Quick And Easy OASIS Documentation Tips

To carry out an accurate assessment, you need to understand the OASIS questions and use appropriate strategies. Read the OASIS Implementation Manual, Attachment B, which gives you item-by-item tips for each OASIS question.

MO230 Primary Diagnosis. Choose the diagnosis that reflects the chief reason for home care. This diagnosis must match the primary diagnosis listed on the POT.

MO240 Other Diagnoses. If the primary reason for home care is a manifestation code, use this code in the first slot of MO240 and list the etiology code in MO230.

MO250 Therapies the patient receives at home. Only include those therapies the patient is receiving or will receive as a result of this assessment at home.

MO390 Vision. Assess the patient's vision with corrective lenses if the patient normally wears them.

MO420 Frequency of pain interfering with patient's activity or movement. Identify frequency of pain interfering with activity with treatment if prescribed.

MO440 Does this patient have a skin lesion or open wound? A skin lesion is an alteration in skin integrity. It does not include: anything ending with 'ostomy' or peripheral IV sites. It does include: central lines, PICC lines, implanted infusion devices, venous access devices, bruises, age spots, sores, skin tears, burns, ulcers, rashes, surgical incisions with sutures or staples, pin sites, crusts, persistent redness without a break in the skin, etc.

MO450 Current # of pressure ulcers at each stage. The bed of the ulcer must be visible to stage the ulcer. If the ulcer is covered with eschar, necrotic tissue or a non-removable dressing, it cannot be staged. Do not reverse stage 3 or 4 granulating pressure ulcers.

MO482 Does this patient have a surgical wound? A surgical wound includes: orthopedic pin sites, central line sites, stapled or sutured incisions, incisions with approximated edges and a scab, debrided graft sites, wounds with drains, Mediport sites and other implanted infusion or venous access devices.

MO520 Urinary incontinence or presence of urinary catheter. If patient has anuria or an ostomy for urinary drainage, mark response #0. If patient is incontinent AT ALL, mark response #1. If patient requires the use of a urinary catheter, mark response #2. If patient is both incontinent and requires the use of a urinary catheter, mark response #2 and follow the skip pattern.

MO530 When does urinary incontinence occur? Any incontinence that occurs during the day should be marked with response #2.

MO640 - MO820 ADLs and IADLs. To assess the patient's ADL and IADL status, use direct observation supplemented by interview.

MO650 - MO660 Ability to dress upper and lower body. If patient uses dressing aids, assess ability using aids. If patient requires standby assistance for safety or verbal cueing, mark response #2. Consider physical limitations at the time of assessment and pain as well as clothing routinely worn.

MO670 Bathing. Assess the patient's ability to bathe the entire body and possible assistance to safely bathe. Use response #2 or #3 for patients requiring standby assistance or verbal cueing. If patient cannot use the bath or shower because they are restricted by an MD order or unable to access second floor tub or shower due to restriction from stair climbing, use response #4 or #5.

MO680 Toileting. Assess the patient's ability to safely get to and from the toilet or beside commode. This does not include ability to perform personal hygiene.

MO690 Transferring. Assess the patient's ability to transfer safely for the three transfers indicated. Only use the response #2 if the patient can both bear weight and pivot.

MO700 Ambulation/Locomotion. Assess ability to walk safely once in a standing position, or use a wheelchair, once in a seated position, on a variety of surfaces. If the patient requires standby assistance or verbal cuing, use response #1 or #2. A patient who is able to take one or two steps to transfer but is otherwise unable to ambulate, should be considered chair-fast, so choose #3 or #4.

MO826 For all Medicare fee-for-service patients. The total of all physical, occupational, and speech-language pathology combined visits must be reasonably estimated.

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Get off the Couch: There is a Credit Repair Business Opportunity Available for You

Have you purchased the credit repair software for your business yet?The credit repair business opportunity that you have been looking in to is not going to launch on its own.You have to jump on the opportunities in the market right away.There are so many people in credit despair that the customer options are limitless.It's unfortunate that so many people have credit problems, but this is your opportunity to help someone as well as make some money while doing it.

