Data Specifications

Updates

June 05, 2020

OASIS Data Specifications V3.00.0

The OASIS Data Submission Specifications Version 3.00.0 are now available in the Downloads section below. This DRAFT version applies to the OASIS-E item set which is scheduled for implementation on January 1 one full year following the end of the Public Health Emergency (PHE). Note that the implementation date for ITM_SET_VRSN_CD for OASIS E and SPEC_VRSN_CD for Version 3.00.0 both reflect a value of TBD within the specs. At the end of the PHE an Errata will be issued that provides the implementation date.

Release Details

Users will have the ability to upload patient assessments in XML format and will have the ability to view their final validation report, in addition to their other reports, directly in iQIES. It is important to note that submission date and time are stored in Coordinated Universal Time or UTC, which is five hours ahead of Eastern Time (ET). The reports will display the UTC time. However, prior to evaluating the submission timeliness of OASIS records for the Home Health QRP, iQIES will convert the UTC time to Eastern Time.

OASIS 2.31.0 Details

The specification changes include updates to accommodate the new Functional Impairment Level Case-Mix Adjustment under the Patient Driven Groupings Model, or PDGM, as items that were previously inactive for Reason for Assessment 04 and 05 will now be active assessments with a M0090 Completion Date of January 1, 2020 or greater. These two items are: M1800 Current Grooming, and M1033 Hospital Risk Items History of Falls through None of the Above. Also taken into account is the transition to PDGM for payment calculation; as a result, the Health Insurance Prospective Payment System (HIPPS) Group Code and HIPPS Version Code are no longer required for submission for assessments with a M0090 date of January 1, 2020 or greater. It is important to note that the transition period for accepting the Health Insurance Claim Number (HICN) or Railroad Retirement Board (RRB) number will end on December 31, 2019. After January 1, 2020, only the Medicare Beneficiary Identifier (MBI) will be accepted, and providers will no longer be able to submit a HICN on assessment submissions or claims.

Please note that at this time, only certified Home Health Agencies will be onboarded to iQIES. For technical assistance, please contact our service desk at: iqies@cms.hhs.gov or by phone: 800-339-9313.

OASIS Data Specifications V2.30.1

The OASIS Data Submission Specifications Version 2.30.1 are now available in the Downloads section below. This FINAL version applies to the OASIS-D item set which is scheduled for implementation on January 1, 2019. Please note that, in addition to incorporating the issues identified previously in Errata Document V2.30.1, there were a few more revisions to the final specs. The edits for the M1311 items were revised since the dash [-] is now an allowed value. Edit -4211 was replaced by edit -5680. Several edits for GG items were revised, as the caret [^] is not an allowed value for some of the items. Edit -5510 was revised to include only a subset of the Discharge Goal items. Please review the Item Change and Edit Change Reports for entries beginning with “[V2.30.1]” for additional details.

Errata Document V2.30.1 for OASIS Data Specifications V2.30.0

An errata document for the OASIS Data Submission Specifications Version 2.30.0 has been posted in the Downloads section below. Three issues have been identified. As a result, one new edit, -5670, has been added to the M1028 items. Also, item M1860_CRNT_AMBLTN has been restored to RFAs 04 and 05, as it had been inadvertently removed from them. Furthermore, three edits were deleted from the M1021/M1023 items, as they referenced the M1025 items that have been deleted in OASIS-D.

OASIS Data Specifications V2.30.0

The OASIS Data Submission Specifications Version 2.30.0 are now available in the Downloads section below. This DRAFT version applies to the OASIS-D item set which is scheduled for implementation on January 1, 2019. There are a large number of changes in this release. Many items have been deleted, while Sections GG and J have been added. Please review the Item Change and Edit Change Reports for the details.

Home Health Quality Reporting Archives

Page Last Modified:
07/07/2021 09:28 AM