Sharon Hamilton MS, RN, CFDS
Clinical Consultant, Briggs Healthcare
Found in the January 2020 OASIS Q&A’s is question #9 asking about M2420. The writer asks about how to meet compliance with the new quality measure, Transfer of Health Information to Provider, when there is no response to identify a patient who was discharged to another home health agency.
The answer for question #9 states there is new guidance for M2420 that is effective immediately.
“ANSWER 9: You are correct that currently, there is no way to determine if a patient was discharged to a home health agency, however, the guidance for M2420 Discharge Disposition is being revised to collect this information. Effective immediately, agencies should begin using the following guidance for M2420:
- Code 1, Patient remained in the community (without formal assistive services), if, after discharge from your agency the patient remained in a non-inpatient setting, either with no assistive services, or with any assistive services EXCEPT:
- Skilled services from another Medicare certified home health agency, and/or
- Hospice care from a non-institutional (“home”) hospice provider.
- Code 2, Patient remained in the community (with formal assistive services), if, after discharge from your agency the patient remained a non-inpatient setting, receiving skilled services from another Medicare certified home health agency, (with or without other assistive services).
There are no changes in guidance to M2420 response options 3, 4, or UK.”
This change in guidance reinforces the need to read the quarterly OASIS Q&A’s soon after they are posted.
The January 2020 OASIS Q&A’s are available in the OASIS Quarterly Q&As section of the CMS QTSO webpage, https://qtso.cms.gov/providers/home-health-agency-hha-providers/reference-manuals