The credit repair business software is going to make everything run smoothly for you.Best of all, you will not even have to quit your day job.The credit dispute software you choose should allow you to get more tasks completely in less time.That way, you can work on your business part-time and make money while using your dispute letter software to help your customers.Credit dispute letter software is the key to making this work-at-home credit repair business opportunity worth the few hours a day that you put into it.It truly makes it possible to make full-time income on a part-time schedule.

You don't even have to spend hours looking up information on how to start a credit repair business.All the information that you need to know on how to start a credit business will come from you just familiarizing yourself with the options available in your credit repair business software.Sure, it's advisable to read a book or two to uncover little known credit repair secrets.But, you can find these same credit repair secrets by skimming some articles in the credit industry trade magazines.

Professional credit repair letters are going to be your bread and butter.With the best credit repair software on the market (and that doesn't mean most expensive), you will be able to draft a professional credit repair letter with little time and little effort.You can also check credit repair forums to see other notations you can use or tips from other credit repair professionals on how to tweak these templates to get the best results.

It still starts with your credit repair business kit.Your kit will include credit repair sample letters and management tools to manage your client list and to track the disputes that you have sent out.Who knows?In no time, you could be on your way to quitting your job and launching your very own credit repair franchise.

Before you get started, review some free credit repair forms online to see what you're getting yourself into.Also, review the credit repair organization act to ensure that you are familiar with and in compliance with federal guidelines.If there is good software that you are interested in and it allows for a free trial, use credit repair forms from the software and launch a credit repair dispute for your own credit report.

This is a good way to test drive the professional credit repair software that you are considering.It's also a great way for you to familiarize yourself with the process before you promise someone else that you can help them.You've covered all the basics, now it's time for you to get the software to run a credit repair business and stop thinking about it.It's time to do it.

About the Author

Mike Citron is a nationally recognized credit and finance expert.

Mike consults with companies of all sizes on proper
http://www.disputesuite.com">Credit Repair Businessstructure and ethics.As director of sales and marketing for the industries premier Professional Credit Repair Software

Mike gets a first hand look at 1000's of credit repair businesses around the globe.

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Want Private Money For Real Estate? Know The 5 Key Secrets

Private money is the Holy Grail for Real Estate Investors in these challenging economic times.With banks stiffening credit guidelines and limiting their loans to only 70% to 80% of the property's purchase price, private money lenders are needed to fill the gap.

And even for the subject to investors, they may get a "free house", but the funding for rehab, minor fix up, holding costs (while trying to get a buyer or tenant), etc.demands private money, unless they want to rapidly deplete their own bank accounts-and that's not a sustainable business model

As for rehabbers, it used to be that they could tap in hard money private loans for 60-70% LTV from hard money lenders.

Now, even hard money lenders are looking more closely at credit, and the real estate investor had better have private lender funds for back up, in case he goes over budget or needs money for interest payments.

There is clearly enormous wealth-building potential with real estate investors able to pick up properties for $0.20 to $0.50 on the dollar from desperate homeowner and lending institutions needing to unload hundreds or thousands of REO's.All one needs is the money!

So, how can we find these private investors?And more importantly, how does one convince these potential private investors to make a private investment of $10,000's or $100,000's in your real estate project?

Now, if you want to raise a lot of private money, you have to be speaking to High Net Worth individuals with $millions in assets and the desire to invest it in a new venture.Whether these people are friends and family or whether they are accredited investors or Angel investors that you may not know, they share some common attitudes about money and investing.

So, if one understands the private investor's attitudes, and can enter that conversation, the only thing left to do is to ask for the check and start putting that private investment to work.

There are 5 Key Secrets the real estate investor needs to learn and understand, if he or she wants to be successful in borrowing private money for real estate.My colleague Bob, uses these secrets to buy nice homes in bulk (10 at a time), and turn them over for 6 figure profits.Simply put, without utilizing these 5 key secrets, no catchy phrase or elevator speech is going to bring the desired success.

Remember, private lenders are not motivated like homeowner about to lose their house.Nothing bad happens if the private lender doesn't invest his money.

