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OASIS

1.60 Correction 1

Submission body record

Prior Condition: No Inpatient Discharge, No Change in Regimen in Past 14 Days

Conditions Prior to Medical or Treatment Regimen Change or Inpatient Stay Within Past 14 Days: (Mark all that apply.)

1 - Urinary incontinence
2 - Indwelling/suprapubic catheter
3 - Intractable pain
4 - Impaired decision-making
5 - Disruptive or socially inappropriate behavior
6 - Memory loss to the extent that supervision required
7 - None of the above
NA - No inpatient facility discharge AND no change in medical or treatment regimen in past 14 days
UK - Unknown

1

402

402

01,03

04,05,06,07,08,09

X

CODE

0, 1

0=No/Unchecked, 1=Yes/Checked

*1. If M0100_ASSMT_REASON = 01 or 03, then at least one item from M0220_PRIOR_UR_INCON thru M0220_PRIOR_UNKNOWN must be equal to 1, and none of the items from M0220_PRIOR_UR_INCON thru M0220_PRIOR_UNKNOWN may be blank.

*2. If any one of M0220_PRIOR_NONE, M0220_PRIOR_NOCHG_14D, or M0220_PRIOR_UNKNOWN = 1, then the remaining two items must = 0.

*3. If any item M0175_DC_HOSP_14_DAYS thru M0175_DC_OTHER = 1 or M0200_REG_CHG_14_DAY = 1, then M0220_PRIOR_NOCHG_14D must = 0.

*4. If M0175_NONE_14_DAYS=1 and M0200_REG_CHG_14_DAYS=0, then M0220_PRIOR_NOCHG_14D must = 1.

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