date- the M0090 date.
CMS applies a unique Assessment ID to each OASIS Assessment submitted. The Unique Assessment ID is included in the Validation report received by agencies following the OASIS XML file submission.
Software Enhancements for tracking OASIS Submission using the Assessment ID are now available with main Office software version 6060 dated 12/13/16.
New data entry fields for entering the CMS Assessment ID when an OASIS Assessment has been submitted to CMS and ACCEPTED can be found in several areas of the software to maximize agency efficiency in entry and tracking.
Upon review of the Validation Report the agency can enter the Assessment ID for accepted OASIS in a new field “OASIS Received Assessment ID” in the Changes screen accessible through the View button for each OASIS Assessment in Patient Activities. The field will also be available in the Changes screen accessible through the Control Board /PT Activities/Assessments. When the accepted OASIS Assessment is highlighted in the Assessments grid, the changes button can be found and selected in the upper right corner of the screen. The OASIS Assessment ID can also be entered into the Changes screen via View button that is available in the Create XML screen.
The entered Assessment ID will be visible in the assessment grid in PPS Billing to allow billing personnel to easily identify and verify acceptance of the OASIS assessment in the quality system (CMS) prior to creating the Final claim for the assessment.
The OASIS Assessment Listing found in Listing Reports will include the entered Assessment ID for historical tracking purposes.