Optum360 coding books logo
    Contact Us   (7 a.m.–7 p.m. CST)
  Home > Coding Central Articles > Coding Central Articles  
Coding Central
Coding Central Home
Inside Track to ICD-10
Coding Central Articles
Code This!
Case Studies
Chargemaster Corner

Articles for:
January 25, 2018

Four Tests Added to List of CLIA Waived Tests

In early January, the Centers for Medicare and Medicaid Services (CMS) announced new waived tests... Learn More

New and Revised Vaccine Codes Added to 2018 CPT Code Book

The American Medical Association (AMA) added and revised several vaccine CPT codes for its 201... Learn More

OIG Recommends Measures for Curbing Opioid Misuse and Fraud

Office of Inspector General testimony before the House Committee on Ways and Means in January ... Learn More

View Article Archive

To subscribe, paste this link into your preferred feedreader, or click on one of the buttons below:

Medical Coding News Archives


December 22, 2009:

On January 1, 2010, the Centers for Medicare and Medicaid Services (CMS) will roll out one of the most comprehensive revisions to OASIS since its original release in 1999.

OASIS was initially designed for measuring home health care patient outcomes. CMS anticipates that creating the new data set for OASIS-C will promote best practices to prevent serious chronic conditions, improve the quality of care for patients, and provide guidance to the home health industry. Many of the changes for the OASIS-C data set reflect public comment and field testing. Major revisions include the addition of new items to make measuring home health care delivery more clear and consistent; replacement, consolidation, or elimination of specific OASIS-B1 items; and improvement of the data collection requirements that measure processes of care by home health agencies.

Processes measured in OASIS-C are categorized into seven domains: timely care, prevention, care coordination, assessment, education, care planning, and implementation of care plan.

A total of 25 process of care measures will be reported to agencies via CMS’s CASPER reporting system. Of these, the following 13 process measures that have been endorsed by the National Quality Forum (NQF) will be reported publicly on Home Health Compare reports.

  • Timely initiation of care
  • Influenza immunization received for current flu season
  • Pneumococcal polysaccharide vaccine ever received
  • Heart failure symptoms addressed during short-term episodes
  • Diabetic foot care and patient education implemented during short-term episodes of care
  • Pain assessment conducted
  • Pain interventions implemented during short-term episodes
  • Depression assessment conducted
  • Drug education on all medications provided to patient/caregiver during short-term episodes
  • Multifactor falls risk assessment for patients 65 or older
  • Pressure ulcer prevention plans implemented
  • Pressure ulcer risk assessment conducted
  • Pressure ulcer prevention included in the plan of care

Additional process of care measures are undergoing consumer testing and may be added to Home Health Compare reports based upon pending results. Those additional process measures include:

  • Drug education on high-risk medications provided to patient/caregiver at start of episode
  • Potential medication issues identified and timely physician contact made at start of episode
  • Potential medication issues identified and timely physician contact made during episode

Home health agencies should be aware that OASIS-C process items have potential for use in pay-for-performance, a quality-based purchasing system for home health care, if CMS decides to move forward. In addition, CMS has revised the outcome and utilization measures to now include 37 outcome and utilization items. The following 10 outcome measures will be publicly reported.

  • Acute care hospitalization
  • Emergency department care without hospitalization
  • Improvement in ambulation/locomotion
  • Improvement in bathing
  • Improvement in bed transferring
  • Improvement in management of oral medications
  • Improvement in dyspnea
  • Improvement in status of surgical wounds
  • Improvement in pain interfering with activity
  • Increase in number of unhealed pressure ulcers

CMS has released the OASIS-C Guidance Manual as well as other documents to prepare the home health community for the implementation of OASIS-C on January 1, 2010.


Sign in to
Your Account
Forgot your username?
Forgot your password?
Don't have an account?
It's easy to create one.
Promo code

Have a promotional source code? Enter it here:

What is this?
Shop our catalog

Request or check out the electronic version of our latest catalog.

Medical Coding Books Winter 2018 Catalog