Every finding on record at West Mississippi Home Health Services, Inc.

*EMERGENCY PREPAREDNESS* Survey conducted on 10/08-10/2024 revealed the above facility meets all applicable Federal, State and local emergency preparedness requirements. No violations identified.

*VICKSBURG* The Medicare Recertification survey conducted 10/08-10/2024 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 interview, policy and procedure review, and review of the facility report “HHA errors 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 65 patients in the past 12 months: 09/30/2023-09/30/2024. Findings Include: An interview with the Branch Manager on 10/08/2024 confirmed the agency failed to submit Oasis on one (1) or more patients in the past 30 days. The branch manager also confirmed the agency is supposed to submit OASIS data within 30 days of completing OASIS Data Sets. Review of facilities Internet Quality Improvement and Evaluation System (IQIES) report, “The HHA error summary report by agency”, dated 09/30/2023-09/30/2024 for the past 12 months revealed error -3330 for 65 patients submitted late within 30 days of completing the assessment of the beneficiary. Review of facilities policy, ‘Standard Operating Procedures, 4.20 Billing Procedures” revised 07/13/2022, confirmed “… What is the goal of the SOP? To ensure all OASIS are transmitted accurately and timely (within 30 days of M0090) to avoid loss of revenue…” “… OASIS are required to be submitted with 30 days of M0090 to avoid potential loss of revenue. Claims analysts will work with local branch leadership as needed to accomplish this task…”. During the exit conference on 10/10/2024 at 1:45p.m. with the Branch Director, the Alternate Administrator, Vice President of Regulatory Affairs, Vice President of Operations, survey findings were discussed, and no further documentation was submitted for review.