tci Medicare Compliance & Reimbursement - 2009 Issue 8
OASIS C: Kick Off OASIS C Training By Focusing On Positive ADL Changes
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Article Overview
This article reviews a CMS-driven transition from OASIS B-1 to OASIS C and highlights selected assessment changes that home health agencies were discussing as they prepared for the new form. It is aimed at home health coders, clinicians, and compliance staff who need a high-level understanding of the types of assessment revisions covered in the article, including ADLs, mobility, incontinence, toileting, and hearing/comprehension items.
Why This Topic Matters
Understanding how OASIS C changes assessment structure matters for home health documentation, staff training, and consistent data collection during the transition period. The article helps readers identify which areas of the form were being revised and why those revisions drew attention from agencies and commenters.
Article Sections
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Introduction to the OASIS C transition
Provides context for the upcoming form change and the training burden associated with adoption. Introduces the article’s focus on selected positive changes in assessment content.
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Changes affecting activities of daily living
Discusses revisions to ADL-related items and the general shift in how current ability is captured. Covers broad changes to bathing, ambulation, toileting, and related response structure.
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Mobility and ambulation revisions
Describes the reworking of the ambulation item and how response categories were being reorganized. Also notes feedback from commenters and a home care association about the level of detail included.
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Incontinence updates
Summarizes changes to the urinary incontinence item and the addition of response options. Focuses on how the revised item set was viewed by commenters.
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Toileting item split
Explains that the toileting measure was divided into separate components for transfer and hygiene. Highlights the broad purpose of the revised structure without detailing coding guidance.
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Hearing and comprehension item split
Covers the separation of the hearing/comprehension area into distinct items. Describes the general subject matter addressed by each revised measure.
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CMS resources and comment summary reference
Points readers to CMS materials supporting the OASIS C release and public comment summary. Serves as a source note for further reference.
What You Will Learn
- How the article frames the OASIS C transition for home health agencies
- Which broad ADL-related areas were revised in the form
- How the article characterizes changes to mobility, incontinence, toileting, and hearing-related assessment items
- What types of stakeholders were reacting to the proposed changes
- Where CMS-related reference material was made available
Who Should Read This
- Home health agencies
- Home health coders
- Clinical documentation staff
- Compliance and quality personnel
- OASIS trainers
Codes Discussed
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