The Centers for Medicare and Medicaid Services (CMS) requires that an OASIS is successfully submitted prior to the submission of a final Home Health claim to Medicare. Failure to adhere to this requirement could result in claim denials.
Listed below are three steps that agencies should follow to ensure OASIS are submitted successfully and/or rejections are addressed in a timely manner:
3 Steps to Ensure OASIS are Submitted Successfully
1. File Upload. Submit OASIS file using the OASIS Assessment Submission and Processing (ASAP) system. Do not exit the application until the file has successfully uploaded. (Note: The “Upload has been completed” is only an indication that the file has been received and does not mean the file validated successfully.)
2. Check submission status. File processing can take up to 24 hours to complete. To review the file status, select the Submission Status link in the ASAP application.
Waiting - the submitted file is waiting to be processed
Processing - the submitted file is processing
Error - an error occurred during processing of the submitted file
Completed – submitted file processing is complete
3. Print Validation Report. OASIS files successfully received by the National Submission Database are validated and the OASIS Agency Final Validation Report is generated. This report can be found in the CASPER Reporting application. Use the OASIS Agency Final Validation Report to verify records processed without error. (Note: OASIS reports will automatically purge after 60 days.)
Occasionally, the OASIS Agency Final Report will not generate or will generate fewer records than originally submitted in the OASIS file. If this occurs, the OASIS Submitter Final Validation report must be printed to identify issues preventing records from successfully processing.