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I agree with you on both fronts. The nurse goes in to do the SOC with the MD order and if the MD is ordering an IV to be done, or wound care, you don’t normally wait for the OASIS to be completed. You do it that visit, and the COPs allow for 5 days to complete the assessment. Therefore to wait for just the OASIS doesn’t seem correct.
I also agree about the federal regulations because it us under CMS and CMS is federal, regardless of jurisdiction. I posted the same question about the OASIS and some about the LUPAs and the payment change since LUPA thresholds are different now under PDGM and SCIC payments were done away with. Do you remember her going over the 73/74 payment adjustments? I don’t. Honestly I don’t remember much claim information being presented at all.