BCHHC Cheatsheet

OASIS Timing Quick Reference

Assessment	Trigger	Window

|-----------|---------|--------|

SOC	First skilled visit	Within 5 days
ROC	Returns from hospital	Within 24 hours
REC	60-day recertification	Near end of episode
SCIC	Significant acute change	Within episode
DC	Discharge	At last visit

PDGM 5 Factors

#	Factor	Options

|---|--------|---------|

1	Timing	Early / Late
2	Admission source	Community / Institutional
3	Clinical group	12 groups (see below)
4	Functional level	Low / Medium / High
5	Comorbidity	None / Low / High

12 PDGM Clinical Groups

1.Musculoskeletal Rehab

2.Neuro/Stroke Rehab

3.Wound Care

4.Complex Medical/Surgical

5.Respiratory

6.Endocrine

7.Infectious Disease/Neoplasms/Blood

8.Cardiac/Circulatory

9.MMTA (Medication Management)

10.Behavioural Health

11.Immobility

12.GI/GU

HTN Combination Codes

Combination	Code

|------------|------|

HTN + HF	I11.0
HTN + CKD 1–4	I12.9
HTN + CKD 5/ESRD	I12.0
HTN + HF + CKD 1–4	I13.0
HTN + HF + ESRD	I13.11

Never code I10 when a combination code applies.

Wound 7th Character

7th	Use When

|----|---------|

A	Active treatment: wound VAC, antibiotics, surgical debridement
D	Routine subsequent: dressing changes, normal healing
S	Sequela: late effect after acute phase resolved

CVA Sequela Codes (I69.3xx series)

Residual	Code

|---------|------|

Hemiplegia right dominant	I69.351
Hemiplegia right non-dominant	I69.352
Hemiplegia left dominant	I69.353
Hemiplegia left non-dominant	I69.354
Aphasia	I69.320
Dysphagia	I69.391

OASIS Who Fills

Clinician	OASIS

|-----------|-------|

SN (RN/LPN)	✅ Yes
PT	✅ Yes
SLP	✅ Yes
OT	❌ No

T2DM Complication Codes

Complication	Code

|-------------|------|

With CKD	E11.22
With foot ulcer	E11.621
With neuropathy	E11.40
With retinopathy	E11.319
With hyperglycemia	E11.65
Insulin use	Z79.4

BCHHC Certification Prep — Quick Ref