Home Health & Hospice Articles by Topic: OASIS-C1

Can you give tips on M1860 (Ambulation/locomotion)?

• Homecare Q&A, Issue 4, April 18, 2019

  You note that your agency is preparing for PDGM.

M1033 is crucial now, but it becomes even more important under PDGM

• Homecare Direction, Issue 4, April 8, 2019

  Revisit best practices for responding to the OASIS item involving patients’ risk for...

We have an issue with M2003 (Medication follow-up).

• Homecare Q&A, Issue 2, February 25, 2019

  The quality measure “drug regimen review conducted with follow-up for identified...

New OASIS-D items take center stage in January release of CMS quarterly Q&As

• Homecare Direction, Issue 2, February 5, 2019

  With a month of OASIS-D under their belts, many agencies are struggling with accuracy and...

What do you see as the most sensible or welcome changes under OASIS-D?

• Homecare Q&A, Issue 1, January 16, 2019

  The most welcome changes to me are the removal of those coding items, M1011 (Inpatient diagnosis...

Is the patient in the following scenario considered to be incontinent of stool for the M1620 question?

• Homecare Q&A, Issue 1, January 16, 2019

  This scenario is not specifically addressed in the OASIS Q&As.

July errata supersedes recently finalized OASIS-D manual, CMS says

• Homecare Direction, Issue 1, January 4, 2019

  CMS released the final OASIS-D guidance manual less than two weeks before the new version of the...

OASIS-D among changes expected to have biggest impact on agencies in 2019

• Homecare Direction, Issue 1, January 4, 2019

  Agencies should continue efforts to get clinicians comfortable with OASIS-D as 2019 unfolds.

Changes in final rule could indicate another version of OASIS is on the way

• Homecare Direction, Issue 12, December 5, 2018

  While agencies hustle to prepare for the Jan. 1, 2019, implementation of OASIS-D, changes to the...

New Q&As highlight shift in staging pressure ulcers, what to report at discharge

• Homecare Direction, Issue 11, November 5, 2018

  Significant shifts in how to stage a pressure ulcer when scabbing is present and what information...

CMS hosts two webinars on OASIS-D, provides overview of changes

• Homecare Direction, Issue 10, October 4, 2018

  If a patient isn’t able to attempt transferring in and out of the car because no car is...

CMS corrects errors and tweaks its newly released OASIS-D guidance manual

• Homecare Direction, Issue 9, September 1, 2018

  The four pages of changes CMS has just made to its OASIS-D guidance manual correct a mistake...

OASIS-D draft guidance offers clarity on falls, environmental limitations

• Homecare Direction, Issue 8, August 1, 2018

  The OASIS-D draft guidance manual released July 3 offers agencies valuable clarifications about how...

Would M2001 be accurate if marked "No - no issues found" in a scenario I'll describe below?

• Homecare Q&A, Issue 12, July 25, 2018

  It is up to clinicians to determine, in their clinical judgement, if the omission is a clinically...

CMS seeks to modify star ratings, adding a drug measure and removing another

• Homecare Direction, Issue 7, June 29, 2018

  Step up efforts to educate clinicians about M2020 (Management of oral medications). The measure is...

Start laying the groundwork now to lessen a productivity drain under OASIS-D

• Homecare Direction, Issue 7, June 29, 2018

  With the added time home health experts anticipate OASIS-D will take and the amount of time many...

What advice could you provide when it comes to responding to the two new J items proposed for OASIS-D?

• Homecare Q&A, Issue 10, June 11, 2018

  Review what instruction have provided for J1900C in the MDS 3.0 Resident Assessment Manual for...

Commenters express concern about the potential for duplicated effort on OASIS-D

• Homecare Direction, Issue 6, June 4, 2018

  Adding GG0130 (Self-care) and GG0170 (Mobility) to the list of OASIS items that collect responses...

New CMS guidance better defines collaboration allowed under one-clinician rule

• Homecare Direction, Issue 5, May 2, 2018

  Update policies and procedures to spell out your processes if you decide to have a therapist assess...

Home Health Compare update shows jump in transferring, total 5 star agencies

• Homecare Direction, Issue 5, May 2, 2018

  More agencies have achieved 5-star status than ever before, and scores for transferring saw the...

New self-care and mobility items among biggest concerns in proposed OASIS-D

• Homecare Direction, Issue 4, April 12, 2018

  To ensure communication and consistency across assessments, have physical therapists cross-train...

How can we better collaborate on OASIS?

• Homecare Q&A, Issue 6, March 17, 2018

  Agencies must abide by certain regulations in order to participate in the Medicare program, as...

How can we better answer OASIS item M1810?

