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CMS Seeks Comments on OASIS Form Changes

Posted on Thursday, March 22, 2018 4:01 PM

CMS has published a notice and request for comment on its intention to revise the OASIS form. While a draft is not yet available, OASIS-D will eliminate hundreds of data elements and several new codes  and data elements will be added.

Comments on the revised OASIS are due May 11, 2018. Click here for details on how to submit.

Summary of Changes to the OASIS-D data set

The OASIS D is scheduled for implementation on January 1, 2019 in order to comply with requirements for the Improving Medicare Post-Acute Care Transformation Act of 2014 (the IMPACT Act) IMPACT Act. Changes pursuant to the Improving Medicare Post-Acute Care Transformation Act of 2014 (the IMPACT Act), include:

  • New standardized items (GG0100, GG0130, GG0170, J1800, J1900) to support measures mandated by the ACT- Application of Percent of Residents Experiencing One or More Falls with Major Injury (NQF # 0674); and Application of Percent of Long-Term Care Hospital Patients with an Admission and Discharge Functional Assessment and a Care Plan That Addresses Function (NQF #2631).
  • Modification to OASIS items M1311 to support a new pressure ulcer measure to replace the current pressure ulcer measure. The new measure is Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury.

New items added to OASIS for standardization to align with IRF-PAI and MDS:

  • M1900 Prior Function
  • GG0110 Prior Device Use

Items Removed Include:

  • 75 data elements from the OASIS at the time point of Start of Care (SOC)
  • 75 data elements at the time point of Resumption of Care (ROC)
  • 20 data elements at the time point of Follow-up (FU)
  • 42 data elements at the time point of Transfer to an Inpatient Facility (TOC)
  • 1 data element at the time point of Death at Home (Death)
  • 34 data elements at the time point of Discharge from Agency (DIS)

OASIS-D would replace OASIS-C2, which has been in effect since Jan. 1, 2017.

A draft of OASIS-D is expected in July, and a finalized version is expected as early as November, CMS officials said during a home health, hospice and durable medical equipment open door forum last month.

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