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Outcome and Assessment Information Set (OASIS)
The Outcome and ASsessment Information Set (OASIS) is a group of data elements that:
- Represent core items, to be integrated into a comprehensive assessment for an adult home care patient.
- Form the basis for measuring patient outcomes for purposes of outcome-based quality improvement (OBQI).
- Provide quality data for consumer’s use on Home Health Compare (link to O5).
- Provide information on the patient’s conditions and needs to formulate the proper reimbursement.
OASIS-C, a modification to the Outcome and Assessment
Information Set (OASIS) is required for use on all assessments that
are completed on or after January 1, 2010. Changes to the OASIS include
significant revisions to existing items and the addition of items that
measure the processes of care. Refer to the All
Time Point version to view the data set, which highlights
new items in OASIS-C.
Cahaba does consider the documentation in the OASIS when reviewing medical records. Since our role is to pay your claims properly, our primary focus is on those M0 items which have reimbursement “points” attached to them. In addition, effective January 1, 2010, submission of the OASIS to the state is a condition of payment. Any claim reviewed by Medical Review where an OASIS has not been submitted to the state repository, will be denied. Please consult the OASIS User’s manual, or your state OASIS Coordinator with questions regarding the OASIS data set.
OASIS
User’s Manual — CMS
has provided a OASIS User’s Manual, which contains step-by-step
instructions, and specific guidance on accurate recording for each
M0 item.
OASIS-C
Guidance Manual — CMS
has provided an OASIS-C Guidance Manual, which is a streamlined and
updated version of the original OASIS Implementation Manual.
OASIS
Considerations for Medicare PPS Patients — CMS
has developed this tool as a resource for OASIS assessments in regard
to the type of episode or adjustment. Page 5 provides special
issues related to the transition from OASIS-B1 to OASIS-C.
OASIS
Education Coordinators — CMS
has designated an “OASIS Coordinator” in each state to facilitate
education and as a resource to home health agencies for questions regarding
the OASIS.
OASIS
Automation Coordinators — CMS
has provided a list of OASIS Automation Coordinator contacts for
each state to assist providers with transmission of the OASIS data. For
assistance with HAVEN, you can also contact the HAVEN Help Desk
at 1-877-201-4721 from 7:00 a.m. to 7:00 p.m. Central Time or send
e-mail to help@qtso.com
OASIS
Q&As — Through
the years, home health agencies have asked very specific questions
about their interpretation and use of the OASIS. To access questions
and answers plus a variety of OASIS downloads and documentation, refer
to the Home
Health and OASIS Supplemental Training Information Web
site. To
submit OASIS questions, send an email to CMSOASISquestions@oasisanswers.com
