This webpage provides resources and information pertaining to the Outcome and Assessment Information Set (OASIS) that is required to be completed by Medicare certified home health agencies (HHAs) for skilled, adult, non-maternity, Medicare and/or Medicaid patients.
Wisconsin OASIS Contacts
- Provides OASIS technical support
- Provides OASIS content guidance (interpretation and intended use)
General OASIS Information
- OASIS Guidance Manual
- OASIS considerations during the PPS to PDGM transition (PDF)
- OASIS-D1: OASIS Update for CY 2010 (PDF), including instructions for RFA 4 recertification assessments completed the last five days of 2019.
- OASIS Data Sets – CMS has delayed in the implementation of OASIS-E.
- OASIS-D training materials
- CMS OASIS Quarterly Q&As
- OASIS One-Clinician Convention Rule (PDF) – effective January 1, 2018
- OASIS Assessment Timing Reference Sheet (PDF)
- OASIS Correction Policy for HHAs – CMS S&C: 15-18-HHA (PDF), January 9, 2015
- OASIS Considerations for Medicare PPS Patients (PDF) – November 2010
- Missouri Alliance for Home Care's Fall Risk Assessment Tool - MAHC-10
- ICD-10 Coding Information
- OASIS Requirements for New HHAs Seeking Medicare Certification CMS S&C01-02 (PDF)
Coding HIV or STD Diagnosis
There is no Wisconsin state law prohibiting reporting of HIV or STD diagnosis codes. Effective with the implementation of the OASIS C1-ICD-10 dataset on October 1, 2015, home health agencies should code HIV and STD diagnosis codes for appropriate patients.
Education
Updated Section GG Web-based Training Course
CMS has developed a web-based training course on how to properly code of Section GG. This 45-minute course and is divided into the following four lessons and includes interactive exercises that allow you to test your knowledge in real life scenarios. This training can be accessed on the Home Health Quality Reporting Training webpage.
- Lesson 1: Importance of Section GG for Post-Acute Care
- Lesson 2: Section GG Assessment and Coding Principles
- Lesson 3: Coding GG0130.Self-Care Items
- Lesson 4: Coding GG0170.Mobility Items
WI OASIS Educational Forum
DQA sponsors a quarterly educational venue to assist Wisconsin HHAs to keep current with evolving OASIS information.
Each OASIS Educational Forum will be conducted over the internet utilizing the Adobe Connect Meeting software. Adobe Connect Meeting is web-conferencing software that allows users to connect to live meetings/presentations over the internet.
Next OASIS Educational Forum: May 6, 2021, 3 p.m. - 4 p.m. - Agenda (PDF)
To attend the OASIS Educational Forum:
- Join Zoom forum (select this link to go straight to the room without needing to enter the meeting ID and password)
- Meeting ID: 915-0385-0631
- Or by Phone: 312-626-6799
- Enter 91503850631# when asked for the meeting ID
- Enter # if asked for participant ID
Recordings and Agendas of Previous Forums:
- January 27, 2021 - Agenda (PDF)
- October 7, 2020 - Agenda (PDF)
CMS YouTube Training Video
This training video was developed prior to the OASIS-C Training Modules noted above.
Regulatory
Regulatory Resources
- New HHA Conditions of Participation (includes OASIS Regulations) QSO-18-13-HHA (PDF) – effective January 13, 2018
- HHA Certification and Compliance: federal compliance regulations, including those related to OASIS
- Conducting the Comprehensive Assessment on Pediatric or Maternity Patients, and Patients Receiving Personal Care Services Only (PDF)
- Using OBQM Reports as Part of the HHA Survey Process (PDF)
- OASIS Requirements for Medicare and/or Medicaid Beneficiaries (PDF)
- HHA Pre-survey Worksheet for Surveyors (PDF)
Assistance
Technical Assistance
Important: Do not include personally identifiable information in emails. If you have a question about an error on a Final Validation Report, please contact Emily Virnig with the Submission ID and the Record Number of the OASIS record with the error. Do not ever attached a copy of a Final Validation Report to an email.
iQIES – Enhanced Assessment Submission and Processing System/User Tool for Home Health Providers for January 1, 2020
CMS is implementing Internet Quality Improvement and Evaluation System (iQIES). January 2020, HHAs will have access to a new patient assessment upload and reporting interface that will replace the current Assessment Submission & Processing (ASAP) and the Certification and Survey Provider Enhanced Reports (CASPER) submission and reporting systems. This release will also include the ability for HHA providers and vendors to create assessments in iQIES, replacing the jHAVEN user tool.
Resources
- CMS Home Health Spotlight and Announcements
- Register for an iQIES Account - Action Required
- HARP Frequently Asked Questions
- QTSO Home Health Agency (HHA) Providers
Training on iQIES – YouTube Videos
Data Specifications
QIES Technical Support Office (QTSO)
The QTSO website provides information and resources for CMS applications and programs including home health.
OASIS Correction Policy
- OASIS Correction Policy for HHAs – CMS S&C: 15-18-HHA (PDF), January 9, 2015
OASIS Assessment Deletion Request
Refer to the OASIS Correction Policy for HHAs (above) for information on when to request a deletion of an OASIS record. Email Emily Virnig to obtain the required CMS form that must be completed to request a removal of a previously submitted and accepted OASIS record.
Quality Measures
Quality Measures: Outcome, Process, and Potentially Avoidable Events
- Home Health OASIS Quality Reporting Program
- OASIS Quality Measures
- Home Health Quality Improvement (HHQI) National Campaign: free resources for HHAs to conduct HHQI activities
- Home Health Star Ratings information from CMS HHA Quality Initiative website
- Home Health Compare Update Calendar
- Home Health Compare: national website for consumers to compare Quality Measures between HHAs
- CMS PBQI (YouTube) Video
- CASPER HHA Reporting User's Manual (Chapter 6 OASIS Quality Improvement Reports)
- MetaStar: WI's Quality Improvement Organization (QIO)
- Archived CMS Quality Information and Manuals: OASIS-C and OASIS-B
Additional CMS Resources
- Home Health Agency Center
- Home Heath Prospective Payment System (PPS)
- HH Template for Face-to-Face Documentation
- Home Health Patient-Driven Groupings Model (PDGM) effective January 1, 2020
- Medicare Claims Processing Manual – Chapter 10 - Home Health Agency Billing (PDF)
- Medicare Benefit Policy Manual - Chapter 7 Home Health Services (PDF)
- Medicare Beneficiary Notices of Noncoverage (ABN)
- CMS Survey and Certification (S&C) Memos
- Removal of SSNs from Medicare Cards
- CMS Medicare Learning Network – Denial of Home Health Payments When (PDF)
- Required Patient Assessment Is Not Received (PDF)
