OASIS:
Say 'Yes'To New M1500 Clarifications
Published on Fri Feb 25, 2011
New guidance could result in taking a hit to your process measure scores. A new clarification on the heart failure process measure coded in OASIS-C could make you look bad if you don't document carefully. M1500 (Symptoms in Heart Failure Patients) used to say that if heart failure was not coded in M1010, M1016, or M1020/M1022/M1024 on the last assessment, the clinician had to answer M1500 "NA," points out OASIS expert Trish Twombly with Foundation Management Services in Denton, Texas. Changes in the updated guidance give you the ability to answer "yes" even if heart failure wasn't coded among the top six diagnoses last assessment, she says. Response-specific instructions for this item now read "Select Response options 0, 1, or 2 if the patient has a diagnosis of heart failure, regardless of whether the diagnosis is documented elsewhere in the OASIS assessment," according to the OASIS C Guidance Manual updated [...]