• Homecare Q&A, Issue 6, March 17, 2018

  Follow these tips:

CMS starts rule-making process for OASIS-D item set revision

• Homecare E-News, Issue 11, March 12, 2018

  CMS filed a notice and request for comment on proposed revisions to the OASIS item set. The notice...

For OASIS items where a dash is a valid response, should a dash be used on the discharge OASIS, or should the item be answered based on findings from that last visit?

• Homecare Q&A, Issue 5, March 5, 2018

  AIn the case of an unexpected discharge, the last qualified clinician to see the patient should...

Help on guidance for M1311...

• Homecare Q&A, Issue 4, February 19, 2018

  The first clinical skin assessment is the assessment used to complete the Outcome and Assessment...

CMS removes dozens of items from OASIS, adds items to comply with IMPACT Act

• Homecare Direction, Issue 12, December 18, 2017

  Many items will be eliminated from the OASIS and several others will be added to the assessment...

I'm not sure our nurses are assessing bathing properly. Any tips for training nurses on this OASIS item?

• Homecare Q&A, Issue 24, December 17, 2017

  One reason agencies score poorly on M1830 (bathing): They still struggle with properly assessing...

We use the Wong-Baker FACES® pain rating scale on our OASIS. Is there a standard that mandates a certain level of pain before notifying the MD?

• Homecare Q&A, Issue 22, November 17, 2017

  The Wong-Baker FACES scale, like all standardized, validated assessments, has thresholds for what...

We struggle with documenting M1860 accurately. Any help?

• Homecare Q&A, Issue 21, November 2, 2017

  Many agencies have had great success with Ambulation/Locomotion (M1860), but others have...

The number of 5-star agencies in quality of care dropped by two in October 2017

• Homecare E-News, Issue 41, October 30, 2017

  Home Health Compare’s refresh this quarter produced a slightly different number of 5-star...

CMS seeks to add 15 OASIS items for special services such as cancer treatment

• Homecare Direction, Issue 10, October 23, 2017

  Get ready to collect as many as 15 new OASIS data elements involving cancer, respiration, IVs and...

CMS shifts from denials to RTPs for home health claims with no matching OASIS

• Homecare E-News, Issue 39, October 16, 2017

  Home health agencies will now have their claims returned when Medicare systems fail to match those...

We are wondering if an OT can discharge a patient if he or she is the last discipline in? Can the OT do the discharge OASIS or a transfer OASIS?

• Homecare Q&A, Issue 19, October 3, 2017

  Yes, the OT can perform a discharge, or transfer, or any other OASIS after the SOC.

CMS removing or modifying 35 OASIS elements

• Homecare E-News, Issue 33, August 28, 2017

  According to CMS’ final rule, 35 OASIS items would be deleted or modified for 2019. NAHC...

New OASIS-C2 guidance manual includes new items, one clinician rule clarification

• Homecare E-News, Issue 30, August 7, 2017

  CMS released the 2018 guidance manual for OASIS-C2 on August 4. The new guidance manual, which...

New PEPPER available for home health agencies, CMS updates to Home Health Compare

• Homecare E-News, Issue 28, July 21, 2017

  New Program for Evaluating Payment Patterns Electronic Reports (PEPPERs) through CY 2016 are...

How can we improve on timely initiation of care?

• Homecare Q&A, Issue 14, July 17, 2017

  As part of a monthly or quarterly quality assurance review, agencies should closely monitor...

Master new OASIS-C2 guidance changes, take a step closer to 5-star ratings

• Beacon Institute On-Demand Webcast Library, Issue 11, November 8, 2016

  Master new OASIS-C2 guidance changes, take a step closer to 5-star ratings

Do only CWCN credentials give you necessary authority/scope to answer OASIS questions differently than the scope of a registered nurse with no wound training?

• Homecare Q&A, Issue 16, August 22, 2016

  Our agency is in the process of evaluating wound certification courses for our nursing staff. We...

I wanted to verify if the discharge reason in these cases would still be "Transferred to Inpatient Facility" (to match the transfer OASIS)? Or would we enter "Pt Expired" (even though the patient expired at the hospital, not at home)?

• Homecare Q&A, Issue 16, August 22, 2016

  Follow-up question to the one above: Because the patient would not be coming back to us for...

When we enter our discharge reason for home health, is it that the patient was transferred to an inpatient facility, or is the discharge reason that the patient expired?

• Homecare Q&A, Issue 16, August 22, 2016

  When our patients are admitted to an inpatient facility and we complete a transfer OASIS, we...

If the system changes the response to M2200, is it necessary for us to transmit OASIS data to the state agency so the HIPPS codes match?

