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Attachment C - Comparison of OASIS-C to OASIS-C1

Attachment C - Comparison of OASIS-C to OASIS-C1 Item Changes OASIS-C Item OASIS-C1 Item Type of Change Change Description Timepoint collected Response Number New Item Number Response Option Skip Directions Item Deleted Item Added Item # Item Description Item # Item Description Item Stem M0010 CMS Certification Number M0010 CMS Certification Number M0014 Branch State M0014 Branch State M0016 Branch ID Number M0016 Branch ID Number M0018 National Provider Identifier M0018 National Provider Identifier (NPI). (NPI) physician who signed plan physician who signed plan of care of care M0020 Patient ID Number M0020 Patient ID Number M0030 Start of Care Date M0030 Start of Care Date M0032 Resumption of Care Date M0032 Resumption of Care Date M0040 Patient Name M0040 Patient Name M0050 Patient State of Residence M0050 Patient State of Residence M0060 Patient Zip Code M0060 Patient Zip Code M0063 Medicare Number M0063 Medicare Number M0064 Social Security Number M0064 Social Security Number M0065 Medicaid Number M0065 Medicaid Number M0066 Birth Date M0066 Birth Date M0069 Gender M0069 Gender Attachment C - Comparison of OASIS-C to OASIS-C1 Item Ch

Attachment C - Comparison of OASIS-C to OASIS-C1 – Item Changes Page 1 Attachment C - Comparison of OASIS-C to OASIS-C1 – Item Changes . OASIS-C Item

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Transcription of Attachment C - Comparison of OASIS-C to OASIS-C1

1 Attachment C - Comparison of OASIS-C to OASIS-C1 Item Changes OASIS-C Item OASIS-C1 Item Type of Change Change Description Timepoint collected Response Number New Item Number Response Option Skip Directions Item Deleted Item Added Item # Item Description Item # Item Description Item Stem M0010 CMS Certification Number M0010 CMS Certification Number M0014 Branch State M0014 Branch State M0016 Branch ID Number M0016 Branch ID Number M0018 National Provider Identifier M0018 National Provider Identifier (NPI). (NPI) physician who signed plan physician who signed plan of care of care M0020 Patient ID Number M0020 Patient ID Number M0030 Start of Care Date M0030 Start of Care Date M0032 Resumption of Care Date M0032 Resumption of Care Date M0040 Patient Name M0040 Patient Name M0050 Patient State of Residence M0050 Patient State of Residence M0060 Patient Zip Code M0060 Patient Zip Code M0063 Medicare Number M0063 Medicare Number M0064 Social Security Number M0064 Social Security Number M0065 Medicaid Number M0065 Medicaid Number M0066 Birth Date M0066 Birth Date M0069 Gender M0069 Gender Attachment C - Comparison of OASIS-C to OASIS-C1 Item Changes Page 1.

2 OASIS-C Item OASIS-C1 Item Type of Change Change Description Timepoint collected Response Number New Item Number Response Option Skip Directions Item Deleted Item Added Item # Item Description Item # Item Description Item Stem M0080 Discipline of Person M0080 Discipline of Person Completing Completing Assessment Assessment M0090 Date Assessment Completed M0090 Date Assessment Completed M0100 This Assessment is Currently M0100 This Assessment is Currently X New skip directions due to Being Completed for the Being Completed for the changes in item Following Reason Following Reason: numbering. M0102 Date of Physician-ordered Start M0102 Date of Physician-ordered Start of Care (Resumption of Care): of Care (Resumption of Care): If If the physician indicated a the physician indicated a specific specific start of care (resumption start of care (resumption of care).)

3 Of care) date when the patient date when the patient was referred was referred for home health for home health services, record services, record the date the date specified. specified. __ __ /__ __ /__ __ __ __ month __ __ /__ __ /__ __ __ __ month / day / year / day / year (Go to M0110, if date entered). (Go to M0110, if date entered). NA No specific SOC date NA No specific SOC date ordered by physician ordered by physician Attachment C - Comparison of OASIS-C to OASIS-C1 Item Changes Page 2. OASIS-C Item OASIS-C1 Item Type of Change Change Description Timepoint collected Response Number New Item Number Response Option Skip Directions Item Deleted Item Added Item # Item Description Item # Item Description Item Stem M0104 Date of Referral: Indicate the M0104 Date of Referral: Indicate the date that the written or verbal date that the written or verbal referral for initiation or resumption referral for initiation or resumption of care was received by the HHA.

4 Of care was received by the HHA. __ __ /__ __ /__ __ __ __ __ __ /__ __ /__ __ __ __. month / day / year month / day / year M0110 Episode Timing M0110 Episode Timing M0140 Race/Ethnicity M0140 Race/Ethnicity M0150 Current Payment Sources for M0150 Current Payment Sources for Home Care Home Care M0903 Date of Last (Most Recent) M0903 Date of Last (Most Recent). Home Visit Home Visit M0906 Discharge/Transfer/Death Date M0906 Discharge/Transfer/Death Date M1000 From which of the following M1000 From which of the following X X Current wording during Inpatient Facilities was the Inpatient Facilities was the the past 14 days changed patient discharged during the past patient discharged within the past to within the past 14. 14 days? (Mark all that apply.) 14 days? (Mark all that apply.)

