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OASIS-C1 changes featured in Federal Register

Homecare Insider, July 8, 2013

As Beacon Health previously reported, big changes are coming to the OASIS in 2014. The Centers for Medicare and Medicaid Services (CMS) issued a notice in the Federal Register on June 21 that officially proposes changes to the data set. The new data set will be called OASIS-C1.

The OASIS-C1 data set will accommodate the implementation of ICD-10 which is effective October 1, 2014. Other changes will also be made to update data elements based on research and testing.

Some of the changes include:

  • Eliminate 1012 Inpatient Procedure
    • This change impacts OASIS assessments conducted at start and resumption of care
  • Eliminate M1310, M1312, and M1314 length, width, and depth of the pressure ulcer with the largest surface dimension
    • This change impacts OASIS assessments conducted at start and resumption of care and at discharge
  • Item M1350 reports whether the patient has a skin lesion or open wound that is receiving intervention from the home health agency, other than a surgical wound, pressure, or stasis ulcer
    • Continue collecting this item at start and resumption of care (which is when risk adjustment takes place), but delete it at discharge
  • Item M1410 reports the types of respiratory treatments (oxygen, ventilator, etc.) the patient is receiving at home
    • Continue collecting this item at start and resumption of care, but delete it at discharge
  • Item M2110 reports how frequently the patient receives assistance with activities of daily living from caregivers other than the home health agency
    • Continue collecting this item at start and resumption of care, but delete it at discharge
  • M2440 is collected at the time of transfer from home health to a skilled nursing facility to identify the reason that a patient was transferred 
    • To eliminate this item entirely from the OASIS-C1 as it is not used for payment, quality measure development, or risk adjustment

OASIS-C1 will be effective October 1, 2014.

 To read more about the proposed changes click here.

Beacon Health will be your source for future OASIS-C1 information and analysis. Stay tuned as we will continue to bring you detailed analysis. 

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