Every finding on record at Apex Home Health, LLC

The entity is in compliance with the federal emergency preparedness requirements.

Recertification Survey Abbreviations: DSW- Direct Service Worker HR- Human Resources OASIS- Outcome and Assessment Information Set

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 interviews, the agency failed to encode and electronically transmit each completed OASIS (Outcome and Assessment Information Set) as evidenced by failing to ensure the agency successfully completed and transmitted OASIS data within 30 days of completion of the assessment of the beneficiary. Findings: Review of the agency’s undated policy, reviewed on 07/25/2024, titled “Documentation for Claims Submission/Data Transmission”, revealed, in part: Special Instructions: 8. Medicare Claims Submission: d. The organization will encode and transmit completed Oasis data for each applicable patient within 30 days of the date assessment completed. Review of the agency's OASIS Error Detail Report, dated 04/01/2024 through 06/30/2024, revealed three records with Error code-3330 were submitted more than 30 days after the date of completion on the record, which was late. On 07/25/2024 at 11:25 a.m., an interview was conducted with S2HR, and the aforementioned Oasis Error Detail Report was reviewed. S2HR stated she was responsible for submitting all OASIS assessments within 30 days of the completion date. S2HR confirmed the three oasis assessments, dated from 04/01/2024-06/30/2024 with Error code-3330, had submission dates greater than 30 days from the completion date and were late. On 07/25/2024 at 12:20 p.m., an interview was conducted with S1DON, and the aforementioned Oasis Error Detail Report was reviewed. S1DON confirmed the three oasis assessments, dated from 04/01/2024-06/30/2024 with Error code-3330, had submission dates greater than 30 days from the completion date and were late.