Every finding on record at Accurate Choice Healthcare Services Inc

A recertification survey was conducted on 11/21/2024. The census was 0 licensed and certified. The agency was in compliance with no violation cited

A recertification survey was conducted on 11/21/2024. The census was 0 licensed and certified. Abbreviations: OASIS -outcome and assessment information set CMS- Center for Medicare and Medicaid Services IQIES – Internet Quality Improvement & Evaluation System QA – Quality Assurance

Encoding and transmitting OASIS CFR(s): 484.45(a) Standard: An HHA must encode and electronically transmit each completed OASIS assessment to the CMS system, regarding each beneficiary with respect to which information is required to be transmitted (as determined by the Secretary), within 30 days of completing the assessment of the beneficiary. This STANDARD is not met as evidenced by: Based on Record review and interview the agency failed to transmit completed OASIS (a tool used by CMS to collect certain patient information) assessment to CMS within 30 days of completing the OASIS assessment, in that: from 08/01/2023 to 11/19/2024 there was 1 assessment transmitted greater than 30 days from the assessment completion date out of 1 total submissions from the same time period. This Failure prevented the agency's patient data from being made available to CMS for analysis to identify agency performance levels in the provision of patient care. Pre-survey review of the report titled, “OASIS Error Detail Report” taken from the Internet Quality Improvement & Evaluation System (IQIES) revealed 1 assessment contained error number -3330 with the error message of, “Record Submitted Late: The submission date is more than 30 days after M0090 on this new record.” On 11/21/2024 at approximately 1:45 PM the surveyor conducted an interview with the Administrator and the Alternate Administrator. The surveyor discussed the OASIS report titled, “OASIS Error Detail Report.” The surveyor explained that from 08/01/2023 to 11/19/2024 the agency transmitted 1 OASIS greater than 30 days from the completion date (M0090) to CMS. The surveyor asked who was responsible for transmitting the OASIS assessment to CMS. The Administrator stated, “I am.” The surveyor asked if the agency tracked how long it took for an OASIS to be transmitted to CMS. The surveyor asked why the agency had an OASIS assessment that was transmitted past 30 days to CMS. The Administrator stated, “I thought we had 60 days to transmit to CMS.” The surveyor asked how often the agency transmitted OASIS assessments to CMS. The surveyor asked the Administrator what effect submitting late OASIS to CMS could have on the agency and the agency clients. The Administrator stated, “If we don’t submit the OASIS on time the patient might not get the services they need. We need to submit them on time.” Record review for Patient 1: review of the agency OASIS final validation reports taken from the Internet Quality Improvement & Evaluation System (IQIES) revealed submission identification number 62655245 submission date 01/10/2024 with 1 total record processed. Record 1 (Patient 1) gave the following error: “…Message -3330 Warning… Message: Record Submitted Late: The submission date is more than 30 days after M0090 on this new record.” Record 1 (Patient 1) of the OASIS Agency Final Validation report that was submitted on 01/10/2024 had a M0090 completion date of 12/01/2023. On 11/22/2024 at approximately 11:45 AM the surveyor conducted an interview with the Administrator. The surveyor reviewed the findings from the record review for Patient 1. The surveyor explained that Patient 1 had an OASIS transmittal that was past 30 days from the completion dates. The surveyor asked why Patients 1 had OASIS transmittals to CMS past 30 days from the completion date (M0090). The Administrator stated, “I thought we had 60 days to submit them to CMS.” On 11/22/2024 at approximately 12:31 PM, the surveyor reviewed the preliminary findings with the Administrator. The agency did not dispute the findings and did not provide any additional evidence to explain or correct the findings. Review of Agency policy titled, “IM.9 Timeliness” with a revision date of 06/24/2021 read in part: “A.17. Encoding and transmission of OASIS data to CMS…is required to be transmitted to CMS within 30 days of date the assessment is completed (M0090).”