Don’t get too caught up with the word “entirely” in response “3” for the OASIS M1800 items.
The information can be helpful in identifying vulnerable individuals and encouraging those individuals to keep their vaccination current. This also will be useful for the agency to track any COVID-19 cases and trends.
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.


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