Every finding on record at Mynurse Home Care Inc

A recertification entrance conference was conducted on 1-28-25. Census: License and certified-39 Abbreviations: OASIS- Outcome and Assessment Information Set CMS- Center for Medicare and Medicaid Services HHA- home health agency

A recertification entrance conference was conducted on 1-28-25. Census: License and certified-39 Abbreviations: OASIS- Outcome and Assessment Information Set CMS- Center for Medicare and Medicaid Services HHA- home health agency

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 standardized assessment tool used to evaluate the health status and care needs of Medicare and Medicaid home health patients] assessments within 30 days of completion date in 6 of 10 (May 2023, June 2023, November 2023, December 2023, January 2024, and February 2024) months of transmissions reviewed. This failure prevented patient's data from being made available to CMS for analysis to identify agency performance levels in the provision of patient care. Record review of pre -survey report on 1-25-25 and 1-29-25 titled “HHA ERROR Summary by Agency” for reporting period 5-15-23 to 2-20-24 revealed that the agency had 10 assessments with error warning of “-3330: Record Submitted late: The submission date is more than 30 days after M0090 [assessment] on this record”. During entrance conference on 1-28-25 at 10:38a.m. the administrator stated that the supervising nurse was the staff responsible for submitting OASIS assessments to CMS. The administrator further stated that after the transmissions the supervising nurse reviewed error reports and if there were any issues with the transmissions, the supervising nurse would then bring the issue to the administrator. The administrator then stated the agency has never had an issue with the -3330 error. During an interview on 1-29-25 at 2:08 p.m. the supervising nurse stated that five of the OASIS errors were her fault because instead of transmitting them on the 30th day she did not transmit until the 31st day and the rest of the errors were due to a former nurse submitting the assessments late. Record review of agency policy titled " OASIS Collecting, Encoding and Transmitting" dated 1-13-18 " read in part " The agency must encode and electronically transmit each completed OASIS assessment to the CMS system for each beneficiary with respect to which information is required to be transmitted within 30 days of completing the assessment of the beneficiary ..."