OASIS-E Spotlight: Pain Interference with Day-to-Day Activities

September 25, 2023

Making sense of CMS guidelines is more challenging than ever after the launch of OASIS-E and the abundance of changes that go along with it. KanTime’s OASIS Spotlight series will spotlight specific OASIS items to simplify the ruling and help clinicians significantly improve their understanding of OASIS so they can move forward with accuracy.

J0530 Pain Interference with Day-to-Day Activities

The changes in OASIS-E for evaluating a patient’s pain and its impact on their day-to -day activities is captured in a series of 3 items called the Pain Interview.

For this installment of the OASIS-E Spotlight we’ll look at the last item, J0530 Pain Interference with Day-to-Day Activities.

Time points:

    • Start of Care
    • Resumption of Care
    • Discharge from Agency

Ask patient: “Over the past 5 days, how much of the time has pain made it hard for you to sleep at night”

    • Code 1, Rarely or not at all, if the patient responds that pain has rarely or not at all limited day-to-day activities (excluding rehabilitation therapy sessions) in the past 5 days.
    • Code 2, Occasionally, if the patient responds that pain has occasionally limited day-to-day activities (excluding rehabilitation therapy sessions) in the past 5 days.
    • Code 3, Frequently, if the patient responds that pain has frequently limited day-to-day activities (excluding rehabilitation therapy sessions) in the past 5 days.
    • Code 4, Almost constantly, if the patient responds that pain has almost constantly limited day-to-day activities (excluding rehabilitation therapy sessions) in the past 5 days.
    • Code 8, Unable to answer, if the patient is unable to answer the question, does not respond or gives a nonsensical response.
    • Dash is NOT a valid response for this item.

Additional CMS guidance includes the following:

    • Read the question and response choices as written.
    • No predetermined definitions are offered to the patient. The response should be based on the patient’s interpretation of frequency response options.
    • This item should be coded based on the patient’s interpretation of the provided response options for frequency. If the patient is unable to decide between 2 options, then the assessing clinician should code for the option with the higher frequency.
    • Rehabilitation therapies may include treatment supervised in person by a therapist or nurse or other staff, or the patient/family/caregivers carrying out a prescribed therapy program without agency staff present.

Stay tuned for next Monday’s spotlight so your practice can continue to stay ahead of the curve and provide elite patient care through the Oasis E changes.

We provide clinicians that are part of the Kantime enterprise system with links to the guidance from CMS for each individual OASIS item.

If you would like to learn more about how better happens, contact us at sales@kanrad.com to schedule a demo.

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