OASIS Review
Comprehensive OASIS-E data validation ensuring clinical consistency, functional score accuracy, and optimal case-mix weighting.
Service Scope & Methodology
OASIS documentation represents the clinical backbone of home health reimbursement, star ratings, and quality measurement. Discrepancies between OASIS item scoring and clinical narrative notes lead directly to Additional Documentation Requests (ADRs), down-coded claims, and compromised outcome scores. Four Pillars employs certified COS-C and HCS-O reviewers who scrub each assessment item-by-item against physical therapy notes, nursing visit records, and medication profiles to ensure clinical accuracy and fair reimbursement.
Key Scope of Work & Clinical Deliverables
- 01
SOC & ROC Comprehensive Assessment Review
Item-by-item scrutiny of Start of Care (M0010-M2420) and Resumption of Care assessments to guarantee baseline accuracy.
- 02
Recertification & Discharge Audits
Scrubbing of 60-day recertification and discharge assessments to accurately document patient functional progression and discharge outcomes.
- 03
ADL / IADL Functional Scoring Validation
Cross-checking M1800-M1870 functional items against PT/OT evaluations to ensure scoring reflects true patient mobility and self-care levels.
- 04
Clinical Narrative Consistency Scrubbing
Detecting and resolving discrepancies between clinician checkbox entries and written visit notes before OASIS submission to iQIES.
- 05
PDGM Case-Mix Weight Optimization
Validating that functional impairment levels (Low, Medium, High) accurately reflect patient acuity to support appropriate HIPPS codes.
- 06
Home Health Star Rating Integrity
Safeguarding Quality of Patient Care Star Ratings by ensuring process and outcome measures (falls, dyspnea, medication reconciliation) are fully captured.
Supported Electronic Health Records (EHRs)
Our teams work natively inside your agency's existing EHR environment using secure, direct-access credentials with zero disruption to field clinicians.
KanTime
AxxessDevero (MyUnity)
Compassus
Epic
HCHB (Homecare Homebase)
MatrixCare (Brightree)
MEDITECH
Netsmart
WellSky (Kinnser)HealthWyse