Archive for December, 2011

December 30, 2011

Gait impairment may impact M1850

CMS has provided some guidance on gait impairment and its potential impact on M1850 …

Question: When completing M1850, Transferring, do I consider the patient’s gait impairment if they must ambulate 12 feet from the bed to get to the closest sitting surface and the need for assistance of another person?
CMS Answer: The need for assistance with gait may impact the M1850, Transferring score if the closest sitting service applicable to the patient’s environment is not next to the bed. M1850 reports the patient’s ability to move from the supine position in bed (or the routine sleeping surface) to a sitting position at the bedside, then some type of standing, stand-pivot, or sliding board transfer to a sitting surface at the bedside. If there is no chair at the bedside, report the ability to transfer from the sleeping surface to whatever sitting surface is applicable to the patient’s environment and need.

If the sleeping surface is in the bedroom and the sitting surface is down the hall in the bathroom and the patient is independent moving from the supine to sitting position, sitting to standing, and then standing to sitting, but requires minimal human assistance or an assistive device to ambulate from the bed to the sitting surface, the appropriate M1850 score would be a “1”. If the patient requires more than minimal assistance or requires both minimal human assistance and an assistive device, the appropriate score would be a “2”.

Looking for the full Q&As?

December 27, 2011

5010 transition for large and small, payers or not

Some more resources from CMS on the 5010 transition. These are broken out by size or focus.

From CMS
The transition to Version 5010 involves important business and systems changes throughout the health care industry. As the January 1, 2012, deadline approaches, the Centers for Medicare & Medicaid Services (CMS) is committed to helping you better prepare for the Version 5010 transition by providing resources on the CMS ICD-10 website to understand and manage your transition.

Compliance Timelines and Widget
CMS has created an interactive widget, and corresponding printer-friendly compliance timelines, to help you remember important action items and meet milestones for the switches to Version 5010 and ICD-10. The widget and timelines are tailored to help manage the implementation processes for:

Implementation Handbooks
CMS has developed four Implementation Handbooks which provide detailed information for planning and executing the Version 5010 and ICD-10 transition processes. These guides and their corresponding customizable templates can help you to clarify staff roles, set deadlines, and assess vendor readiness. Choose the handbook most relevant for you based upon your organization:

Version 5010 Testing Readiness Fact Sheet
CMS has also developed a Version 5010 Testing Readiness Fact Sheet, which explains the Version 5010 transition and necessary Phase I Internal and Phase II External testing. This fact sheet can assist you to determine steps to successfully complete testing phases for Version 5010, and help ensure you are compliant by January 1, 2012.

Keep Up to Date on Version 5010 and ICD-10.

Please visit the ICD-10 website for the latest news and resources to help you prepare, and to download and share the implementation widget today!

December 27, 2011

That 5010 transition is when?

I know that no one has forgotten that the Version 5010 transition is this coming week, but I thought I would repost some information from CMS for reference …

The Centers for Medicare & Medicaid Services (CMS) has announced an enforcement discretionary period of 90 days for Version 5010 compliance, the deadline remains January 1, 2012. Enforcement will not be exercised until April 1, 2012; however, it is important that organizations continue to complete the transition to Version 5010 as soon as possible, if they have not done so already.

Version 5010 Resources
CMS is committed to helping organizations make a smooth transition to Version 5010 and ICD-10. The CMS ICD-10 website has been updated to include a new web page dedicated to Version 5010 information and resources. CMS has also posted a new fact sheet, which discusses steps providers should be taking now to ensure a timely transition to Version 5010 by January 1, 2012.

Other materials on Version 5010 include the following fact sheets:

Additional Resources
Stay on top of deadlines and action items for Version 5010 and ICD-10 by referencing the following resources on the CMS ICD-10 website:

Keep Up to Date on Version 5010 and ICD-10.
Please visit the CMS ICD-10 website for the latest news and resources, and to download and share the implementation widget today!

December 9, 2011

When would you answer M1730 with NA?

This is part of a recent clarification from CMS on M1730, depression screening.

I don’t understand when I would ever select “NA – Unable to respond” in the PHQ- 2 in M1730, Depression Screening. Please clarify.

CMS Answer: The PHQ-2 is only used for patients that appear to be cognitively and physically able to answer the two included questions. After determining the PHQ-2 is an appropriate tool, the patient may decline or be unable to answer the questions, e.g. patient states the questions are too personal, or the patient may not be able to quantify how many days they have experienced the problems.

Look here for more CMS answers to questions.

December 5, 2011

OASIS Tour is up and running

It’s not too late to sign up for my OASIS: Strategies for Success seminars!

We’re touring in:

Dec. 5-6: Houston

Dec. 13-14: Dallas

Dec.15-16: McAllen

This is beyond basics. Here are some highlights of what we will focus on:


  • What OASIS is used for, and why accurate and consistent assessment really matters
  • How to score OASIS items on a Start of Care assessment
  • Techniques to improve assessment accuracy and speed
  • How responses to individual OASIS items impact your agency’s reimbursement, OBQI outcome scores, and OBQM avoidable events
  • How the new risk adjustment model works, and how your clinicians’ OASIS responses shape your agency’s case mix profile and outcomes
  • How to put all the pieces together to improve care delivery and quality outcomes

Learn more and register!