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OASIS-C2: 5 Things You Need to Know

by Jill Dyer, BSN, RN, HCS-D, HCS-O

OASIS-C2 is the new version of the OASIS data set, effective January 1, 2017. It is the beginning of CMS’s compliance with the Improving Medicare Post-Acute Care Transformation Act of 2014, also known as the IMPACT Act.

The IMPACT Act requires CMS to develop and implement cross-setting patient assessments from all post-acute care providers (Long-Term Acute Care Hospitals, Rehabilitation Facilities, Skilled Nursing Facilities, and Home Health).

OASIS-C2 incorporates a number of changes required for standardization with other post-acute care data sets. It includes three new standardized items and guidance, and five revised items and guidance.

  1. The three new items are M1028, M1060, and GG0170c.
  2. A response value of a dash (-) has been added to some items. The dash would be used when there is no information available or the item could not be assessed. CMS expects the use of a dash to be a rare occurrence.
  3. Look-back items have been clarified. The new guidance from CMS is “at the time of or since the most recent SOC/ROC.” This requires us to look back to the most recent SOC or ROC, not the follow-up OASIS.
  4. The definition of “One Calendar Day” has been deleted and replaced with specific guidance.
  5. Additions have been made to conventions specific to ADL/IADL items. Especially noteworthy is the following: “While the presence or absence of a caregiver may impact the way a patient carries out an activity, it does not impact the assessing clinician’s ability to assess the patient in order to determine and report the level of assistance that the patient requires to safely complete a task.

Want more in-depth information on OASIS-C2?
Download this free OASIS-C2 tip sheet: What’s New in OASIS-C2? Tips & Highlights for Home Health Agencies

This valuable handout is ready to print and use now. Be sure to read and share it with your team!

Read more in: Administration, Clinical, Coding

About Kinnser software

Kinnser Software, Inc. provides web-based solutions that deliver clinical and business results to the home health, hospice and private duty industries. Founded in 2003 and headquartered in Austin, Texas, Kinnser Software serves more than 4,000 home health, therapy, hospice, and private duty home care providers nationwide. Kinnser helps thousands of clinicians and other staff in post-acute healthcare to manage scheduling, billing, electronic visit verification, day-to-day operations, and patient referrals. 

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