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Five Revisions to OASIS-B1 Items You Need to Know for Success with OASIS-C

Posted on February 05, 2010 in Coding Education 

by Jennifer Warfield, RN, BSN, HCS-D, COS-C

A large part of OASIS-C B1 was revised to reflect comments, suggestions and changes we have seen since its inception in 1999. With the exception of the process measures that were added to account for changes made in research and other studies, most of the OASIS looks as it always did. A clinician that did an OASIS in December last year should have very little difficulty with the layout of the new form. On the other hand, there are several items which were revised to reflect comments and suggestions from the same clinicians. These items (i.e. pain, bathing, transferring) were expanded to include additional options.


• M1220 (Pain) separated option 0 into one option for "pt has no pain" and one option for "pain does not interfere with activity"
• M1830 (Bathing) added an option for a patient unable to utilize tub or shower but could bathe independently at the sink
• M1840 (Toileting transferring) totally removed hygiene and clothing from the previous toileting item
• M1860 (Ambulation/locomotion) separated option 0 into an option for "one handed" device and "two handed" device
• M2020 (Medication) now includes wording for all medications as opposed to all prescribed medications


All of these items have some effect on either reimbursement or outcome measures, so if your clinicians are not yet aware of these changes, now is the time to bring these to their attention.

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