When responding to pressure ulcer items on the OASIS, clinicians can collaborate when only a partial skin assessment is completed on the first visit, according to the most recent release of CMS quarterly OASIS Q&As.
Following a recent DecisionHealth webinar about addressing the key challenges clinicians face with OASIS-D, agencies asked questions of industry expert Karen Tibbs, quality and education manager with Wayne, Pa.-based McBee Associates.
Ensure necessary diagnosis information is received within five days of a patient’s start of care (SOC) date, or risk forfeiting rightful reimbursement.
Collect information from multiple sources when responding to GG0110 (Prior device use). Doing so will help ensure more accurate responses.
When it comes to educating staff about how to respond to M1850 (Transferring), the key is paying close attention to the word “or” and how it’s used.
Agencies should establish policies for how to use a new valid response option coming to the OASIS beginning Jan. 1, 2020.
While OASIS-D1 will make responses to 23 existing items optional, agencies must keep in mind that the OASIS is only one piece of the assessment puzzle.
A revised CMS memorandum on OASIS-D1 sheds light on when to use the new version of the OASIS, including a special allowance designed to accommodate the transition to the Patient-Driven Groupings Model (PDGM).
Respond to M1311 (Current number of unhealed pressure ulcers/injuries at each stage) at start of care (SOC) and resumption of care (ROC) based on the first skin assessment conducted by agency staff.
Closely evaluate whether nurses fill out M1860 (Ambulation/locomotion) based on if a patient can safely perform a task. It’s vital to respond properly to M1860 under the PPS, and it will remain critical under the Patient-Driven Groupings Model (PDGM).


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