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OASIS Answers - Tuesday, September 06, 2016

Established in 2004, the Certificate for OASIS Specialist-Clinical (COS-C) Exam is the premier nationally standardized, psychometrically validated test that evaluates a clinician’s knowledge of CMS’ OASIS guidance.

Effective October 1, 2016, ALL COS-C Exams administered at computer-based testing sites or via proctored paper and pencil administrations will utilize a new exam updated for OASIS-C2 (effective January 1, 2017). The OASIS-C1/ICD-10 version of the exam will not be available by any testing means after September 30, 2016.

Candidates taking the COS-C Exam in the month of October 2016 should be aware that the reporting of exam results will be delayed in order to allow OASIS Answers to define and set a fair and equitable criterion-referenced passing score for this updated exam version.

Completion of the process relies on analysis of data from a sufficient number of OASIS-C2 candidates and input from a group of OASIS Subject Matter Experts, under the direction of the Exam Psychometrician. OASIS Answers expects to have sufficient data collected to allow analysis and validation by November 1, 2016, and expects that exam results for candidates testing in October will be mailed by November 21, 2016.

Candidates achieving a successful result on either version of the Exam (OASIS-C1/ICD-10 or OASIS-C2) will be awarded the COS-C designation. The designation is valid for three years, with retesting prior to expiration required for renewal.

Thank you for your commitment to OASIS accuracy.

Linda Krulish, PT MHS COS-C
President, OASIS Answers, Inc.

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New Codes and Fireworks!

OASIS Answers - Tuesday, July 26, 2016

It’s that time of year again – time to celebrate our independence as a nation while we recognize our dependence on accurate coding information. Consider this “Sparklers with Sparkle” time. Get comfy and let me fill you in on the latest coding excitement.

Each year right around this time the Cooperating Parties in charge of these coding systems announce the revisions, additions & deletions to the diagnostic codeset. This year’s changes to the ICD-10-CM codeset can be seen at the CDC’s website at: While the preliminary list of changes was posted earlier this year, the final list was just recently posted at both the CDC’s & CMS’ websites.

Since we’ve been in a partial “code freeze” for the last several years awaiting the implementation of ICD-10, there are massive changes “stored up” this year. Not only have there been just a few absolutely essential changes for the past several years, but switching to a new system created some unforeseen obstacles & incongruities that had to be resolved as we put the new codeset into widespread use.

Read the Full Blog Post Here

New Hospice Report – Available July 17th

OASIS Answers - Thursday, July 14, 2016

On July 17, 2016, the Centers for Medicare & Medicaid Services (CMS) will provide hospices with the new Hospice Timeliness Compliance Threshold Report. This report will be available in the Hospice Provider report category in the CASPER Reporting application.

Hospice Timeliness Compliance Threshold Report displays provider level data regarding Hospice Item Set (HIS) records submitted successfully to CMS. The following information is included in the report:

  • Provider identification information
  • Provider CCN and FAC ID
  • # of HIS Records Submitted
  • # of HIS Records Submitted on Time
  • % of HIS Records Submitted on Time


Hospices are required to submit all HIS records (HIS-Admission and HIS-Discharge records) by the submission deadline. The submission deadline for HIS records is 30 days from the event date (the patient’s admission to or discharge from the hospice).

The timeliness compliance threshold for HIS submissions policies impacts the FY 2018 reporting year, which begins January 1, 2016.  The FY 2016 Hospice Final Rule states that beginning with the FY 2018 reporting year, in order to avoid the 2-percentage point reduction in their Annual Payment Update (APU), hospices will be required to submit a minimum percentage of their HIS records by the 30-day submission deadline. CMS will implement this compliance threshold over a 3-year period:

Questions related to the Hospice Timeliness Compliance Threshold Report or threshold requirements can be submitted to the Hospice Quality Help Desk:

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