Educate staff on how to properly assess and respond to J0510 (Pain interfering with sleep) to ensure clinicians are not confusing the response options or timelines with those of the previous OASIS-D’s M1242 (Frequency of pain interfering with patient’s activity or movement).
Issues with the dash are emerging as one of the top challenges and areas that could slow coders and reviewers down with the new OASIS-E.
CMS addressed the conflicting information given in the OASIS-E assessment versus the OASIS-E Guidance Manual for when to complete the entire Patient Mood Interview for D0150. This information was released in the April OASIS-E Q&As.
How should BIMS be answered on the OASIS-E when the patient was discharged as non-billable without being asked the required questions?
Clinicians must answer C0200 (Repetition of three words) based on the patient’s first attempt.
Clinicians will not only need to adjust to new assessments but will need to learn their way around the new layout of the OASIS instrument. This is going to take time and practice.
While all of the new items are important, the Transfer of Health (TOH) information and Brief Interview for Mental Status (BIMS) items have the most potential to affect patient outcomes and the quality of care delivered.
When looking to focus training on specific OASIS items to get the biggest bang for the buck, M1830 (Bathing) is a good option. If not answered thoughtfully and accurately at start of care, it will affect the entire picture going forward.
Education for clinicians and reviewers on the new OASIS-E items for pain and their intent — as well as the included time frames and the recommended method of obtaining an accurate response — is vital ahead of implementation on Jan. 1.
Agencies should educate staff now on the significance of the addition of A1110 (Language) to the OASIS-E assessment come Jan. 1, as details could improve care plan compliance and lead to better outcomes.


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