• Homecare Q&A, Issue 15, August 3, 2016

  Therapy visits have a direct impact on the first (grouping step) and fourth (services utilization...

When answering M2200, Therapy Need, what exactly is meant by the ?home health plan of care??

• Homecare Q&A, Issue 15, August 3, 2016

  M2200 asks about the number of visits on the plan of care, which reflects physician orders. This...

If we have no therapy visits ordered at the start of care, but then the physician orders six or 14, must we change the answer to M2200?

• Homecare Q&A, Issue 15, August 3, 2016

  The CMS system will automatically change the answer to M2200 to reflect the number of visits...

In Focus: NAHC submits comments on OASIS-C2

• Homecare E-News, Issue 22, June 6, 2016

  The National Association for Home Care & Hospice (NAHC) has raised concerns regarding...

Is an "MDD" classification sufficient for coding a homecare patient?s depression?

• Homecare Q&A, Issue 7, April 4, 2016

  No. ICD-10-CM classifies depression under Disorder, depressive, major (MDD), but more information...

In Focus | OASIS-C2 Item Set available

• Homecare E-News, Issue 14, April 4, 2016

  The OASIS-C2 item stet is now available on the OASIS Data Sets webpage. OASIS-C2 is effective...

Can the OASIS then be updated (by the assessing clinician) within the five-day window, using information gathered from that collaboration, if the M0090 date is also updated?

• Homecare Q&A, Issue 3, February 3, 2016

  Thank you for your question and commitment to compliance. You are correct that the assessment must...

Patients who experience a decline in their condition upon their discharge from home health are impacting our outcome scores.

• Homecare Q&A, Issue 1, January 3, 2016

  You are correct, M1034 is risk adjusted. Please be sure clinicians are answering response “3...

Could you provide some M2200 case-mix tips?

• Homecare Q&A, Issue 23, December 4, 2015

  This therapy M item should be reviewed once all initial orders have been received by the agency...

When answering M2200, Therapy Need, what exactly is meant by the "home health plan of care"?

• Homecare Q&A, Issue 23, December 4, 2015

  M2200 asks about the number of visits on the plan of care, which reflects physician orders. This...

If the system changes the response to M2200, is it necessary for us to transmit OASIS data to the state agency so the HIPPS codes match?

• Homecare Q&A, Issue 23, December 4, 2015

  Therapy visits have a direct impact on the first (grouping step) and fourth (services utilization...

For a resumption-of-care assessment, do we count the visits we have already done, or just the one we are going to do, or all of them?

• Homecare Q&A, Issue 23, December 4, 2015

  Because there will be no adjustments in the HHRG after the RAP is sent, the reporting of therapy...

If we have no therapy visits ordered at the start of care, but then the physician orders six or 14, must we change the answer to M2200?

• Homecare Q&A, Issue 23, December 4, 2015

  The CMS system will automatically change the answer to M2200 to reflect the number of visits...

If an agency discharges a patient with goals met but then readmits him or her within 60 days of discharge, would the new episode be an early or later one for M0110, Episode Timing?

• Homecare Q&A, Issue 23, December 4, 2015

  When a patient is discharged and not readmitted during the remainder of the episode, the 60th or...

When determining whether an episode is early or later for M0110, Episode Timing, what is considered day one when counting 60 days? The start of care day or the day prior to admission?

• Homecare Q&A, Issue 23, December 4, 2015

  When determining the answer for M0110, the concern is what happened before admission. Count...

Can you give tips on working with the HHRG?

• Homecare Q&A, Issue 23, December 4, 2015

  CMS and medical reviewers pay close attention to patterns in care delivery and HHRG data. They are...

Inside Story | Understand Outcome Measures

• Homecare E-News, Issue 47, November 30, 2015

  Since 2007, Medicare regulations have mandated Outcome and Assessment Information Set (OASIS...

What kind of events count as "potentially avoidable"? What will and should be in the CASPER Outcome-Based Quality Improvement Report?

• Homecare Q&A, Issue 20, October 16, 2015

  What kind of events count as "potentially avoidable"? What will and should be in the...

The Inside Story | Start-of-Care and Resumption-of-Care Assessments

• Homecare E-News, Issue 40, October 12, 2015

  The start-of-care (SOC) assessment is completed as a patient is being admitted to a home health...

How do we update the comprehensive assessment for a major deterioration in status with the PPS payment requirements?

• Homecare Q&A, Issue 18, September 17, 2015

   This patient’s change in condition has a real impact on resource utilization—an...

What does a comprehensive assessment include for non-OASIS patients, according to the Conditions of Participation (CoP)?

• Homecare Q&A, Issue 18, September 17, 2015

  The CoPs identify several key components for this assessment. Here are the components and some...

