Every finding on record at Monument Health Home Plus, LLC

A recertification survey for compliance with 42 CFR Part 484, Subpart G, Subsection 484.102 Emergency Preparedness Requirements for Home Health Agencies, was conducted from 8/19/24 through 8/21/24. Monument Health Home Plus Home Health was found in compliance.

A recertification health survey for compliance with 42 CFR Part 484, Subparts B-C, requirements for Home Health Agencies, was conducted from 8/19/24 through 8/21/24. Monument Health Home Plus Home Health was found not in compliance with the following requirement: G372.

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 provider failed to ensure Outcome and Assessment Information Set (OASIS) Start of Care (SOC) data was submitted within 30 days after M0090 [the last date that information used to complete the comprehensive assessment and determine OASIS coding was gathered by the assessing clinician and documentation of the specific response was completed] for 20 new patient records. Findings include: 1. Review of the HHA [Home Health Agency] Error Summary Report for Monument Health Home Plus Home Health during survey preparation on 8/19/24 revealed: *The reporting period was for the current fiscal year 10/1/23 to 8/15/24. *There were 20 errors coded as -3330 which indicated “Record Submitted Late: The submission date is more than 30 days after M0090 on this new record.” 2. Interview on 8/20/24 at 2 p.m. with Manager Nurse C regarding late OASIS SOC data submission revealed she: *Was aware of the Centers for Medicare & Medicaid (CMS) requirement to submit the OASIS SOC data within 30 days after the OASIS SOC assessment was completed. *Was aware their agency had late OASIS SOC data submissions. *Reported the OASIS SOC submissions were completed by the billing department. *Attributed the late OASIS SOC submissions to difficulty getting the required physician documentation timely. 3. Interview on 8/21/24 at 9:50 a.m. with Director B regarding late OASIS SOC data submission revealed: *She was aware of the CMS requirement to submit OASIS SOC data within 30 days after the OASIS SOC was completed. *She was not aware their agency had late OASIS SOC data submissions. *The agency had no policy for OASIS submission. *The agency had a process for OASIS submission that was not written but was in their computer system. *She attributed the late OASIS SOC submissions to new case managers and issues with their current process.