Update policies and procedures to spell out your processes if you decide to have a therapist assess specific parts of the OASIS and then share that information with the start-of-care clinician.
Agencies concerned about a lack of formal OASIS guidance from CMS have a reason to celebrate — at least for now.
The following questions on issues surrounding the one-clinician rule were submitted directly to CMS by DecisionHealth. Below are the questions and the responses provided by CMS.
To ensure communication and consistency across assessments, have physical therapists cross-train nurses on setting discharge goals. This will help agencies prepare for OASIS-D items GG0170 (Mobility) and GG0130 (Self-care).
Do you think a patient might lose her balance when retrieving clothes? Did you feel like you needed to be in the room for the patient’s safety when the patient demonstrated that ability? If clinicians answer “yes” to questions like these, be sure their concerns are reflected in the way they respond to M1810 (Ability to dress upper body). Otherwise you could be losing money.
Code a condition in M1017 (Diagnoses requiring medical or treatment regimen change within past 14 days) even if the condition has recently improved but only if it’s relevant to and included on the patient’s plan of care.
CMS’ revised OASIS Q&A document offers welcome insight for home health clinicians and experts craving updates since regular, centralized Q&As ended in 2016.
Use CMS’ newly posted provider training materials to ensure clinicians understand how to answer GG0170C (Mobility) or risk payment.
Many items will be eliminated from the OASIS and several others will be added to the assessment as part of CMS’ ongoing efforts to comply with the IMPACT Act.
The 2018 final PPS rule finalizes changes to 33 OASIS items that will result in the collection of 235 fewer data elements at specific time points within a home health episode. The elimination of the data elements equates to the complete removal of certain items in the OASIS, except where otherwise indicated with asterisks as explained in the footnotes of the table below, according to CMS.


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