Every finding on record at Amedisys Mississippi, LLC

*EMERGENCY PREPAREDNESS* Survey conducted on 08/12-15/2024 revealed the above facility meets all applicable Federal, State and local emergency preparedness requirements. No violations identified.

*COLLINS* The Medicare Recertification survey conducted 08/12-15/2024 revealed the facility has met all Medicare Conditions of Participation for Home Health. However, Standard level deficiencies were identified as follows..... ______________

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 staff interviews, policy and procedure review, and review of the facility report “HHA Error Summary by Agency”, the facility failed to encode and electronically transmit each completed Outcome and Assessment Information Set (OASIS) assessment within 30 days of completing the assessment of the beneficiary for 1209 patients in the past 12 months: 08/07/2023-08/07/2024. Findings Include: An interview on 08/13/2024 at 2:45 p.m. with Registered Nurse and Area Vice President of Clinical Services confirmed the facility policy is to submit OASIS data within 30 days of completing the assessment of the beneficiary. An interview on 08/12/2024 at 3:07 p.m. with Registered Nurse and Director of Operations also confirmed the facility's policy is to submit OASIS data within 30 days of completing the assessment of the beneficiary. Review of the facility’s Internet Quality Improvement and Evaluation System (IQIES) report, “HHA Error Summary Report by Agency”, dated 08/07/2023-08/07/2024 revealed, Error# -3330 for 1209 patient assessments submitted late within 30 days of completing the assessment of the beneficiary between 08/07/2023 and 08/07/2024. Review of facility’s policy, “Oasis Outcome and Information Set”, last review date 06/26/2023, revealed, “…HHA must encode and electronically transmit each completed OASIS assessment…within 30 days of completing the assessment of the beneficiary…OASIS data will be accurate, completed, encoded and routinely transmitted to CMS in accordance with required submission timelines…”. Review of facility’s policy, “Office Operations Manual Section 5-OASIS”, last modified 05/13/2024, revealed, “…CMS OASIS TRANSMISSION PROCESS…OASIS records are transmitted to CMS by Corporate twice a week on Mondays and Thursdays…administrative task on Tuesdays and Fridays to review the reports for errors, warnings, and rejections. Corrections to the OASIS will be made and resubmitted timely. The Office Manager is responsible for initiating corrections to the OASIS...and status for resubmission to CMS…”. During the Exit Conference on 08/15/2024 at 1:45p.m. with Registered Nurse and Area Vice President for Clinical Services; Registered Nurse and Director of Operations; Vice President of Clinical; Assistant Vice President Clinical Risk; and Vice President of Operations, survey findings were discussed, and no further documentation was submitted for review.