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SELECT Assessment_Completed_M0090 FROM #Request.prefix_db_agency#.Assessment_New where Assessment_ID = '#Assessment_ID#' SELECT * FROM #Request.prefix_db_agency#.Assessment_New JOIN #Request.prefix_db_agency#.patient on patient.Patient_ID = Assessment_New.Patient_ID WHERE Assessment_ID='#Assessment_ID#' SELECT * from #Request.prefix_db_agency#.Coding_Scrub c WHERE c.Assessment_ID = '#Assessment_ID#' AND c.Patient_ID = '#ID#' and c.Message_ID = 120 SELECT * from #Request.prefix_db_agency#.Coding_Scrub c WHERE c.Assessment_ID = '#Assessment_ID#' AND c.Patient_ID = '#ID#' and c.Message_ID = 121 SELECT * from #Request.prefix_db_agency#.Coding_Scrub c WHERE c.Assessment_ID = '#Assessment_ID#' AND c.Patient_ID = '#ID#' and c.Message_ID = 145 SELECT Coding_Results.* from #Request.prefix_db_agency#.Coding_Results WHERE Coding_Results.Assessment_ID = '#Assessment_ID#' AND Coding_Results.Patient_ID = '#ID#' and Message_ID in (13, 15, 20) order by Message_ID, M0_Item_Medication, Order_ID ASC SELECT Coding_Results.* from #Request.prefix_db_agency#.Coding_Results WHERE Coding_Results.Assessment_ID = '#Assessment_ID#' AND Coding_Results.Patient_ID = '#ID#' and Message_ID in (1,2,3,4,5,6,7,8,9,10,11,12,16) order by Message_ID, Order_ID ASC SELECT Coding_Scrub.* from #Request.prefix_db_agency#.Coding_Scrub WHERE Coding_Scrub.Assessment_ID = '#Assessment_ID#' AND Coding_Scrub.Patient_ID = '#ID#' and Message_ID NOT IN ('120', '130', '135', '140', '145') order by Scrub_ID ASC SELECT Message_ID, count(*) AS count from #Request.prefix_db_agency#.Coding_Results WHERE Coding_Results.Assessment_ID = '#Assessment_ID#' AND Coding_Results.Patient_ID = '#ID#' and Message_ID in (20) and Order_ID !='' SELECT Message_ID, count(*) AS count from #Request.prefix_db_agency#.Coding_Results WHERE Coding_Results.Assessment_ID = '#Assessment_ID#' AND Coding_Results.Patient_ID = '#ID#' and Message_ID in (15) and Order_ID !='' SELECT Message_ID, count(*) AS count from #Request.prefix_db_agency#.Coding_Results WHERE Coding_Results.Assessment_ID = '#Assessment_ID#' AND Coding_Results.Patient_ID = '#ID#' and Message_ID in (14) and M0_Item_Medication like '%(M1%' and Order_ID !='' SELECT * from #Request.prefix_db_agency#.Coding_Results WHERE Coding_Results.Assessment_ID = '#Assessment_ID#' AND Coding_Results.Patient_ID = '#ID#' and Message_ID < 13 and (M0_Item_Medication = 'medication' or M0_Item_Medication = 'OASIS' or M0_Item_Medication = 'scrub') and (OASIS like '%unstable%' or '%OASIS YES%') order by Message_ID ASC SELECT Message_ID, OASIS, count(*) AS count from #Request.prefix_db_agency#.Coding_Results WHERE Coding_Results.Assessment_ID = '#Assessment_ID#' AND Coding_Results.Patient_ID = '#ID#' and Message_ID in (35,36,37,38,39) SELECT Coding_Results.* from #Request.prefix_db_agency#.Coding_Results WHERE Coding_Results.Assessment_ID = '#Assessment_ID#' AND Coding_Results.Patient_ID = '#ID#' and (Message_ID = 0) SELECT Coding_Results.* from #Request.prefix_db_agency#.Coding_Results WHERE Coding_Results.Assessment_ID = '#Assessment_ID#' AND Coding_Results.Patient_ID = '#ID#' and (Message_ID = 21) SELECT Coding_Results.* from #Request.prefix_db_agency#.Coding_Results WHERE Coding_Results.Assessment_ID = '#Assessment_ID#' AND Coding_Results.Patient_ID = '#ID#' and Deficits like ('%move to%') order by Deficits ASC SELECT Coding_Results.* from #Request.prefix_db_agency#.Coding_Results WHERE Coding_Results.Assessment_ID = '#Assessment_ID#' AND Coding_Results.Patient_ID = '#ID#' and M0_Item_Medication like '%(M1%' order by DX_Order ASC SELECT Coding_Results.* from #Request.prefix_db_agency#.Coding_Results WHERE Coding_Results.Assessment_ID = '#Assessment_ID#' AND Coding_Results.Patient_ID = '#ID#' and Created_By like '%not%' type="application/pdf">

