Archive for ‘OASIS’

April 30, 2012

Big letters count as help on M2020

CMS has clarified some behaviors that should make you mark a ‘1’ on M2020. This is from the recent April Q&As.

Question: I have a patient who has macular degeneration with partial vision loss. Her son writes big letters on her medication bottles so the patient is able to correctly identify the medications. How should M2020 be correctly marked?

Answer: If the patient requires the assistance of someone, other than the pharmacy, to set-up the medications in order to take the correct dose, at all the prescribed times, the patient would be scored a “1” on M2020, Management of Oral Medications. Set-up could include placing the medications in a medi-planner or other container or device or modifying the original medication container to enable the patient to access their medications correctly, e.g. removing childproof lids, marking the label for the visually impaired or illiterate, or pouring into individual cups.

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April 25, 2012

CMS answers 10 questions on F2F

CMS’s April answers document includes 10 questions on late F2F issues that have been brewing.

Some highlights include:

  • How to answer M0102 and M0104 with a new SOC assessment and late F2F encounter.
  • Whether a new SOC assessment due to late F2F encounter needs to be performed by the clinician who did the original OASIS. (No!)
  • Whether to delete an original OASIS assessment already submitted to the state.

All the goodies are here!

p.s. No new guidance on M1020, M1022, M1024

April 24, 2012

Mucosal membranes are not reported in OASIS

CMS recently stated that only wounds and lesions of the integumentary system are recorded in OASIS, not wound or lesions in mucosal membranes.

Those pressure ulcers are reported in the comprehensive assessment and documentation.

Want to see the clarification? Go to the April 2012 link.

April 6, 2012

CMS finally has some OASIS-C training

CMS has posted its first OASIS C training module, which addresses medication items.

The agency says more sessions should come online soon, including: care planning and interventions; neuro/emotional/behavioral status items; and integumentary/pressure ulcer items.

April 6, 2012

OASIS C-1 on the way … and with ICD-10

Thanks to HCLA for letting us know a little about what was said at the recent NAHC conference in Washington DC.
A CMS representative said a new OASIS … C-1 … is in the works.
Pat Sevast of CMS said the revisions are centered about the switch to ICD-10 coding.
While CMS has announced a delay to the implementation of ICD-10, “we are proceeding as if ICD-10 is going to be implemented Oct. 1, 2013,” she said. That’s because CMS’s delay for the new coding set won’t be official until it finishes rulemaking.