Free OASIS Self-Awareness Questions and Answers

Question 1

In a "PT only" episode, when there are o orders for skilled nursing at the SOC, the visit made by the RN to perform an OASIS assessment is:

Accepted Answer

Not billable

Answer

In a 'PT only' episode with no skilled nursing orders at the start of care, an RN visit performed solely to complete the OASIS assessment is not billable as a skilled nursing visit. Medicare does not reimburse the assessment visit as a service when no skilled nursing care has been ordered for that episode. The visit is an administrative requirement, not a reimbursable skilled service.

Question 2

Your home health patient has two insurance carriers. Her primary insurance carrier is Blue Cross Blue Shield, and her secondary payer is Medicare. How should you answer M0063 (Medicare number)?

Accepted Answer

Enter the Medicare number (HICN or MBI)

Answer

OASIS item M0063 asks for the patient's Medicare number regardless of whether Medicare is the primary or secondary payer. If the patient is a Medicare beneficiary, their HICN or MBI must be recorded because Medicare's data collection requirements apply to all beneficiaries receiving home health services. Using the Blue Cross number or marking 'NA' would be incorrect for an enrolled Medicare beneficiary.

Question 3

Your home health patient has Medic Aid in addition to Medicare to help pay for home care services. How should you respond to M0065 (Medicaid number)?

Accepted Answer

Enter the Medicaid number

Answer

If a patient has Medicaid coverage, the Medicaid number must be entered in M0065, even when Medicare is also a payer. OASIS data collection requires accurate payer information for all applicable coverage, so leaving it blank or marking 'NA' would be incorrect for a patient with active Medicaid. Entering the Medicare number in a field designated for Medicaid would also be an error.

Question 4

At which OASIS time point are you required to complete M0066 (Birth date), M0069 (Gender) and M0140 (Race/ethnicity)?

Accepted Answer

Start of care

Answer

Demographic items M0066 (birth date), M0069 (gender), and M0140 (race/ethnicity) are collected only at the start of care, when the initial comprehensive assessment establishes the patient's baseline record. These data points do not need to be re-collected at transfer or discharge time points because they remain constant throughout the episode.

Question 5

Your patient was under care with a Medicare HMO for three episodes until Sept. 30th. The patient transferred to traditional  Medicare, effective October 1st, and was admitted to your agency on October 2nd. How should the clinician answer M0110 (Episode timing)?

Accepted Answer

Early

Answer

When a patient transfers from a Medicare HMO to traditional Medicare, the prior HMO episodes do not count toward traditional Medicare episode timing. October 2nd is the patient's first admission under traditional Medicare, making this an "Early" episode (episodes 1 or 2). The HMO and traditional Medicare are separate benefit structures, so the episode clock resets entirely upon transfer.

OASIS - Occupational Aptitude Survey and Interest Schedule Practice Test

OASIS - Occupational Aptitude Survey and Interest Schedule Practice Test

Free OASIS Self-Awareness Questions and Answers