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Discussion

V codes/field staff

I was curious how many home health agencies have the field staff code their OASIS or if you have someone internal do it?

Thanks,

renerian

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they don't want us to do it:the QA nurse does this.I interviewed and did a brief orientation with another hh company (that I ended up leaving right away)that had a seperate form the field nurse filled out and gave to the office for this purpose.It gave the field nurse input and the QA nurse the final say.I thought this was a good idea.I wish the place I am at now would have some type of organized chaos for this problem.:rolleyes:

At my agency each team has a nurse that does the coding. She also figures out the number of visits that are allowed. I find this really helpful when developing a care plan. I'm not limited to that exact number of visits, if the patient clearly needs the care we deliver, but I do try not to go over the allowed number of visits.

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I appreciate your input.

renerian

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Our field nurses identify primary and secondary diagnoses, coding is done by our QA RN who computer enteries info---over 800 admissions month! Case conference held if a differing diagnosis is recomended---or something missed.

And of course when she's on vacation---my Intake RN's and I code charts and review OASIS :)

I am a case manager/admitting nurse & I do my own coding, including the new V-codes. But if I have questions I call someone a little higher up than me.

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