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Contact Information

Wendy Castro

OASIS Training Coordinator COQS

 wendy.castro@state.co.us

cdphe_oasis_colorado@state.co.us

303-692-2854

Answers from CMS: 

1) If, in your scenario, the patient was admitted to an inpatient facility bed, stayed for 24 hours or longer for reasons other than diagnostic testing, and then was discharged from the inpatient status and admitted to an outpatient observation status, a Transfer OASIS would be required. If the patient was admitted as an inpatient, but later the entire inpatient stay was reclassified as an outpatient observation stay and was billed utilizing one of the two G-codes for hospital outpatient department observation services, then a Transfer OASIS would not be required. The hospital utilization department should be able to advise the agency of the type of bed and services the patient utilized.

2)  The intent of GG0170R - Wheel 50 feet with two turns is to assess the patient’s ability, once seated in a wheelchair/scooter, to wheel at least 50 feet and make two turns. The turns included in GG0170R are 90-degree turns. The turns may occur at any time during the 50-foot distance. 

3) M1033 - Risk for Hospitalization, response 1 - History of falls considers any fall in the last 12 months, with or without an injury, whether witnessed or unwitnessed.  For the purpose of coding response 1, falls are defined as an unintentional change in position coming to rest on the ground, floor, or onto the next lower surface (e.g., onto a bed, chair, or bedside mat).  An intercepted fall is considered a fall. An intercepted fall occurs when the patient would have fallen if they had not caught themself or had not been intercepted by another person. Falls are not a result of an overwhelming external force (e.g., another person pushes the patient) or an anticipated loss of balance resulting from a supervised therapeutic intervention where the patient’s balance is being intentionally challenged during balance training. If in your scenario, the only fall that the patient experienced in the last 12 months was a result of a supervised therapeutic intervention where the patient's balance was being intentionally challenged during balance training, then that would not be captured as a fall for M1033, response 1.

4)  M1033 - Risk for Hospitalization; response 3 - Multiple hospitalizations (2 or more) in the past 6 months include only acute care hospitalizations.  Admissions to an inpatient rehabilitation hospital or unit (meaning a freestanding rehab hospital or a rehabilitation bed in a rehabilitation distinct unit of a general acute care hospital), an inpatient psychiatric hospital, and long-term care hospitals (LTCHs) are excluded from this response option.