So here are the 5 key secrets:

1) WIIFM
2) The 2 ROI's
3) Risk-Reward
4) Credibility
5) Trust

Here's what they mean:

WIIFM stands for "What's In It For Me?

" A private money lender is going to expect an extraordinary return on his/her investment compared to their other options.And the story, to put it bluntly must excite the private investor's "greed glands".

The 2 ROI's: As Will Rogers once said, "I am much more concerned with the Return OF my Investment, than I am the Return ON my investment.The private lender needs to have confidence in your exit strategy that will get his money back when promised.

Risk-Reward: Private Lenders of money got to be wealthy by being very careful about the amount of risk they would accept for any investment.So, unless you structure your private offering so that the risk is acceptably low relative to the reward, your chances of getting the money will be slim.

Credibility - this is a stumbling block for many real estate investors as they struggle to answer the private money lender's question: "why should I invest in you?" And here is the great secret: It's not about you, it's about your business!Learn how to structure your business so that it brings you credibility even if you have little real estate experience.

Trust - Ultimately, if you want that private money, your private lender must feel that you can be trusted to do what you say.With friends and family, one may have a head start on this.With private money lenders who have a more distant relationship, you must invest the time into building that trust.

About the Author

We help real estate investors find Private Money

Lenders to fund million dollar private mortgage investments in their real estate deals (in business 10 years).

Go To www.InvestorWealth.com

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5 Ideas for Dealing with the Credit Crisis

If you're a small business owner, you're all too aware of the current economic crisis and how it's affecting small businesses all over the country.The most profound effect of the economic crisis is in the availability of credit.The news is grim, but it doesn't have to paralyze your business.

Here are 5 ways to deal with the credit crisis and its effect on your small business.

1.Diversify Your Borrowing.Big banks have really gotten themselves into a quandary with messy mortgages, but local banks have primarily remained outside of the mortgage disaster.Try visiting community banks to find out what they have to offer you.Many local banks are highly interested in lending to companies that keep money within the community.

Peer-to-peer borrowing is another option that you might consider, and is attractive to private lenders for the same reason that community banks are interested in lending to businesses who will keep money within the local area.

2.Offer Less Credit.You'll be in a better position to deal with the credit crisis yourself if you cut back on the capital that you need to run your business.This necessarily means that you will be able to conserve your capital if you offer less trade credit for your customers.Another option is to reduce your accounts receivable by reducing amount of time you give your customers to pay you, and by offering incentives to pay you early.

3.Cut Back.This is a common sense idea, but the less capital you need to run your business, the less credit you require.This is a really a great time for you to step back and get a big-picture view of your business.What small changes can you make that will allow you to cut back on the amount you need to borrow?Some ideas include leasing your equipment instead of borrowing money to purchase it.You might also consider utilizing sales representatives who work on commission instead of hiring salaried employees.

4.Raise Equity.Since the debt markets are more immediately effected by the credit crisis, try other sources of equity such as venture capitalists, friends, family, angels, and strategic partners.And if that doesn't work, you might try getting equity from your venture's founding team.This necessarily means that you'll be less diversified since you're putting your own capital into your own business, but you'll also avoid having to ask lenders who aren't lending to give you money.A final option is to fund your business using retained earnings rather than funding your business through borrowed money.

5.Sell, Sell, Sell.Sell any valuable assets that your business might have.Selling your equipment and leasing it back is an effective way to avoid borrowing more money.And making the switch to leasing from owning might give you enough cash to keep your business going.

The obvious solution to the credit crisis is to wait it out.Things will eventually come back around and the future won't look quite so bleak.But the bottom line is that you need to keep your business going until the future starts to look a little brighter.These 5 steps are just a few of the ways you can cope with the credit crisis without having to close up shop completely.You probably have a few of your own tricks up your sleeve.The most important thing is to be creative and to do whatever it takes to keep your business running.It's your passion and your life, so keep it alive until change comes along!

About the Author

Seomul Evans is a senior Search Engine Marketing expert specializing in Meta Search Engines and a SEO Blog Articles contributor.

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