Coding and OASIS review | Gravita Oasis Review

Coding, OASIS & POC services

We follow a systematic, compliance-driven approach that includes:

Thorough Chart Review: Reviewing clinician documentation, therapy notes, and OASIS assessments.
Diagnosis Validation: Ensuring primary, secondary, and comorbidity codes reflect clinical necessity.
PDGM Alignment: Assigning accurate diagnosis groupings that match CMS guidelines.
Query Process: Communicating with agencies or clinicians when documentation needs clarification.
Quality Checks: Every chart undergoes QA to confirm accuracy and adherence to official coding guidelines.

Clinical Documentation Cross-Check: Validating OASIS responses against physician orders, nursing and therapy notes.
CMS Guideline Compliance: Ensuring every item is coded per the latest CMS and Latest OASIS guidance.
Outcome Sensitivity: Identifying responses that impact functional, clinical, and process outcomes.
Query System: Engaging agencies with clear, concise queries when documentation gaps exist.
Final Quality Assurance: Each assessment is reviewed by senior QA staff before release.

Cross-Verification: Matching OASIS, physician orders, and clinical notes to ensure consistency.
Hospitalization Risk Mitigation: Identifying high-risk patients and recommending appropriate interventions.
SMART Goals: Making sure goals are Specific, Measurable, Achievable, Relevant, and Time-bound.
Interventions & Skilled Services: Verifying interventions are patient-specific and clinically justified.
QA Finalization: Senior reviewers validate each POC before submission for physician signature.