How to score an incomplete OASIS?

• Homecare Q&A, Issue 15, August 3, 2015

  I am specifically looking for the guidance indicating that, when an OASIS assessment is not...

Can physical therapy go out and have consents signed and perform an evaluation before the nurse gets to the home to complete the OASIS as long as it is all done the same day?

• Homecare Q&A, Issue 14, July 16, 2015

  The only similar guidance found was according to CMS’ OASIS Q&A:

I am wondering how to answer OASIS assessment "M" items when an OASIS assessment is needed for a payer change, but one does not exist.

• Homecare Q&A, Issue 14, July 16, 2015

  Thanks for your question and commitment to compliance. In cases where you learn after the fact...

How do we get paid when we have two different payers?traditional Medicare (Part A) and MA?within the same 60-day episode?

• Homecare Q&A, Issue 13, July 2, 2015

  If a patient switches from traditional Medicare to MA, the agency will receive a partial episode...

What would be the response for M0150, Current Payment Sources, for an MA patient?

• Homecare Q&A, Issue 13, July 2, 2015

  AM0150 would be answered “2”—Medicare (HMO/managed care/Advantage plan). It is...

Would NA (not applicable) be the correct response to M0110 and M2200 for MA patients?

• Homecare Q&A, Issue 13, July 2, 2015

  AM0110, Episode Timing, and M2200, Therapy Need, apply when the assessment will determine the...

Do we answer M0063, Medicare Number, with the patient?s now-defunct Medicare number or the new MA policy number?Do we answer M0063, Medicare Number, with the patient?s now-defunct Medicare number or the new MA policy number?

• Homecare Q&A, Issue 13, July 2, 2015

  When a patient joins a Medicare Advantage (MA) plan, he or she takes on a subscriber number, but...

Homecare Q&A

• Homecare Q&A, Issue 13, July 2, 2015

  July 3, 2015

If an agency discharges a patient with goals met but then readmits him or her within 60 days of discharge, would the new episode be an early or later one for M0110, episode timing?

• Homecare Q&A, Issue 12, June 15, 2015

  If an agency discharges a patient with goals met but then readmits him or her within 60 days of...

How do we determine diagnosis and priority?

• Homecare Q&A, Issue 12, June 15, 2015

  Q: We are seeing a patient with Alzheimer’s disease, who was hospitalized for advanced...

How will OASIS-C1/ICD-10 differ from the data set iteration currently in use?

• Homecare Q&A, Issue 0, June 9, 2015

   To accommodate the extended effectiveness of ICD-9 after the Protecting Access to Medicare...

Do we answer M0063, Medicare Number, with the patient's now-defunct Medicare number or the new Medicare Advantage (MA) policy number?

• Homecare Q&A, Issue 9, May 17, 2015

  Do we answer M0063, Medicare Number, with the patient’s now-defunct Medicare number or the...

What should you do about a tardy recertification assessment?

• Homecare Q&A, Issue 9, May 3, 2015

  What should you do about a tardy recertification assessment? It’s the fifth day of the...

What would be the response for M0150, Current Payment Sources, for an MA patient?

• Homecare Q&A, Issue 9, May 3, 2015

  What would be the response for M0150, Current Payment Sources, for an MA patient?

Can we get an MD order for a new start of care (SOC) date based on the patient request?

• Homecare Q&A, Issue 9, May 3, 2015

  Regarding M0102 and M0104: We received a referral and we contacted the patient within the...

Would NA (not applicable) be the correct response to M0110 and M2200 for MA patients?

• Homecare Q&A, Issue 8, April 17, 2015

  M0110, Episode Timing, and M2200, Therapy Need, apply when the assessment will determine the...

Do we answer M0063, Medicare Number, with the patient?s now-defunct Medicare number or the new Medicare Advantage (MA) policy number?

• Homecare Q&A, Issue 8, April 17, 2015

  When a patient joins an MA plan, he or she takes on a subscriber number, but the patient’s...

Can you shed some light on specific circumstances that warrant the resumption of care assessment?

• Homecare Q&A, Issue 7, April 3, 2015

  The ROC assessment is completed any time a patient has returned home following an inpatient stay of...

Is it true that we need to change our process and submit ALL OASIS assessments to the AS

• Homecare Q&A, Issue 6, March 17, 2015

   Yes, all Medicare, Medicare Advantage, and Medicaid OASIS assessments must be transmitted.

Will home health remain exempt from overtime compensation in most circumstances like it has for 40 years?

• Homecare Insider, Issue 1, January 5, 2015

  Will home health remain exempt from overtime compensation in most circumstances like it has for 40...