CMS Releases Draft OASIS-C1 for ICD-10 Changes
Tuesday, July 9, 2013
by: VNAA Policy Team

Section: Public Policy and Advocacy




On June 21, the Centers for Medicare and Medicaid Services (CMS) published its first draft of the OASIS-C1 form. Many of the changes being proposed were made based on input from providers but close attention still needs to be paid to proposed changes.  
 
Comments on the proposed changes are due to CMS by August 20. However, OASIS-C1 will be implemented concurrently with ICD-10, on October 1, 2014 so there will not be much time for staff training once OASIS-C1 is finalized.

The draft contains 110 items, compared with 114 items on the current version of OASIS-C. The reduction is mainly due to the elimination of several items at the start-of-care (SOC), resumption-of-care (ROC) and discharge time points.
 
CMS also proposes adding one new item, M1011 (Inpatient diagnosis), at recertification/follow-up “for the purposes of case-mix adjustment.”  
 
One proposed change that requires further review relates to M1910 which provide three ways to answer the question of whether a patient received a multi-factor falls risk assessment. 
 
The following items will be deleted:

  • M1012 (Inpatient procedures). The item would be deleted at SOC and ROC.
  • M1310, M1312 and M1314, which report the length, width and depth of the largest pressure ulcer. The items would be deleted at SOC, ROC and discharge.
  • M1350 (Skin lesion or open wound). The item would be deleted at discharge.
  • M1410 (Respiratory treatments).The item would be deleted at discharge.
  • M2110 (Frequency of ADL/IADL assistance).The item would be deleted at discharge.
  • M2440 (Reason[s] for nursing home admission).The item would be deleted at all-time points.
Find the OASIS-C1 draft by clicking here.

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