My client started with a skilled nursing visit which established the SOC date. Several days later, PT started and they say they have their OWN SOC date for their first billable visit. I say the client has only one SOC date. Who is right?
The start of care date (M0030) is the date of the first reimbursable service and is maintained as the start of care date until the patient is discharged. It should correspond
to the start of care date used for other documentation, including billing or physician orders. There is only one Start of Care date for the episode, which is the date of the first billable visit.
My patient lives in an assisted living facility where the assisted living staff take care of all of my patient’s medications. I am confused about M2010. Who do I educate?
When completing the OASIS process measures that address patient/caregiver education, M2010, Patient/Caregiver High Risk Drug Education and M2015, Patient/Caregiver Drug Education, for patient’s residing in an assisted living facility, it may be appropriate to educate the patient and/or the staff administering the medication on the topics included in each item. As with patients who live at home, the decision to direct the teaching to the patient, caregiver, or both should be made by the assessing clinician, based on the specific circumstances. For the purposes of selecting a response, the facility staff would be considered caregivers.
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