{"id":982,"date":"2014-12-17T09:26:00","date_gmt":"2014-12-17T06:26:00","guid":{"rendered":"https:\/\/www.pragmait.com\/therapyboss\/?p=982"},"modified":"2021-10-14T14:56:11","modified_gmt":"2021-10-14T11:56:11","slug":"oasis-c1-icd-9-whats-new","status":"publish","type":"post","link":"https:\/\/pragmait.com\/therapyboss\/oasis-c1-icd-9-whats-new\/","title":{"rendered":"OASIS C1\/ICD-9 \u2013 What\u2019s New?"},"content":{"rendered":"<p>2015 is shaping up to be a big year for home health regulatory changes. The latest change is in the OASIS data set. CMS has been gearing up for the ICD-10 conversion for some time now and had updated the OASIS document to allow for ICD-10 codes and took the opportunity to clarify some of the other OASIS questions. ICD-10 was supposed to go into effect in October, 2014 but a provision of the Protecting Access to Medicare Act of 2014 delayed implementation until October 1, 2015. As a result, CMS created the OASIS C1\/ICD-9 version which is to be used for any OASIS with the M0090 Date Assessment Completed date on or after January 1, 2015 up until the ICD-10 codes become effective.<\/p>\n<p>Most of the changes within this new version are verbiage, font and minor punctuation changes aimed at clarifying the intent of certain questions. \u201ce.g.\u201ds and \u201ci.e.\u201ds throughout the OASIS have been changed to \u201cfor example\u201d or \u201cspecifically\u201d. Other changes include:<\/p>\n<ul>\n<li>M1000 \u2013 \u201c<u>during the past 14 days<\/u>\u201d has been changed to \u201cwithin the past 14 days\u201d and<\/li>\n<li>M1500, M1510, M2004, M2015, M2300, M2400 \u2013 \u201cAt any point since\u201d and \u201csince\u201d has been changed to \u201cat the time of or at any time since\u201d.<\/li>\n<\/ul>\n<p>Some other changes expanded upon examples or added verbiage to clarify situations where the response would be appropriate for the patient.<\/p>\n<ul>\n<li>M1100 \u2013 added \u201cresidential care home\u201d as an example of a congregate situation,<\/li>\n<li>M1240, M1730, and M1910 \u2013 require that assessments not only be \u201cstandardized\u201d but \u201cvalidated\u201d as well,<\/li>\n<li>M1510 \u2013 added \u201ctelehealth\u201d as an example of a change in care plan orders,<\/li>\n<li>M1900 \u2013 added \u201ctoileting hygiene\u201d as an example of self-care and \u201cphone use\u201d as an example of household tasks,<\/li>\n<li>M2000 \u2013 adds \u201cadverse\u201d to the term \u201cdrug reactions\u201d,<\/li>\n<li>M2004 \u2013 allows for contact to the physician within one day of any \u201cidentified\u201d clinical issues regarding medication,<\/li>\n<li>M2102 \u2013 specifies \u201cNon-agency\u201d caregivers and adds \u201chome exercise program\u201d as an example of a medical procedure\/treatment,<\/li>\n<li>M2310, M2430 \u2013 adds \u201cadverse drug reactions\u201d to the first response<\/li>\n<\/ul>\n<p>Some questions were deleted either because they were deemed irrelevant or the changes required the addition of a new question.<\/p>\n<ul>\n<li>M1012 \u2013 deleted as irrelevant<\/li>\n<li>M1032 \u2013 deleted and replaced with M1033 which has more options to choose from,<\/li>\n<li>M1040 \u2013 deleted and replaced with M1041 which simply asks whether the episode occurred during a valid period,<\/li>\n<li>M1045 \u2013 deleted and replaced with M1046 which collects data about whether the patient received the immunization,<\/li>\n<li>M1050 \u2013 deleted and replaced with M1051 which asks if the patient received the pneumonia vaccination,<\/li>\n<li>M1055 \u2013 deleted and replaced with M1056 which collects data about why the patient has not received the pneumonia vaccine,<\/li>\n<li>M1310, M1312, M1315 \u2013 deleted<\/li>\n<li>M2100 \u2013 deleted and replaced with M2102 which combines the columns that pertain to the likelihood or whether it is clear that caregivers will provide assistance.<\/li>\n<\/ul>\n<p>The wound care section (M1300 through M1350) has been updated with some questions adding language to clarity the intent of the questions and responses. The grid for M1308 has been reformatted to allow for only the number of currently present pressure ulcers and a grid for M1309 has been added to report the status of worsening pressure ulcers.<\/p>\n<p>Also the grids for the Plan of Care Synopsis (M2250) and Intervention Synopsis (M2400) have been expanded upon to provide more instruction about each intervention and clarify when the Not Applicable (NA) response is appropriate.<\/p>\n<p>The final draft of the OASIS C1\/ICD-9 <a href=\"http:\/\/www.cms.gov\/Medicare\/Quality-Initiatives-Patient-Assessment-Instruments\/HomeHealthQualityInits\/Downloads\/Final-OASIS-C1-ICD-9-Version-Item-Set-effective-01-01-2015.pdf\" target=\"_blank\" rel=\"noopener\">can be found here<\/a>.<\/p>\n<p>It is essential that all home health personnel who complete OASIS forms have the new OASIS C1\/ICD-9 version available to them effective January 1, 2015. Home health agencies can follow up with software vendors and paperwork vendors to ensure that they receive the items as soon as possible. therapyBOSS will have the OASIS C1\/ICD-9 version automatically chosen for any visits on or after January 1, 2015 for the convenience of our users.<\/p>","protected":false},"excerpt":{"rendered":"<p>2015 is shaping up to be a big year for home health regulatory changes. The latest change is in the OASIS data set. CMS has been gearing up for the ICD-10 conversion for some time now and had updated the OASIS document to allow for ICD-10 codes and took the opportunity to clarify some of [&hellip;]<\/p>","protected":false},"author":2,"featured_media":983,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false},"categories":[20,22],"tags":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.6.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>OASIS C1\/ICD-9 \u2013 What\u2019s New?<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/52.26.225.185\/therapyboss\/oasis-c1-icd-9-whats-new\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"OASIS C1\/ICD-9 \u2013 What\u2019s New?\" \/>\n<meta property=\"og:description\" content=\"2015 is shaping up to be a big year for home health regulatory changes. 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