#Assessment_Details.First_Name_M0040# #Assessment_Details.Last_Name_M0040#

Coding Wizard

Assessment	#Assessment_Details.Assessment_Reason_M0100#

SOC Date	#DateFormat(Assessment_Details.Start_of_Care_M0030, "mm/dd/yyyy")#

Certification	#DateFormat(Assessment_Details.Certification_Start, "mm/dd/yyyy")# to #DateFormat(Assessment_Details.Certification_End, "mm/dd/yyyy")#


USER-ENTERED ICD/WIZARD H&P REVIEW

(M1021) (M1023) #Diagnosis#	problem Verified!**

**See INCONSISTENCIES below.
No coding results are available.

OASIS-D THERAPY ANALYSIS

Current Therapy Ordered: #Cur_Therapy# visits
Recommended Therapy: #Rec_Therapy# visits. #Rec_Reason# Maintenance is recommended because current function is the SAME as prior function. See CMS Guidelines at 42 CFR 409.44 for maintenance therapy. *See full analysis starting on Page 4-5.

RECOMMENDED CODING BASED ON TREATMENT ORDERS

(M1021) (M1023) #Diagnosis# (#Casemix#)

----------------------------------------------------Rationale----------------------------------------------------

#ICD# - #Memo#

No coding results are available.

WIZARD FINDINGS

Errors: #mistakes# Inconsistencies: #inconsistent# User Coding Score: #coding_score#% (see below)

User Casemix Count: #wizardCM# Wizard Casemix Count: #userCM#
Reimbursement Increase: $33
Reimbursement Increase: $190

WIZARD RECOMMENDATIONS

Reimbursement: #LSCurrencyFormat(Field_8, "local")# Net: #LSCurrencyFormat(Field_10, "local")##LSCurrencyFormat(Field_10, "local")# HIPPS: #Field_2#
Therapy: #Field_5# visits: #Message# Nursing: #Field_4# visits: #Desired# Aide: #Field_6# visits: #Short#

WIZARD UTILIZATION RECOMMENDATIONS

CERTIFICATION PERIOD: #Field_11# Weeks

THERAPY: #Field_5# visits, #Message#. 0 Visits.  #Answer_1#

If this is inconsistent with the clinician recommendation, update M18XX to indicate lower current functioning and update GG0100 to indicate higher prior functioning.

NURSING: #Field_4# visits, #Desired#. 0 Visits.  #Field_12#

HOME HEALTH AIDE: #Field_6# visits, #Short#. 0 Visits.  #GG_1#

RISK FACTORS: #GG_2##M0_Item#INCREASED UTILIZATION IS INDICATED.Increased utilization is NOT indicated.

risk for asphyxiation without constant monitoring

wounds at high risk for infection

infections requiring monitoring

conditions causing severe dyspnea

conditions affecting mobility and safety

high risk safety issues because of unknown/unlikely supervision/advocacy

high risk chronic conditions requiring intervention, teaching and close monitoring

chronic conditions requiring intervention, teaching and close monitoring

stable conditions that may be affected by changes in careplan

additional chronic conditions requiring teaching

CONDITION IS STABLE: DO NOT CODE

INCONSISTENCIES

ERRORS - FIX BEFORE TRANSMISSION

needs a home

#M0_Item_Medication# (WZRD) #Diagnosis#
#OASIS#
#Medications#

FULL PROBLEM LIST ACCORDING TO OASIS AND MEDICATION PROFILE

UNSTABLE risk for asphyxiation without constant monitoring

UNSTABLE wounds at high risk for infection

UNSTABLE infections requiring monitoring

UNSTABLE conditions causing severe dyspnea

UNSTABLE conditions affecting mobility and safety

UNSTABLE high risk safety issues because of unknown/unlikely supervision/advocacy

UNSTABLE high risk chronic conditions requiring intervention, teaching and close monitoring

UNSTABLE chronic conditions requiring intervention, teaching and close monitoring

additional chronic conditions requiring teaching

STABLE conditions that may be affected by changes in careplan

conditions that are stable as evidenced by OASIS

needs a home

#M0_Item_Medication# (WZRD) #Diagnosis#
#OASIS#
#Medications#

No coding results are available.

OASIS-D THERAPY ANALYSIS AND RECOMMENDED ANSWERS TO GG0130 and GG0170

#M0_Item#	#Answer_1#

#Answer_2#	#UCASE(Message)# #Message#

	#GG_1#

	#GG_2#

Assessment Inconsistencies

Home Care Business Services

page #cfdocument.currentpagenumber#