NAHC Raised Concerns for Some OASIS-C2 Requirements

Posted on Monday, June 6, 2016 12:53 PM

The OASIS-C2/ICD-10 has several changes pursuant to the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) with the following changes:
• Three new standardized items (M1028, M1060, GG0170c)
• Alterations and renumbering of select medication and integumentary items to regulate with other post-acute settings of care (M1311, M1313, M2001, M2003, and M2005)
• The look back period and item number was altered in five items (M1500, M1510, M2015, M2300 and M2400)
• Multiple check boxes with a single box for data entry where responses are mutually-exclusive
• Numbering for pressure ulcer staging from Roman to Arabic numerals

NAHC expressed their concerns for the following applications that the OASIS assessment has planned for home health agencies:
• Payment
• Value based purchasing
• Star Ratings
• Quality measure reporting
• Minor changes to the OASIS will require additional training and could affect accuracy
• The requirements for cross setting measures and standardized assessment data could become very burdensome for agencies to administer

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