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The OASIS-D draft guidance manual released July 3 offers agencies valuable clarifications about how to respond to new items.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


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