Highlights from the April 2024 Quarterly OASIS Update

by Elaine Gardner, MS, RN, COS-C, CPHQ, CHPN

If you were unable to join us during the live April 2024 Quarterly OASIS Update on April 17th, the recording and handouts are still available for purchase! Learn more and spread the essential information to key team members in your home health agency.

During the information-packed 90-min. presentation designed to provide you with the most up-to-date facts from CMS, we covered:

 The NEW April 2024 CMS Quarterly OASIS Q&As

Six new Q&As were published by CMS on April 16th, providing updated OASIS guidance related to:

    1. The assessing clinician’s responsibility for OASIS coding when potential inconsistencies are identified by a third party reviewer
    2. M1021/M1023 Symptom Control Rating Definitions
    3. M1830 Bathing coding response 2 vs response 3
    4. GG0100A Prior Level of Functioning: Everyday Activities – Self-Care
    5. Updated falls definition for M1033, J1800, J1900
    6. M2001, M2003, and M2005 and coding potential (or actual) clinically significant medication issues

Application scenarios provided further opportunity for clarification and preparation for the COS-C Exam!

Two HHQRP Quality Measures:

  1. Application of Percent of Residents experiencing One or More Falls with Major Injury
    Did you know this process measure has undergone increased scrutiny recently due to the report issued last fall by the Office of the Inspector General? During the presentation we covered important details regarding the measure, how this measure is presented in HHA iQIES reports, OASIS coding guidance for J1800 and J900, and three scenarios to assist you and your staff to think through how to accurately code these OASIS items.
  2. Discharge to Community – Post-Acute Care
    Did you know this claims-based outcome measure has been reported on Care Compare since 2019 and will be included in the expanded HHVBP Model measure set beginning CY 2025 impacting CY 2027 payment? To assist your review of your agency’s measure results, we provided essential details regarding this measure, including measure exclusions and definitions of “home health stay” & “community”. Following a visual of how this measure is presented in iQIES, up-to-date CMS measure resources were provided.

Additional CMS Updates for Home Health

The Quarterly Update also provided CMS updates regarding:

  • Recently published State Operation Manual, Appendix B: Revisions to Home Health Agencies
  • Recently updated HHQRP Quality Measure Resources
  • The new HHCAHPS Fact Sheet now available to HHAs for distribution to patients, and a focused overview of HHCAHPS
  • Up-to-date information on the expanded HHVBP Model

Purchase a recording of April’s Quarterly OASIS Update and receive a copy of the handouts. Also, a quick reminder to register for our next Quarterly OASIS Update on Wednesday, July 17, 2024 at 1pm ET!

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Stay up to date on new CMS information related to HHVBP and OASIS accuracy.

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