NO CODING 485 YES 1. receive message to perform QA 2. upload completed OASIS xml dataset to MHCB 3. SEND message1 sent to agency requesting utilization approval > ATTACH Recommended Utilization, Goals and Interventions, User-entered Diagnoses 4. approval/changes received a. update user-EMR 485 with G&I b. update utilization in MHCB 5. SEND message2 sent to agency > ATTACH Patient Recall Sheet, Visit Plan, Teaching Plan