5 Days" and underlining removed for consistency with other similar items. New skip directions revised due to numbering changes. Attachment C - Comparison of OASIS-C to OASIS-C1 Item Changes Page 3. OASIS-C Item OASIS-C1 Item Type of Change Change Description Timepoint collected Response Number New Item Number Response Option Skip Directions Item Deleted Item Added Item # Item Description Item # Item Description Item Stem M1005 Inpatient Discharge Date (most M1005 Inpatient Discharge Date (most recent) recent). M1010 List each Inpatient Diagnosis M1011 List each Inpatient Diagnosis X X X X Revised to accommodate and ICD-10-C M code at the level and ICD-10-C M code at the level ICD-10 coding (added of highest specificity for only of highest specificity for only those space for 7 digit codes, those conditions treated during an conditions treated during an removed references to E.)

6 Inpatient stay within the last 14 inpatient stay within the last 14 and V codes). Added FU. days days timepoint and NA. response at FU. M1012 List each Inpatient Procedure X Deleted - procedure codes and the associated ICD-9-C M no longer required . procedure code relevant to the plan of care. M1016 Diagnoses Requiring Medical M1017 Diagnoses Requiring Medical or X X Revised to accommodate or Treatment Regimen Change Treatment Regimen Change ICD-10 coding (added Within Past 14 Days: List the Within Past 14 Days: List the space for 7 digit codes, patient's Medical Diagnoses and patient's Medical Diagnoses and removed references to E. ICD-10-C M codes at the level of ICD-10-C M codes at the level of and V codes). highest specificity for those highest specificity for those conditions requiring changed conditions requiring changed medical or treatment regimen medical or treatment regimen within the past 14 days (no within the past 14 days (no surgical codes): surgical codes): M1018 Conditions Prior to Regimen M1018 Conditions Prior to Regimen Change or Inpatient Stay Within Change or Inpatient Stay Within Past 14 Days Past 14 Days Attachment C - Comparison of OASIS-C to OASIS-C1 Item Changes Page 4.

7 OASIS-C Item OASIS-C1 Item Type of Change Change Description Timepoint collected Response Number New Item Number Response Option Skip Directions Item Deleted Item Added Item # Item Description Item # Item Description Item Stem M1020 Primary Diagnosis & Degree of M1021 Primary Diagnosis & Degree of X X X Revised to accommodate Symptom Control Symptom Control ICD-10 coding (added space for 7 digit codes, removed references to E. and V codes). M1022 Other Diagnoses & Degree of M1023 Other Diagnoses & Degree of X X X Revised to accommodate Symptom Control Symptom Control ICD-10 coding (added space for 7 digit codes, removed references to E. and V codes). M1024 Payment Diagnoses M1025 Optional Diagnoses X X X Revised item title to better (OPTIONAL) reflect content; revised to (not used for payment) accommodate ICD-10.

8 Coding (added space for 7. digit codes, removed references to E and V. codes). Notation added that this item does not impact payment. M1030 Therapies the patient receives at M1030 Therapies the patient receives at home home Attachment C - Comparison of OASIS-C to OASIS-C1 Item Changes Page 5. OASIS-C Item OASIS-C1 Item Type of Change Change Description Timepoint collected Response Number New Item Number Response Option Skip Directions Item Deleted Item Added Item # Item Description Item # Item Description Item Stem M1032 Risk for Hospitalization: Which M1033 Risk for Hospitalization: Which X Revised to: 1) collect data of the following signs or of the following signs or symptoms on factors identified in symptoms characterize this characterize this patient as at risk literature as predictive of patient as at risk for for hospitalization?

9 (Mark all that hospitalization: 2) provide hospitalization? (Mark all that apply.) guidance on time period apply.) under consideration for responses. Order of responses changed to reflect length of lookback period. M1034 Patient's Overall Status M1034 Patient's Overall Status M1036 Risk Factors M1036 Risk Factors M1040 Influenza Vaccine: Did the M1041 Influenza Vaccine Data X X X X Revised item title to reflect patient receive the influenza Collection Period: Does this content. Revised item to vaccine from your agency for this episode of care (SOC/ROC to clarify time period for year's influenza season (October Transfer/Discharge) include any reporting influenza vaccine 1 through March 31) during this dates on or between October 1 status. episode of care? and March 31?

10 M1045 Reason Influenza Vaccine not M1046 Influenza Vaccine Received: did X X X X Simplified item to report received: If the patient did not the patient receive the influenza reason patient did not receive the influenza vaccine from vaccine for this year's flu season? receive influenza vaccine your agency during this episode from any source. of care, state reason: Eliminated during this episode of care and from your agency from the item stem. Attachment C - Comparison of OASIS-C to OASIS-C1 Item Changes Page 6. OASIS-C Item OASIS-C1 Item Type of Change Change Description Timepoint collected Response Number New Item Number Response Option Skip Directions Item Deleted Item Added Item # Item Description Item # Item Description Item Stem M1050 Pneumococcal Vaccine: Did M1051 Pneumococcal Vaccine: Has the X X X X Simplified item to report if the patient receive pneumococcal patient ever received the patient has ever received polysaccharide vaccine (PPV) pneumococcal vaccination (PPV)?


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