Coders could be about to receive a boost in productivity thanks to the impending arrival of OASIS-D on Jan. 1, 2019.
The four pages of changes CMS has just made to its OASIS-D guidance manual correct a mistake involving physician-ordered resumptions of care (ROCs) and standardize language for pressure injury/ulcer items.
CMS announced in the Federal Register Aug. 13 that the public has another opportunity to comment about whether the Office of Management and Budget (OMB) should approve modifications to the OASIS that will lead to OASIS-D.
Following a recent DecisionHealth webinar about OASIS-D, agencies asked questions of industry expert Arlynn Hansell. 
The draft guidance manual defines an injury related to a fall as “Any documented injury that occurred as a result of, or was recognized within a short period of time (i.e. hours to a few days) after the fall and attributed to the fall.”
While CMS has proposed removing dozens of items from the OASIS to alleviate burden on home health agencies, experts contend many of the eliminated topics will continue to require assessment.
Further detail on what constitutes an acceptable physician-ordered resumption of care (ROC) is among key guidance found within CMS quarterly OASIS Q&As released July 16.
The OASIS-D draft guidance manual released July 3 offers agencies valuable clarifications about how to respond to new items.
One change CMS has proposed for OASIS-D is designed to ease confusion some coders have about how to fill out M1028 (Active diagnoses).
Adding GG0130 (Self-care) and GG0170 (Mobility) to the list of OASIS items that collect responses on activities of daily living (ADLs) will result in confusion for clinicians, data inaccuracy and potential red flags for auditors, commenters argue.


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